Convergence and interaction of vestibular and deep somatic afferents upon neurons in the vestibular nuclei of the cat

Temporal and spatial properties of vestibular signals for perception of self-motion

It is well recognized that the vestibular system is involved in numerous important cognitive functions, including self-motion perception, spatial orientation, locomotion, and vector-based navigation, in addition to basic reflexes, such as oculomotor or body postural control. Consistent with this rationale, vestibular signals exist broadly in the brain, including several regions of the cerebral cortex, potentially allowing tight coordination with other sensory systems to improve the accuracy and precision of perception or action during self-motion. Recent neurophysiological studies in animal models based on single-cell resolution indicate that vestibular signals exhibit complex spatiotemporal dynamics, producing challenges in identifying their exact functions and how they are integrated with other modality signals. For example, vestibular and optic flow could provide congruent and incongruent signals regarding spatial tuning functions, reference frames, and temporal dynamics. Comprehensive studies, including behavioral tasks, neural recording across sensory and sensory-motor association areas, and causal link manipulations, have provided some insights into the neural mechanisms underlying multisensory self-motion perception.

Manual cervical therapy and vestibular migraine: A case series

Background

Vestibular migraine (VM) is a relatively new diagnostic entity with incomplete knowledge regarding pathophysiological mechanisms and therapeutic guidelines. By reporting the effect of manual cervical therapy (MCT) on people with VM, we suggest a possible role for upper cervical afferents in VM treatment and/or pathogenesis. The objective was to describe the change in clinical presentation and self-reported symptoms of VM corresponding to MCT and followed up to six months.

Methods

A nonrandomised *ABA design was utilised to consecutively and prospectively evaluate selected patients with diagnosed VM. Symptom characteristics (frequency and intensity) were recorded along with standardised patient-reported outcomes (PROs) to document the response to MCT.

Results

Three patients were recruited who met the diagnostic criteria for VM. All three patients demonstrated improvement in both migraine attack and interictal symptom frequency. These improvements mirrored changes in PROs and were sustained over a six-month follow-up period.

Conclusions

The improvement that coincided with the intervention including MCT was rapid, observable and sustained. This suggests that the upper cervical spine could be a therapeutic target in VM and may have implications for future research into the pathogenesis of VM.

Adaptation in Gait to Lunar and Martian Gravity Unloading During Long-Term Isolation in the Ground-Based Space Station Model

The aim of the experiment was to evaluate the adaptive responses of biomechanical and electromyographic parameters to vertical unloading (Lunar—0.15 G and Martian—0.35 G) when walking during the 4-month isolation experiment SIRIUS-19 in the ground-based space station model (GBI). The study involved 6 healthy international crew members of the SIRIUS-19 project aged 34 ± 6.2 years (3 women and 3 men). Body Weight Unloading (BWU) conditions was created by the h/p/cosmos airwalk system. The locomotor test included walking (3.5 ± 0.3 km/h) with a sequential change of BWU modes: 5-min walking with 0% BWU (1 G), 5-min walking with 65% BWU (0.35 G) and 5-min walking with 85% BWU (0.15 G). Ground Reaction Force was recorded by the h/p/cosmos treadmill device. Muscle Lab Model 4000e device was used to record the electromyographic signals of the hip and shin muscles. The locomotor test was performed twice before GBI, monthly during GBI and 1 week after leaving isolation. The results obtained before GBI demonstrate that the changes of support and proprioceptive afferentation signals play significant role in reorganizing of the biomechanical structure of motor acts and the development of new movement patterns. The results of the study are consistent with the previously obtained results of other studies in this direction. Despite the fact that during the GBI the participants of the experiment performed regular physical training, a decrease in the performance indicators values was detected, especially pronounced after 100 days of GBI. This is probably due to limited space of a space station model, as well as the development of a special motor stereotype in it. Noteworthy are the results obtained after the 4th session of the experiment, indicating the effect of sensorimotor learning. We think that the data obtained in this study will be useful in research both in gravitational physiology and in clinical medicine.

Assessing the cervico-ocular reflex system via modifying the ocular vestibular-evoked myogenic potential test

PURPOSE

The aim of this study was to devise a novel test for assessing the cervico-ocular reflex (COR) system via head vibration (termed h-COR) or neck vibration (termed n-COR) method.

MATERIALS AND METHODS

Thirteen patients with complete loss of bilateral vestibulo-ocular reflex (VOR) showing oscillopsia were assigned to Group A, while 13 patients with bilateral VOR loss but no oscillopsia were Group B. Another 13 healthy elderly served as a control. The COR test was performed via modifying the ocular vestibular-evoked myogenic potential (oVEMP) test by tapping at the forehead with head rotation (h-COR) or at mid-dorsal neck with head straight (n-COR).

RESULTS

Both h-COR and n-COR tests displayed similar cI-cII waveforms. None of the Group A or healthy elderly showed present h-COR, while 8% of Group A and 31% of the healthy elderly revealed present n-COR. In contrast, present h-COR and n-COR were elicited in 85 and 77% of Group B, respectively. Restated, significantly higher response rate of COR in Group B (without oscillopsia) than Group A (with oscillopsia) indicates that present COR is related to the alleviation of oscillopsia.

CONCLUSIONS

Head vibration method (h-COR test) is superior to neck vibration method (n-COR test) for assessing the COR system.

Neural Correlates of Vestibular Processing During a Spaceflight Analog With Elevated Carbon Dioxide (CO2): A Pilot Study

Astronauts return to Earth from spaceflight missions with impaired mobility and balance; recovery can last weeks postflight. This is due in large part to the altered vestibular signaling and sensory reweighting that occurs in microgravity. The neural mechanisms of spaceflight-induced vestibular changes are not well understood. Head-down-tilt bed rest (HDBR) is a common spaceflight analog environment that allows for study of body unloading, fluid shifts, and other consequences of spaceflight. Subjects in this context still show vestibular changes despite being in Earth's gravitational environment, potentially due to sensory reweighting. Previously, we found evidence of sensory reweighting and reduced neural efficiency for vestibular processing in subjects who underwent a 70-day HDBR intervention. Here we extend this work by evaluating the impact of HDBR paired with elevated carbon dioxide (CO₂) to mimic International Space Station conditions on vestibular neural processing. Eleven participants (6 males, 34 ± 8 years) completed 30 days of HDBR combined with 0.5% atmospheric CO₂ (HDBR + CO₂). Participants underwent six functional magnetic resonance imaging (fMRI) sessions pre-, during, and post- HDBR + CO₂ while we measured brain activity in response to pneumatic skull taps (a validated method of vestibular stimulation). We also measured mobility and balance performance several times before and after the intervention. We found support for adaptive neural changes within the vestibular system during bed rest that subsequently recovered in several cortical and cerebellar regions. Further, there were multiple brain regions where greater pre- to post- deactivation was associated with reduced pre- to post- balance declines. That is, increased deactivation of certain brain regions associated with better balance post-HDBR + CO₂. We also found that, compared to HDBR alone (n = 13 males; 29 ± 3 years) HDBR + CO₂ is associated with greater increases in activation of multiple frontal, parietal, and temporal regions during vestibular stimulation. This suggests interactive or additive effects of bed rest and elevated CO₂. Finally, we found stronger correlations between pre- to post- HDBR + CO₂ brain changes and dependence on the visual system during balance for subjects who developed signs of Spaceflight-Associated Neuro-ocular Syndrome (SANS). Together, these findings have clear implications for understanding the neural mechanisms of bed rest and spaceflight-related changes in vestibular processing, as well as adaptation to altered sensory inputs.

The response of the vestibulosympathetic reflex to linear acceleration in the rat

The vestibulosympathetic reflex (VSR) increases blood pressure (BP) upon arising to maintain blood flow to the brain. The optimal directions of VSR activation and whether changes in heart rate (HR) are associated with changes in BP are still not clear. We used manually activated pulses and oscillatory linear accelerations of 0.2-2.5 g along the naso-occipital, interaural, and dorsoventral axes in isoflurane-anesthetized, male Long-Evans rats. BP and HR were recorded with an intra-aortic sensor and acceleration with a three-dimensional accelerometer. Linear regressions of BP changes in accelerations along the upward, downward, and forward axes had slopes of ≈3-6 mmHg · g-1 (P < 0.05). Lateral and backward accelerations did not produce consistent changes in BP. Thus upward, downward, and forward translations were the directions that significantly altered BP. HR was unaffected by these translations. The VSR sensitivity to oscillatory forward-backward translations was ≈6-10 mmHg · g-1 at frequencies of ≈0.1 Hz (0.2 g), decreasing to zero at frequencies above 2 Hz (1.8 g). Upward, 70° tilts of an alert rat increased BP by 9 mmHg · g-1 without changes in HR, indicating that anesthesia had not reduced the VSR sensitivity. The similarity in BP induced in alert and anesthetized rats indicates that the VSR is relatively insensitive to levels of alertness and that the VSR is likely to cause changes in BP through modification of peripheral vascular resistance. Thus the VSR, which is directed toward the cardiovascular system, is in contrast to the responses in the alert state that can produce sweating, alterations in BP and HR, and motion sickness.

Vestibular nucleus neurons respond to hindlimb movement in the conscious cat

The limbs constitute the sole interface with the ground during most waking activities in mammalian species; it is therefore expected that somatosensory inputs from the limbs provide important information to the central nervous system for balance control. In the decerebrate cat model, the activity of a subset of neurons in the vestibular nuclei (VN) has been previously shown to be modulated by hindlimb movement. However, decerebration can profoundly alter the effects of sensory inputs on the activity of brain stem neurons, resulting in epiphenomenal responses. Thus, before this study, it was unclear whether and how somatosensory inputs from the limb affected the activity of VN neurons in conscious animals. We recorded brain stem neuronal activity in the conscious cat and characterized the responses of VN neurons to flexion and extension hindlimb movements and to whole body vertical tilts (vestibular stimulation). Among 96 VN neurons whose activity was modulated by vestibular stimulation, the firing rate of 65 neurons (67.7%) was also affected by passive hindlimb movement. VN neurons in conscious cats most commonly encoded hindlimb movement irrespective of the direction of movement (n = 33, 50.8%), in that they responded to all flexion and extension movements of the limb. Other VN neurons overtly encoded information about the direction of hindlimb movement (n = 27, 41.5%), and the remainder had more complex responses. These data confirm that hindlimb somatosensory and vestibular inputs converge onto VN neurons of the conscious cat, suggesting that VN neurons integrate somatosensory inputs from the limbs in computations that affect motor outflow to maintain balance.

Neural Activity in the Vestibular Nuclei of the Cat

The responses of 600 single neurons in the vestibular nuclei of the cat to a constant angular acceleration (4°/sec2) or ice water caloric stimulation were investigated, and neurons were classified according to their responses. Animals were anesthetized and activity was recorded stereotaxically through the intact cerebellum with a tungsten microelectrode. The resting activity, response to stimulation, firing pattern, and relationship between spike discharge and nystagmus were the parameters of interest with special attention to the relationship between anatomy and neurophysiology of the vestibular nuclear complex. The results indicate that the superior and medial vestibular nuclei contains a relatively larger number of Type I and II neurons (related to semicircular ducts) and the lateral and inferior vestibular nuclei contains a relatively larger number of Type V neurons (related to otolith organs, spinal cord, etc.) which is in good agreement with anatomical findings. Histologic mapping according to their response type, however, shows no clear topographical arrangement. The average resting frequency was about 30 spikes per second, and the majority of neurons discharge pattern was random. Neuron firing in the nuclei was geared to the slow component of nystagmus. There is considerable crossed inhibitory activity between two sets of the vestibular nuclei.

Hindlimb movement modulates the activity of rostral fastigial nucleus neurons that process vestibular input

Integration of vestibular and proprioceptive afferent information within the central nervous system is a critical component of postural regulation. We recently demonstrated that labyrinthine and hindlimb signals converge onto vestibular nucleus neurons, such that hindlimb movement modulates the activity of these cells. However, it is unclear whether similar convergence of hindlimb and vestibular signals also occurs upstream from the vestibular nuclei, particularly in the rostral fastigial nucleus (rFN). We tested the hypothesis that rFN neurons have similar responses to hindlimb movement as vestibular nucleus neurons. Recordings were obtained from 53 rFN neurons that responded to hindlimb movement in decerebrate cats. In contrast to vestibular nucleus neurons, which commonly encoded the direction of hindlimb movement (81 % of neurons), few rFN neurons (21 %) that responded to leg movement encoded such information. Instead, most rFN neurons responded to both limb flexion and extension. Half of the rFN neurons whose activity was modulated by hindlimb movement received convergent vestibular inputs. These results show that rFN neurons receive somatosensory inputs from the hindlimb and that a subset of rFN neurons integrates vestibular and hindlimb signals. Such rFN neurons likely perform computations that participate in maintenance of balance during upright stance and movement. Although vestibular nucleus neurons are interconnected with the rFN, the dissimilarity of responses of neurons sensitive to hindlimb movement in the two regions suggests that they play different roles in coordinating postural responses during locomotion and other movements which entail changes in limb position.

Vestibular nucleus neurons respond to hindlimb movement in the decerebrate cat

The vestibular nuclei integrate information from vestibular and proprioceptive afferents, which presumably facilitates the maintenance of stable balance and posture. However, little is currently known about the processing of sensory signals from the limbs by vestibular nucleus neurons. This study tested the hypothesis that limb movement is encoded by vestibular nucleus neurons and described the changes in activity of these neurons elicited by limb extension and flexion. In decerebrate cats, we recorded the activity of 70 vestibular nucleus neurons whose activity was modulated by limb movements. Most of these neurons (57/70, 81.4%) encoded information about the direction of hindlimb movement, while the remaining neurons (13/70, 18.6%) encoded the presence of hindlimb movement without signaling the direction of movement. The activity of many vestibular nucleus neurons that responded to limb movement was also modulated by rotating the animal's body in vertical planes, suggesting that the neurons integrated hindlimb and labyrinthine inputs. Neurons whose firing rate increased during ipsilateral ear-down roll rotations tended to be excited by hindlimb flexion, whereas neurons whose firing rate increased during contralateral ear-down tilts were excited by hindlimb extension. These observations suggest that there is a purposeful mapping of hindlimb inputs onto vestibular nucleus neurons, such that integration of hindlimb and labyrinthine inputs to the neurons is functionally relevant.

Responses of vestibular nucleus neurons to inputs from the hindlimb are enhanced following a bilateral labyrinthectomy

Vestibular nucleus neurons have been shown to respond to stimulation of afferents innervating the limbs. However, a limitation in the potential translation of these findings is that they were obtained from decerebrate or anesthetized animals. The goal of the present study was to determine whether stimulation of hindlimb nerves similarly affects vestibular nucleus neuronal activity in conscious cats, and whether the responsiveness of neurons to the stimuli is altered following a bilateral labyrinthectomy. In labyrinth-intact animals, the firing rate of 24/59 (41%) of the neurons in the caudal vestibular nucleus complex was affected by hindlimb nerve stimulation. Most responses were excitatory; the median response latency was 20 ms, but some units had response latencies as short as 10 ms. In the first week after a bilateral labyrinthectomy, the proportion of vestibular nucleus neurons that responded to hindlimb nerve stimulation increased slightly (to 24/55 or 44% of units). However, during the subsequent postlabyrinthectomy survival period, the proportion of vestibular nucleus neurons with hindlimb inputs increased significantly (to 30/49 or 61% of units). Stimuli to hindlimb nerves needed to elicit neuronal responses was consistently over three times the threshold for eliciting an afferent volley. These data show that inputs from hindlimb afferents smaller than those innervating muscle spindles and Golgi tendon organs affect the processing of information in the vestibular nuclei, and that these inputs are enhanced following a bilateral labyrinthectomy. These findings have implications for the development of a limb neuroprosthetics device for the management of bilateral vestibular loss.

Compensation following bilateral vestibular damage

Bilateral loss of vestibular inputs affects far fewer patients than unilateral inner ear damage, and thus has been understudied. In both animal subjects and human patients, bilateral vestibular hypofunction (BVH) produces a variety of clinical problems, including impaired balance control, inability to maintain stable blood pressure during postural changes, difficulty in visual targeting of images, and disturbances in spatial memory and navigational performance. Experiments in animals have shown that non-labyrinthine inputs to the vestibular nuclei are rapidly amplified following the onset of BVH, which may explain the recovery of postural stability and orthostatic tolerance that occurs within 10 days. However, the loss of the vestibulo-ocular reflex and degraded spatial cognition appear to be permanent in animals with BVH. Current concepts of the compensatory mechanisms in humans with BVH are largely inferential, as there is a lack of data from patients early in the disease process. Translation of animal studies of compensation for BVH into therapeutic strategies and subsequent application in the clinic is the most likely route to improve treatment. In addition to physical therapy, two types of prosthetic devices have been proposed to treat individuals with bilateral loss of vestibular inputs: those that provide tactile stimulation to indicate body position in space, and those that deliver electrical stimuli to branches of the vestibular nerve in accordance with head movements. The relative efficacy of these two treatment paradigms, and whether they can be combined to facilitate recovery, is yet to be ascertained.

Vestibular effects of cochlear implantation

OBJECTIVES/HYPOTHESIS

Cochlear implantation (CI) carries with it the potential risk for vestibular system insult or stimulation with resultant dysfunction. As candidate profiles continue to evolve and with the recent development of bilateral CI, understanding the significance of this risk takes on an increasing importance.

STUDY DESIGN

Between 1997 to 2001, a prospective observational study was carried out in a tertiary care medical center to assess the effects of unilateral CI on the vestibular system.

METHODS

Assessment was performed using the dizziness handicap inventory (DHI), vestibulo-ocular reflex (VOR) testing using both alternate bithermal caloric irrigations (ENG) and rotational chair-generated sinusoidal harmonic accelerations (SHA), and computerized dynamic platform posturography (CDP) at preoperative, 1-month, 4-month, 1-year and 2-year postimplantation visits. CI was carried out without respect to the preoperative vestibular function test results.

RESULTS

Specifically, 86 patients were entered into the study after informed consent. For the group as a whole, pair wise comparisons revealed few significant differences between preoperative and postoperative values for VOR testing (ENG and SHA) at any of the follow-up intervals. Likewise, DHI testing was also unchanged except for significant reductions (improvements) in the emotional subcategory scores at both the 4-month and 1-year intervals. CDP results demonstrated substantial improvements in postural sway in the vestibular conditions (5 and 6) as well as composite scores with the device "off" and "on" at the 1-month, 4-month, 1-year, and 2-year intervals. Device activation appeared to improve postural stability in some conditions. Excluding those patients with preoperative areflexic or hyporeflexic responses in the implanted ear (total [warm + cool] caloric response <or= 15 deg/s), substantial reductions (>or=21 deg/s maximum slow phase velocity) in total caloric response were observed for 8 (29%) patients at the 4-month interval. These persisted throughout the study period. These changes were accompanied by significant low frequency phase changes on SHA testing confirming a VOR insult. Of interest, no significant changes were detected in the DHI or CDP, and there were no effects of age, sex, device manufacturer, or etiology of hearing loss (HL) for these patients.

CONCLUSIONS

Unilateral CI rarely results in significant adverse effects on the vestibular system as measured by the DHI, ENG, SHA, and CDP. On the contrary, patients that underwent CI experienced significant improvements in the objective measures of postural stability as measured by CDP. Device activation in music appeared to have an additional positive effect on postural stability during CDP testing. Although VOR testing demonstrated some decreases in response, patients did not suffer from disabling vestibular effects following CI. The mechanism underlying these findings remains speculative. These findings should be considered in counseling patients about CI.

Neck muscle vibration alters visually-perceived roll after unilateral vestibular loss

Unilateral sternocleidomastoid muscle vibration was applied to 21 normal and six unilateral vestibular deafferented (uVD) human subjects at head erect and during 30 degrees left and right whole body roll-tilt. In normal subjects, neck vibration had no effect upon the settings of a visual bar to subjective visual horizontal (SVH) in any roll-tilt condition. In uVD subjects settings to SVH were significantly altered by neck vibration, with ipsilesional neck vibration increasing the SVH bias at head erect. Further, during contralesional roll-tilt, ipsilesional neck vibration in uVD subjects significantly increased the E-effect. These results suggest that compensation after vestibular loss allows cervical signals to influence visual perception of roll-tilt.

Transient change in standing posture after linear treadmill locomotion

Postural sway was measured in 24 healthy subjects after running or walking with eyes open on a standard treadmill exerciser. The speeds of running and walking were set at 10 and 7 km/h, respectively, and locomotion was maintained for 7 min. The postural sway response was characterized by systematic forward displacement followed by gradual decay to baseline and was accompanied by self-motion perception. Mean fore-back postural after sway was significantly greater after treadmill running than after normal running. The aftereffects of treadmill walking were significantly less than those of treadmill running. The 6 subjects showing distinct forward postural sway after treadmill walking were instructed to walk on the treadmill with their eyes closed. After this, none of the 6 subjects felt self-motion perception and had no evidence of postural aftersway. These results clearly demonstrate that vision during treadmill locomotion plays an important role in evoking postural sway after treadmill locomotion. It can be inferred that somatosensory/motor signals may be stored during visual-somatosensory/motor conflict and that this stored information may evoke postural change and self-motion perception.

Separate body- and world-referenced representations of visual space in parietal cortex

In order to direct a movement towards a visual stimulus, visual spatial information must be combined with postural information. For example, directing gaze (eye plus head) towards a visible target requires the combination of retinal image location with eye and head position to determine the location of the target relative to the body. Similarly, world-referenced postural information is required to determine where something lies in the world. Posterior parietal neurons recorded in monkeys combine visual information with eye and head position. A population of such cells could make up a distributed representation of target location in an extraretinal frame of reference. However, previous studies have not distinguished between world-referenced and body-referenced signals. Here we report that modulations of visual signals (gain fields) in two adjacent cortical fields, LIP and 7a, are referenced to the body and to the world, respectively. This segregation of spatial information is consistent with a streaming of information, with one path carrying body-referenced information for the control of gaze, and the other carrying world-referenced information for navigation and other tasks that require an absolute frame of reference.

Asymmetric optokinetic after-nystagmus induced by active or passive sustained head rotations

Asymmetric vestibular function affects optokinetic after-nystagmus (OKAN) in man, but little is known about the involvement of cervical proprioception in the visual-vestibular interaction reflected as OKAN. We studied the effect of asymmetric cervical proprioception induced by active maximal, or passive 70 degrees sustained horizontal head rotations on OKAN in 16 healthy subjects. We evoked optokinetic nystagmus (OKN) by means of a whole-field optokinetic drum rotated at a velocity of 90 degrees/s for 60 s. Following left- and right-beating OKN, we recorded OKAN in complete darkness for 60 s by DC electro-oculography. Both passively and actively sustained head rotations significantly reduced the intensity of OKAN beating in the direction opposite to the head rotation, while OKAN beating in the direction of the head rotation remained unchanged. This resulted in significant asymmetry between OKAN beating in the direction of the head rotation vs. that in the opposite direction. The findings show that in normal subjects neck proprioception converges with visual and vestibular signals and affects subcortical OKN. Asymmetric neck proprioception from neck disorders may be hypothesized to induce dizziness or vertigo in situations where OKN is evoked.

Inertial, substratal and landmark cue control of hippocampal CA1 place cell activity

Hippocampal 'place cells' discharge when a rat occupies a location that is fixed in relation to environmental landmarks. A principal goal of this study was to determine whether hippocampal place cell activity could be influenced by inertial cues. Water-deprived rats were trained in a square-walled open field in a dark room. The behavioral task required alternating visits to water reservoirs in the centre and in the four corners of the arena. The rat and arena were rotated in total darkness through +/-90, 180 or 270 degrees C. The next water reward was then presented in the corner at the same position relative to the outside room as before the rotation. A cue card was later illuminated in this corner as a visual cue for the extra-arena (room) reference frame. Fifteen out of 97 recorded hippocampal CA1 complex spike cells had spatially selective discharges in non-central parts of the arena. After arena rotations, the firing fields of three units shifted between corners of the arena to maintain a fixed orientation relative to the room. This indicates that the hippocampus updated its representation of the position and heading direction of the rat using vestibular-derived inputs concerning rotation angle. Other spatially selective discharges were guided to landmark cues (cue card or position of the reward: two units) or arena-locked 'substratal' cues (eight units). In six cells, place cell activity suddenly ceased or appeared following rotations. These results provide evidence for contributions of inertial as well as substratal and landmark information to hippocampal spatial representations.

Cervical primary afferent input to vestibulospinal neurons projecting to the cervical dorsal horn: an anterograde and retrograde tracing study in the cat

Vestibulospinal neurons in the caudal half of the medial and descending vestibular nuclei terminate in the cervical spinal cord, not only in the ventral horn and intermediate zone but also in the dorsal horn. The purpose of the present study was to examine whether the areas containing these vestibulospinal neurons are reached by cervical primary afferents. In one group of experiments, wheat germ agglutinin-horseradish peroxidase conjugate and horseradish peroxidase were pressure injected into spinal ganglia C2-C8 and revealed anterogradely labeled fibers and boutons in the caudal part (caudal to the dorsal cochlear nucleus) of the ipsilateral medial and descending vestibular nuclei. This projection was verified in experiments in which wheat germ agglutinin-horseradish peroxidase conjugate was microiontophoretically injected into the caudal half of either the medial or the descending vestibular nuclei and revealed retrogradely labeled cells only in ipsilateral spinal ganglia C2-C7, with a maximum of cells in C3. In another group of experiments, after microiontophoretic injections of Phaseolus vulgaris leucoagglutinin or Biocytin into either the medial or the descending vestibular nuclei, anterogradely labeled fibers and boutons were present in the cervical spinal cord, mainly bilaterally in the dorsal horn (laminae I-VI) but also, to a lesser extent, in the ventral horn and intermediate zone. The existence of a loop that relays cervical primary afferent information to vestibulospinal neurons projecting to the cervical spinal cord, in particular the dorsal horn, may have implications for vestibular control over local information processing in the cervical dorsal horn.

Distribution of calretinin mRNA in the vestibular nuclei of rat and guinea pig and the effects of unilateral labyrinthectomy: a non-radioactive in situ hybridization study

We examined the localization of neurons expressing mRNA for calretinin, a cytosolic EF hand calcium-binding protein, throughout the vestibular nuclei of rat and guinea pig by non-radioactive in situ hybridization, using an alkaline phosphatase labeled oligonucleotide probe. Labeled cells were particularly numerous in the medial vestibular nucleus (mVN) and their distribution was similar in rat and guinea pig, and presented a characteristic rostrocaudal and mediolateral pattern. The effects of hemilabyrinthectomy were assessed at various times post lesion from 10 h to 30 days by comparison of the pattern of labeling in the ipsi- and contra-lateral vestibular nuclei of guinea pig. After up to 48 h no modification in the calretinin mRNA distribution was detected. After 3 to 30 days of survival, there was a decrease (about 30%) of the calretinin expressing neurons in the nucleus on the side of the lesion. The unilateral sensory deprivation seemed to induce a permanent asymmetry in the expression of calretinin which was not abolished after vestibular compensation. These results suggested that the calretinin expression in these neurons depends upon the integrity and activity of sensorineuronal peripheral vestibular influences.

The interactive contribution of neck muscle proprioception and vestibular stimulation to subjective "straight ahead" orientation in man

Seventeen normal subjects were asked to direct a laser point to the position they felt to lie exactly straight ahead of their body. Subjects were seated in complete darkness in an approximately spherical cabin in an upright position with the orientation of the trunk and head aligned. For both the horizontal and vertical plane, "straight ahead" judgements were closely scattered around the objective straight ahead body position. Posterior neck muscle vibration as well as caloric vestibular stimulation with ice water led to (1) an apparent motion and horizontal displacement of a stationary visual target to the side opposite to stimulation and (2) a horizontal deviation of subjective "straight ahead" perception toward the side of stimulation. Only those subjects who experienced an illusion of target motion also showed a deviation of their subjective body orientation. No systematic effect of a displacement of subjective body orientation in the vertical plane was detected. When vestibular stimulation and neck muscle vibration were combined their effects were additive, i.e. the horizontal deviation of subjective body orientation observed when either type of stimulation was applied in isolation, was linearly combined either by summation or by cancellation. The present results clearly support the assumption that afferent visual, vestibular and proprioceptive input converge to the neural generation of an egocentric, body-centred coordinate system that allows us to determine our body position with respect to visual space.

Morphology of single vestibulospinal collaterals in the upper cervical spinal cord of the cat. II. Collaterals originating from axons outside the ventral funiculi

Recent studies have shown that vestibulospinal axons reach the upper cervical spinal cord of the cat via several different funicular routes. The purpose of this study was to describe the projections of those axons travelling outside the well-recognized pathways in the ventral funiculi. These axons are located in the dorsal columns, dorsolateral funiculi, and lateral funiculi. Collaterals of these axons were stained following extracellular injections of Phaseolus vulgaris leucoagglutinin in the medial and descending vestibular nuclei. The trajectories of individual collaterals were reconstructed from serial histological sections. Collaterals arising from axons in the same funiculus usually had the same characteristic appearance. Axons in the lateral funiculi, ipsilateral or contralateral to their cells of origin, gave rise to collaterals that had a simple structure and usually followed a horizontal trajectory across laminae VII and VIII. The boutons of these collaterals were distributed throughout the mediolateral extent of laminae VI and VII and the dorsal half of lamina VIII. In contrast, axons in the dorsolateral funiculi, ipsilateral or contralateral to their cells of origin, terminated primarily in laminae IV and V. Many collaterals of these axons projected either rostrally or caudally and had a narrow mediolateral distribution. The combined distribution of boutons from collaterals originating from axons in the dorsal columns included the dorsal horn and intermediate zone. Although these collaterals were less common and formed a heterogeneous group, they were easily distinguished from collaterals originating from axons travelling in other funiculi. These results indicate that vestibulospinal axons travelling outside the ventral funiculi comprise several distinct systems. Each system travels by a different funicular route and is distinguished by differences in collateral morphology and termination zones.(ABSTRACT TRUNCATED AT 250 WORDS)

Cervico-ocular function in patients with spasmodic torticollis

The cervico-ocular (COR) and active and passive vestibulo-ocular reflexes (VOR) were measured in seven patients with spasmodic torticollis (ST) and six normal controls. The COR was found to be weak or absent in both groups. The VOR gain was similar in the two groups but five patients had a significant asymmetry of the response. There was no evidence of abnormal cervico-vestibular interaction during active head rotation. The study suggests that the VOR asymmetry frequently found in ST cannot be explained on the basis of an abnormal cervical input.

Vestibular neurones in the parieto-insular cortex of monkeys (Macaca fascicularis): visual and neck receptor responses

1. One hundred and fifty-two vestibularly activated neurones were recorded in the parieto-insular vestibular cortex (PIVC) of four awake Java monkeys (Macaca fascicularis): sixty-two were tested systematically with visual stimulation and seventy-nine were tested with various somatosensory stimuli. With very few exceptions all vestibular neurones tested responded to visual and somatosensory stimulation, therefore being classified as polymodal vestibular units. 2. A most effective stimulus for all fifty-eight visually activated PIVC units was movement of a large structured visual pattern in an optimal direction. From forty-four units responsive to a horizontally moving optokinetic striped drum, twenty-nine were activated with optokinetic movement in the opposite direction to the activating vestibular stimulus ('synergistic' response), thirteen were activated optokinetically and vestibularly in the same direction ('antagonistic' responses) and two were biphasic. The gain of the optokinetic response to sinusoidal stimulation (average 0.28 (impulses s-1) (deg s-1)-1 at 0.2 Hz, 56 deg amplitude) was in a range similar to that of the vestibular gain at low frequencies. At 1 Hz some units only showed weak optokinetic responses or none at all, but the vestibular response was still strong. 3. With different 'conflicting' or 'enhancing' combinations of optokinetic and vestibular stimulation no generalized type of interaction was observed, but the responses varied from nearly 'algebraic' summation to no discernible changes in the vestibular responses by additional optokinetic stimuli. With all visual-vestibular stimulus combinations the responses to the vestibular stimulus remained dominant. 4. The optokinetic preferred direction was not related to gravitational coordinates since the optokinetic responses were related to the head co-ordinates and remained constant with respect to the head co-ordinates at different angles of steady tilt. 5. Almost all PIVC units were activated by somatosensory stimulation, whereby mainly pressure and/or movement of neck and shoulders (bilateral) and movement of the arm joints elicited vigorous responses. Fewer neurones were activated by lightly touching shoulders/arms or neck, by vibration and/or pressure to the vertebrae, pelvis and legs. 6. A most effective somatosensory stimulus was sinewave rotation of the body with head stationary. The gain of this directionally selective neck receptor response was in the range of vestibular stimulation. Interaction of vestibular and neck receptor stimulation was either of a cancellation or facilitation type.(ABSTRACT TRUNCATED AT 400 WORDS)

Cervical afferent pathway to inferior oblique motoneuron in the cat

The neuronal pathway implicated in the vertical cervico-ocular reflex (COR) was investigated electrophysiologically in chloralose anesthetized cats. The effect of bilateral C2 dorsal root afferent stimulation on inferior oblique motoneurons (IO-MN) was investigated by intracellular recording. Control disynaptic excitatory postsynaptic potentials elicited in IO-MNs following stimulation of the contralateral anterior semicircular canal nerve (ACN) were invariably facilitated by conditioning stimulation to both ipsilateral and contralateral C2 dorsal roots (DR) in all motoneurons tested. This result indicates that inputs from the C2 DR of both sides and the contralateral ACN converge onto secondary vestibular neurons ('common interneurons') which project directly to the IO-MN. Common interneurons mediating vestibular and cervical excitation to the IO-MNs were studied in the vestibular nuclei on the side opposite to the motoneurons by extracellular recording. Nineteen vestibular neurons were identified as common interneurons; they were distributed in the caudal half of the lateral nucleus and the rostral half of the descending nucleus. The present experiment provides electrophysiological evidence of the projection of upper cervical afferents to the ipsilateral vestibular nuclei. The difference in neuronal organization between the horizontal and vertical COR is also briefly discussed.

A cervical primary afferent input to vestibular nuclei as demonstrated by retrograde transport of wheat germ agglutinin-horseradish peroxidase in the rat

Wheat germ agglutinin-horseradish peroxidase conjugate (WGA-HRP) was microiontophoretically injected into the vestibular nuclear complex of the rat. Retrogradely labeled neurons were found in ipsilateral spinal ganglia C2-C3 only if the injection site was in the caudal part of the medial vestibular nucleus (MVN). Injections into rostral parts of the MVN, the superior, lateral and descending vestibular nuclei (SVN, LVN, DVN), the nucleus of the solitary tract (STN) and the reticular formation did not result in spinal ganglion labeling. Thus, the caudal part of the MVN appears to be the main vestibular termination site for rostral cervical primary afferents.

Central distribution of cervical primary afferents in the rat, with emphasis on proprioceptive projections to vestibular, perihypoglossal, and upper thoracic spinal nuclei

The projections of primary afferents from rostral cervical segments to the brainstem and the spinal cord of the rat were investigated by using anterograde and transganglionic transport techniques. Projections from whole spinal ganglia were compared with those from single nerves carrying only exteroceptive or proprioceptive fibers. Injections of horseradish peroxidase (HRP) or wheat germ agglutinin-horseradish peroxidase conjugate (WGA-HRP) were performed into dorsal root ganglia C2, C3, and C4. Free HRP was applied to the cut dorsal rami C2 and C3, greater occipital nerve, sternomastoid nerve, and to the C1/2 anastomosis, which contains afferents from suboccipital muscles and the atlanto-occipital joint. WGA-HRP injections into ganglia C7 and L5 were performed for comparative purposes. Injections of WGA-HRP or free HRP into rostral cervical dorsal root ganglia and HRP application to C2 and C3 dorsal rami produced labeling in dorsal and ventral horns at the level of entrance, the central cervical nucleus, and in external and main cuneate nuclei. From axons ascending to pontine and descending to upper thoracic spinal levels, medial collaterals were distributed to medial and descending vestibular, perihypoglossal and solitary nuclei, and the intermediate zone and Clarke's nucleus dorsalis in the spinal cord. Lateral collaterals projected mainly to the trigeminal subnucleus interpolaris and to lateral spinal laminae IV and V. Results from HRP application to single peripheral nerves indicated that medial collaterals were almost exclusively proprioceptive, whereas lateral collaterals were largely exteroceptive with a contribution from suboccipital proprioceptive fibers. WGA-HRP injections into dorsal root ganglia C7 and L5 failed to produce significant labeling within vestibular and periphypoglossal nuclei, although they demonstrated classical projection sites within the brainstem and spinal cord. The consistent collateralisation pattern of rostral cervical afferents along their whole rostrocaudal course enables them to contact a variety of precerebellar, vestibulospinal, and preoculomotor neurons. These connections reflect the well-known significance of proprioceptive neck afferents for the control of posture, head position, and eye movements.

Dynamic adaptation of the blind pointing characteristic to stepwise lateral tilts of body, head, and trunk

Blind pointing (i.e. pointing to visual targets without seeing the pointing arm) was investigated in normal subjects in response to stepwise lateral tilts (20 degrees) of the body, head, and trunk. Blind pointing positions of the right index finger on the outer surface of a hemispherical screen were measured relative to the positions of visual targets that were presented along a horizontal line (+/- 30 degrees in head coordinates) on the inner screen surface, thus yielding a blind pointing characteristic (BPC). (1) BPC is highly reproducible and can be subdivided into separate branches for the ipsi- and contralateral hemifields. These branches are rotated relative to the target line by individually different BPC angles pi i and pi c. (2) pi i exhibits characteristic time courses (measured within 10 min following a stepwise tilt) for each paradigm. (3) Body tilt (left ear down) causes a step-like increase in pi i of up to 14 degrees; body tilt (right ear down) causes a step-like decrease in pi i to about zero. (4) Trunk tilt (right shoulder down) produces a gradual decrease in pi i of up to 6 degrees (average time constant tau T = 5 min); trunk tilt (left shoulder down) produces a gradual increase in pi i of up to 4 degrees. (5) Head tilt (left ear down) causes an increase in pi i of up to 9 degrees followed by a gradual decrease (average time constant tau H = 6 min); head tilt (right ear down) causes a step-like decrease in pi i with unsignificant further changes. These findings are discussed in terms of a neural sensorimotor coordinate transformation process receiving separate, dynamic otolith and neck afferent influences.

Secondary vestibular and neck position signals in the vestibular nuclei of alert rhesus monkeys performing active head movements

Rhesus monkeys were trained to track a visual target with head and eye movements in order to study central vestibular neurons under natural conditions. Single unit recordings of cells in the vestibular nuclei were obtained during active head rotations in the horizontal plane, and also during passive copies of these self-induced movements. Most cells exhibited secondary responses immediately following the primary vestibular responses to active or passive rapid head movements. They were of opposite polarity to the primary responses, and generally rate enhancements of secondary responses were of greater amplitude than rate suppressions. In addition, vestibular nuclei cells also encoded tonic neck position. The corresponding signal consisted of a variation in the basal discharge rate as a function of neck, and thus head, position. These observations prove for the first time that dynamic and static response characteristics recorded earlier from lesioned brains and under anaesthesia are, at least qualitatively, representative for the normally behaving vestibulomotor system in primates.

Functional diagnostics of the cervical spine using computer tomography

35 healthy adults and 137 patients after cervical spine injury were examined by functional CT. The range of axial rotation at the level occiput/atlas, atlas/axis and the segment below were measured in all subjects. A rotation occiput/atlas of more than 7 degrees, and C1/C2 more than 54 degrees could indicate segmental hypermobility, a rotation at the segment C1/C2 less than 29 degrees to hypomobility. According to the postulated normal values based upon a 98% confidence level, out of 137 patients examined after cervical spine injury and with therapy-resistant neck pain, 45 showed signs of segmental hypermobility of the upper cervical spine, 17 showed hyper- or hypomobility at different levels, 10 patients presented segmental hypomobility at C1/C2 level alone. In all patients, according to the clinical assessment, functional pathology was suspected in the upper cervical spine. Surgical correction of rotary instability should be considered as a possible therapeutic procedure after successful diagnostic stabilisation of the cervical spine by minerva cast.

Conditioning of crossed extensor reflex pathways by independent natural stimulation of labyrinth, neck and elbow joint afferents

The present experiments demonstrated that labyrinth, neck and elbow joint afferents interact to influence the excitability of crossed extensor reflex pathways projecting to triceps brachii in decerebrate cats. Reflex excitability was dependent on head, neck and elbow position such that it was increased when the elbow was held at full flexion and either the head maintained side down or the neck rotated side up. Such interaction between these afferents is likely to be important in postural control.

Influence of standing on vestibular neuronal activity in awake cats

Single-unit activity of vestibular nuclear neurons was recorded in chronically prepared, awake cats. To examine the influence of tonic activation of limb proprioception on vestibular function, the vestibular modulation by horizontal rotation (0.2 Hz, 17 deg) and head-tilt (0.1 Hz, 7 deg) was recorded in animals with freely hanging limbs and was compared with the modulation in standing cats. Of 29 examined cells responding to horizontal rotation, only about 30% were affected during standing, with most exhibiting a decrease of the mean discharge rate and gain. In contrast, about 70% of the 28 tilt-modulated cells showed pronounced effects during standing with a decrease of the gain and an increase of the mean discharge rate. The increase of the mean discharge rate in tilt cells may be caused by the excitatory spinovestibular afferent fibers or by the efferent vestibular system. For the observed inhibitory effects on the gain different mechanisms may be responsible: cerebellar inhibition and/or efferent vestibular receptor control. This control of labyrinthine information by somatosensory afferent fibers may serve for the stability of equilibrium in the moving animal.

Effects of whole-body rotation on masseteric motoneuron excitability

Vestibular stimulation is a popular clinical treatment for enhancing the excitability of spinal motoneurons innervating trunk and limb muscles, but whether vestibular stimulation can also influence trigeminal motoneurons is not known. We determined whether or not vestibular stimulation evoked by rotation of a seated subject would modify the excitability of masseteric motoneurons. The amplitude and frequency of occurrence of masseteric compound action potentials evoked by standard chin taps provided measures for assessing masseteric motoneuron excitability. Eleven healthy adults with no orofacial or otologic disorders served as subjects. Each sat in a motorized dental chair with his head stabilized by a halo head-piece so that chair rotation caused labyrinthine excitation. The frequency (3/s) of chin taps and their impact force were maintained constant by microcomputer control. After each tap, a 16-ms sample of EMG recorded from surface electrodes over the right masseter was digitized and stored for subsequent visual inspection. Only compound action potentials meeting rigorous criteria in terms of latency, amplitude, duration, and waveform were accepted as responses. The mean frequencies of occurrence and the mean amplitudes of the responses showed wide variability. Histogram displays of every response for each subject, however, revealed enhanced output from the masseteric motoneuron pool during the decleration and postrotation phases. In subjects not immediately retested this enhancement was persistent but decayed during the next 5 min. In five subjects the experiment was repeated after 1 min. The changes in response variables during phases 3 and 4 were significantly less than on the first trial, suggesting habituation. These results provide quantitative evidence that the dynamic input from vestibular ampullary receptors in response to rotation enhances masseteric motoneuron output.

Eye movements during active head turning with different vestibular and cervical input

Eye movements were measured in 15 volunteers during vestibulo-ocular reflex (VOR), cervico-ocular reflex with the head fixed from the ceiling (passive COR), during voluntary stabilization of the head in space while the trunk was moved sinusoidally (active COR) and active head movements with and without additional vestibular or cervical stimuli. The subjects were sitting with eyes covered on a rotating chair swinging sinusoidally at 40 degrees peak to peak amplitude at 0.05, 0.1 and 0.2 Hz. The saccadic activity during passive COR is below the VOR and increases slightly during active COR. During voluntary head movements it shows a marked increase and is further activated if cervical or vestibular stimuli are added. The amplitudes of eye shifts of passive and active COR are not different. During active head movements and more with additional cervical or vestibular input, they increase significantly. The phase of the maximum eye shifts to head position is anticompensatory during passive COR and compensatory during VOR. The phase lead of about 45 degrees during active head movements is less during active COR but is larger with additional cervical and vestibular stimuli reaching 90 degrees.

Responses to corneal stimulation in vestibulospinal units of nucleus Deiters

In precollicular decerebrated cats, the response patterns of antidromically identified vestibulospinal Deiters's neurons to stimulation of corneal receptors were investigated. These patterns were compared with the responses of the somatosensory receptors of the neck and limbs as well as with the vestibular input of the horizontal semicircular canals. Of the 162 antidromically driven Deiters's units, 23 were influenced, mainly bilaterally, from corneal receptors. Response latencies evoked by electrical stimulation of the cornea ranged from 6 to 16 ms (mean 12 ms). In 99 Deiters's cells, the influence from the limbs was examined: 51 revealed primarily an ipsilateral modulation from proximal joint receptors. Convergence with joint receptor input was found in 16 of the 18 corneally driven cells tested. Of the 115 cells tested, 15 neurons responded to neck rotation in the horizontal plane. A contribution from the lateral semicircular canals was found in 7 of the 101 examined Deiters's neurons. The connection of corneal receptors with the spinal motor system, via a vestibulospinal pathway, may mediate a nociceptive reflex protecting the eyes and the face.

Spatial relationships between the terminations of somatic sensory motor pathways in the rostral brainstem of cats and monkeys. II. Cerebellar projections compared with those of the ascending somatic sensory pathways in lateral diencephalon

Previous studies have shown that ascending somatic sensory pathways arising from the dorsal column nuclei, lateral cervical nucleus and spinothalamic tract terminate in parts of the thalamus adjacent to those which receive cerebellar terminations. This termination pattern creates a border between the ventroposterolateral nucleus (VPL) and the ventrolateral nucleus (VL) in the cat and between the caudal and oral parts of VPL (VPLc and VPLo, respectively) in the monkey. Since it is not clear how sharp these borders are, a double orthograde labeling strategy was used in the present study to make direct comparisons of the projections to the thalamus from these sources of input. It was found that there was a change in the sources of afferent input to the different target areas that paralleled changes in cytoarchitecture. Moving caudally to rostrally, VPL in the cat and VPLc in the monkey received projections predominantly from the middle, dorsal (clusters) portion of the dorsal column nuclei. These projections were gradually replaced near the VPL-VL border in the cat and VPLc-VPLo border in the monkey first by input from the lateral cervical nucleus (cat only) and the rostral and ventral portions of the dorsal column nuclei and then by spinothalamic projections. Towards VL in the cat and the rostral parts of VPLo in the monkey (referred to as Vim by Hassler, '59 and Mehler, '71), these projections were in turn replaced by those from the cerebellum. This sequence resulted in a complex pattern (summarized in Fig. 10) where some thalamic territories received input predominantly from one source and others received converging input from several sources. The major region receiving converging ascending somatic sensory and cerebellar terminations was located at the border between VPL and VL in the cat and in the caudal parts of Olszewski's ('52) VPLo in the monkey (that is, between VPLc and Vim). In general, the results in the cat were similar to those in the monkey. One notable difference was that the domain containing terminals from the cerebellum and the rostral-ventral parts of the dorsal column nuclei was located medially between VPLc and Vim in the monkey, whereas it extended across the entire mediolateral border between VPL and VL in the cat. In both species, thalamic neurons received input predominantly from one afferent source and only minor input, if any, from other sources.(ABSTRACT TRUNCATED AT 400 WORDS)

Vestibular influence on tongue activity

The vestibular system was electrically stimulated in cats anesthetized with ketamine. Peripheral stimulation by an electrode positioned in the vestibule evoked torsional contralateral eye deviations and an electromyogram (EMG) response in a contralateral dorsal neck extensor. Consistently associated with this well documented vestibular pattern was an EMG response in tongue protrusive muscles, at a latency of 13 +/- 5 (means +/- SD) ms. Stimulation in a specific part of the rostroventral lateral vestibular nucleus elicited the same combination of responses: torsional contralateral eye deviations, dorsal neck EMG, and tongue EMG at a latency of 14 +/- 3 ms. Possible tongue activation by current spread to peripheral and central neural structures was examined in detail. Cerebellar, V, VII, cochlear, IX, X, and XII nerve influences were considered. On the basis of combined evidence, it was concluded that the vestibular system does influence tongue activity.

Convergence of central and peripheral signals on vestibular cells

Nerve and cortical input convergence patterns, representing the fore- and hindlimb, were studied in single cells located in the lateral vestibular nucleus of the cat. Deitersian cells responded with excitation to cortical stimulation with a latency ranging from 4 to 14 msec, while responses ranged from 9 to 12 msec to radial nerve stimulation and from 14 to 18 msec to sciatic nerve stimulation. Lateral vestibular nuclear neurons responding to radial nerve stimulation also receive the main cortical input from the sensorimotor cortical area concerned with the forelimb. Neurons responding to sciatic nerve stimulation receive an equal cortical input from both fore- and hindlimb areas of the sensorimotor cortex. In a few cells different combinations of convergence of cortical and peripheral inputs were also observed.

The effect of head position upon jaw reflexes in the rat

The vestibular apparatus of the decerebrate rat was stimulated by tilting the head dorsally or ventrally, with or without an associated stimulation of neck afferents i.e. either the head alone, or the head and body together, was tilted. The effect of such conditions, upon short latency reflexes elicited in antagonistic jaw and hyoid muscles, was examined. Reflexes in the different jaw and hyoid muscles were affected differently when the head was tilted, whether or not neck movement was permitted. Variations in the pattern of response in different animals were explicable on the basis of the known variable recovery of neck reflexes opposing the influence of the vestibular afferents. Head position can therefore be an important but complex factor which may enhance or depress reflex activity differentially in the different masticatory muscles, at least in the experimental situation.

Cervico-vestibular and visuo-vestibular interaction. Self-motion perception, nystagmus, and gaze shift

In 8 healthy subjects we studied self-motion perception and nystagmus due to sinusoidal stimulation (amplitude 90 degrees peak to peak, frequency 0.05 Hz) of the horizontal semicircular canals, the cervical proprioceptors, and the retina. We used an electrically driven rotatory chair and optokinetic drum combination. For cervical stimulation the subject's head was placed in a clamp, attached to the drum. Eye movements were recorded by means of electrooculography, d.c. amplification. Subjects signalled the estimated head position by means of a 'joystick'. In the present series of experiments the vestibular and cervical informations were played off against each other in combined stimulation conditions with an interstimulus phase lag of 0 to 315 degrees, in steps of 45 degrees. Similarly, the vestibular and visual informations were played off against each other. Concerning estimated head position, our main finding is that both the visually and the cervically induced illusion of head rotation overrule the vestibular sensation of head motion. The ocular response to combined vestibular plus cervical stimulation shows that both nystagmus slow phases and saccades of the cervical and the vestibular responses add up by vectorial summation.

Canal-neck interaction in vestibular nuclear neurons of the cat

The convergence and interaction of horizontal semicircular canal and neck proprioceptive inputs were studied in neurons of the caudal two thirds of the vestibular nuclear complex. Extracellular neuron activity was recorded under muscle relaxation and slight anesthesia in chronically prepared cats. The following stimulations were applied: horizontal rotations of (a) the whole body (labyrinth stimulation), (b) the trunk vs. the stationary head (neck stimulation), and (c) the head vs. the stationary trunk (combined labyrinth and neck stimulation). Of 152 neurons investigated, 83 (55%) showed convergence of the two inputs. In about half of these neurons, the neck input was very weak and hardly affected the labyrinthine response during head rotation. Judged from the response pattern, several of these neurons presumably were related to vestibulo-oculomotor function (i.e., vestibular nystagmus). In the other half (i.e., 27% of all neurons), sensitivity of the two inputs was similar. Both labyrinthine and neck responses contained a dynamic ("velocity") component; neck responses of more than half of these neurons had, in addition, a static ("position") component. The dynamic components were either "antagonistic" or "synergistic" as to their convergence during head rotation. When applying this combined stimulation, the dynamic components summed linearly, yielding subtration in case of antagonistic convergence and addition in case of synergistic convergence. In contrast, the static components of the neck responses remained largely unchanged during head rotation. However, the static head-to-trunk deflection determined the tonic discharge level in such neurons and thus facilitated or disfacilitated the dynamic responses to superimposed labyrinth stimulation. We suggest that the two patterns of labyrinthine neck interaction observed in vestibular nuclear neurons, i.e., subtration and addition, may be involved in the postural control of the trunk and head, respectively. In contrast, interference of the neck input with vestibulo-oculomotor function appears to be almost negligible in the intact cat.