1
|
Sharif M, Rea O, Burling R, Ellul Miraval M, Patel R, Saman Y, Rea P, Yoon HJ, Kheradmand A, Arshad Q. Migrainous vertigo impairs adaptive learning as a function of uncertainty. Front Neurol 2024; 15:1436127. [PMID: 39119559 PMCID: PMC11306035 DOI: 10.3389/fneur.2024.1436127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2024] [Accepted: 07/03/2024] [Indexed: 08/10/2024] Open
Abstract
Objective In this study, we examined whether vestibular migraine, as a source of increased perceptual uncertainty due to the associated dizziness, interferes with adaptive learning. Methods The IOWA gambling task (IGT) was used to assess adaptive learning in both healthy controls and patients with migraine-related dizziness. Participants were presented with four decks of cards (A, B, C, and D) and requested to select a card over 100 trials. Participants received a monetary reward or a penalty with equal probability when they selected a card. Card decks A and B (high-risk decks) involved high rewards (win £100) and high penalties (lose £250), whereas C and D (low-risk decks; favorable reward-to-punishment ratio) involved lower rewards (win £50) and penalties (lose £50). Task success required participants to decide (i.e., adaptively learn) through the feedback they received that C and D were the advantageous decks. Results The study revealed that patients with vestibular migraine selected more high-risk cards than the control group. Chronic vestibular migraine patients showed delayed improvement in task performance than those with acute presentation. Only in acute vestibular migraine patients, we observed that impaired learning positively correlated with measures of dizzy symptoms. Conclusion The findings of this study have clinical implications for how vestibular migraine can affect behavioural adaption in patients, either directly through altered perception or indirectly by impacting cognitive processes that can result in maladaptive behavior.
Collapse
Affiliation(s)
- Mishaal Sharif
- inAmind Laboratory, College of Life Sciences, University of Leicester, Leicester, United Kingdom
| | - Oliver Rea
- inAmind Laboratory, College of Life Sciences, University of Leicester, Leicester, United Kingdom
| | - Rose Burling
- inAmind Laboratory, College of Life Sciences, University of Leicester, Leicester, United Kingdom
| | - Mel Ellul Miraval
- inAmind Laboratory, College of Life Sciences, University of Leicester, Leicester, United Kingdom
| | - Rakesh Patel
- Faculty of Health and Life Sciences, De Monfort University, Leicester, United Kingdom
| | - Yougan Saman
- inAmind Laboratory, College of Life Sciences, University of Leicester, Leicester, United Kingdom
| | - Peter Rea
- E.N.T Department, Leicester Royal Infirmary, Balance Clinic, Leicester, United Kingdom
| | - Ha-Jun Yoon
- inAmind Laboratory, College of Life Sciences, University of Leicester, Leicester, United Kingdom
| | - Amir Kheradmand
- Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, United States
- Department of Neuroscience, The Johns Hopkins University School of Medicine, Baltimore, MD, United States
- Department of Otolaryngology and Head & Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, United States
| | - Qadeer Arshad
- inAmind Laboratory, College of Life Sciences, University of Leicester, Leicester, United Kingdom
- Department of Brain Sciences, Centre for Vestibular Neurology, Imperial College, London, United Kingdom
| |
Collapse
|
2
|
Xavier F, Chouin E, Serin-Brackman V, Séverac Cauquil A. How a Subclinical Unilateral Vestibular Signal Improves Binocular Vision. J Clin Med 2023; 12:5847. [PMID: 37762788 PMCID: PMC10532309 DOI: 10.3390/jcm12185847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 09/01/2023] [Accepted: 09/05/2023] [Indexed: 09/29/2023] Open
Abstract
The present study aimed to determine if an infra-liminal asymmetric vestibular signal could account for some of the visual complaints commonly encountered in chronic vestibular patients. We used infra-liminal galvanic vestibular stimulation (GVS) to investigate its potential effects on visuo-oculomotor behavior. A total of 78 healthy volunteers, 34 aged from 20 to 25 years old and 44 aged from 40 to 60 years old, were included in a crossover study to assess the impact of infra-liminal stimulation on convergence, divergence, proximal convergence point, and stereopsis. Under GVS stimulation, a repeated measures ANOVA showed a significant variation in near convergence (p < 0.001), far convergence (p < 0.001), and far divergence (p = 0.052). We also observed an unexpected effect of instantaneous blocking of the retest effect on the far divergence measurement. Further investigations are necessary to establish causal relationships, but GVS could be considered a behavioral modulator in non-pharmacological vestibular therapies.
Collapse
Affiliation(s)
- Frédéric Xavier
- Sensory and Cognitive Neuroscience Unit LNC UMR 7231 CNRS, Aix-Marseille University, St-Charles, 3, Place Victor Hugo, 13003 Marseille, France
- Pathophysiology and Therapy of Vestibular Disorders Unit GDR 2074, Aix-Marseille University, St-Charles, 3, Place Victor Hugo, 13003 Marseille, France
| | - Emmanuelle Chouin
- Pathophysiology and Therapy of Vestibular Disorders Unit GDR 2074, Aix-Marseille University, St-Charles, 3, Place Victor Hugo, 13003 Marseille, France
| | - Véronique Serin-Brackman
- Medical, Maieutics and Paramedical Department, Faculty of Health, University Toulouse III, Paul Sabatier, 31062 Toulouse, France
| | - Alexandra Séverac Cauquil
- ActiVest—Vestibular Functional Exploration in Humans and Non-Human Primates Unit GDR 2074, St-Charles, 3, Place Victor Hugo, 13003 Marseille, France
- Brain and Cognition Research Center CerCo UMR 5549 CNRS, University Toulouse III, Paul Sabatier, 31062 Toulouse, France
| |
Collapse
|
3
|
Loued-Khenissi L, Pfeiffer C, Saxena R, Adarsh S, Scaramuzza D. Microgravity induces overconfidence in perceptual decision-making. Sci Rep 2023; 13:9727. [PMID: 37322248 PMCID: PMC10272216 DOI: 10.1038/s41598-023-36775-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Accepted: 06/09/2023] [Indexed: 06/17/2023] Open
Abstract
Does gravity affect decision-making? This question comes into sharp focus as plans for interplanetary human space missions solidify. In the framework of Bayesian brain theories, gravity encapsulates a strong prior, anchoring agents to a reference frame via the vestibular system, informing their decisions and possibly their integration of uncertainty. What happens when such a strong prior is altered? We address this question using a self-motion estimation task in a space analog environment under conditions of altered gravity. Two participants were cast as remote drone operators orbiting Mars in a virtual reality environment on board a parabolic flight, where both hyper- and microgravity conditions were induced. From a first-person perspective, participants viewed a drone exiting a cave and had to first predict a collision and then provide a confidence estimate of their response. We evoked uncertainty in the task by manipulating the motion's trajectory angle. Post-decision subjective confidence reports were negatively predicted by stimulus uncertainty, as expected. Uncertainty alone did not impact overt behavioral responses (performance, choice) differentially across gravity conditions. However microgravity predicted higher subjective confidence, especially in interaction with stimulus uncertainty. These results suggest that variables relating to uncertainty affect decision-making distinctly in microgravity, highlighting the possible need for automatized, compensatory mechanisms when considering human factors in space research.
Collapse
Affiliation(s)
- Leyla Loued-Khenissi
- Laboratory for Behavioral Neurology and Imaging of Cognition, Neuroscience Department, Medical School, University of Geneva, Geneva, Switzerland.
- Neuro-X Institute, École Polytechnique Fédérale de Lausanne, Geneva, Switzerland.
| | - Christian Pfeiffer
- Robotics and Perception Group, University of Zurich, Zurich, Switzerland
| | - Rupal Saxena
- Robotics and Perception Group, University of Zurich, Zurich, Switzerland
| | - Shivam Adarsh
- Robotics and Perception Group, University of Zurich, Zurich, Switzerland
| | - Davide Scaramuzza
- Robotics and Perception Group, University of Zurich, Zurich, Switzerland
| |
Collapse
|
4
|
Kazemi A, Mirian MS, Lee S, McKeown MJ. Galvanic Vestibular Stimulation Effects on EEG Biomarkers of Motor Vigor in Parkinson's Disease. Front Neurol 2021; 12:759149. [PMID: 34803892 PMCID: PMC8599939 DOI: 10.3389/fneur.2021.759149] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Accepted: 10/05/2021] [Indexed: 01/18/2023] Open
Abstract
Background: Impaired motor vigor (MV) is a critical aspect of Parkinson's disease (PD) pathophysiology. While MV is predominantly encoded in the basal ganglia, deriving (cortical) EEG measures of MV may provide valuable targets for modulation via galvanic vestibular stimulation (GVS). Objective: To find EEG features predictive of MV and examine the effects of high-frequency GVS. Methods: Data were collected from 20 healthy control (HC) and 18 PD adults performing 30 trials total of a squeeze bulb task with sham or multi-sine (50-100 Hz "GVS1" or 100-150 Hz "GVS2") stimuli. For each trial, we determined the time to reach maximum force after a "Go" signal, defined MV as the inverse of this time, and used the EEG data 1-sec prior to this time for prediction. We utilized 53 standard EEG features, including relative spectral power, harmonic parameters, and amplitude and phase of bispectrum corresponding to standard EEG bands from each of 27 EEG channels. We then used LASSO regression to select a sparse set of features to predict MV. The regression weights were examined, and separate band-specific models were developed by including only band-specific features (Delta, Theta, Alpha-low, Alpha-high, Beta, Gamma). The correlation between MV prediction and measured MV was used to assess model performance. Results: Models utilizing broadband EEG features were capable of accurately predicting MV (controls: 75%, PD: 81% of the variance). In controls, all EEG bands performed roughly equally in predicting MV, while in the PD group, the model using only beta band features did not predict MV well compared to other bands. Despite having minimal effects on the EEG feature values themselves, both GVS stimuli had significant effects on MV and profound effects on MV predictability via the EEG. With the GVS1 stimulus, beta-band activity in PD subjects became more closely associated with MV compared to the sham condition. With GVS2 stimulus, MV could no longer be accurately predicted from the EEG. Conclusions: EEG features can be a proxy for MV. However, GVS stimuli have profound effects on the relationship between EEG and MV, possibly via direct vestibulo-basal ganglia connections not measurable by the EEG.
Collapse
Affiliation(s)
- Alireza Kazemi
- Center for Mind and Brain, Department of Psychology, University of California, Davis, Davis, CA, United States
| | - Maryam S. Mirian
- Pacific Parkinson's Research Centre, Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC, Canada
| | - Soojin Lee
- Pacific Parkinson's Research Centre, Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC, Canada
- Wellcome Centre for Integrative Neuroimaging (FMRIB), University of Oxford, Oxford, United Kingdom
| | - Martin J. McKeown
- Pacific Parkinson's Research Centre, Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC, Canada
- Faculty of Medicine (Neurology), University of British Columbia, Vancouver, BC, Canada
| |
Collapse
|