The experience of vertigo: A systematic review of neuroimaging studies

Our primary objective was to assess consistent activation and deactivation among healthy participants and patients reporting vertigo. Our secondary aim was to evaluate the influence of the stimulus and the direction of the perception of self-motion We realized a systematic review with an extensive d...

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Bibliographic Details
Published in:Brain imaging and behavior 2022-12, Vol.16 (6), p.2797-2808
Main Authors: Varangot-Reille, Clovis, Herranz-Gomez, Aida, de la Nava, Javier, Suso-Martí, Luis, Cuenca-Martínez, Ferran
Format: Article
Language:English
Subjects:
Basal ganglia
Biomedical and Life Sciences
Biomedicine
Cerebellum
Cortex (cingulate)
Cortex (insular)
Cortex (parietal)
Cortex (temporal)
Deactivation
Dizziness
Emission analysis
Functional magnetic resonance imaging
Ganglia
Infrared spectroscopy
Magnetic resonance imaging
Medical imaging
Motion detection
Muscles
Near infrared radiation
Neuroimaging
Neuropsychology
Neuroradiology
Neurosciences
Perception
Positron emission
Positron emission tomography
Precentral gyrus
Psychiatry
Putamen
Review Article
Scientific visualization
Self image
Stimulation
Superior temporal gyrus
Systematic review
Temporal gyrus
Thalamus
Vertigo
Vestibular system
Visual pathways
Visual stimuli
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Summary:Our primary objective was to assess consistent activation and deactivation among healthy participants and patients reporting vertigo. Our secondary aim was to evaluate the influence of the stimulus and the direction of the perception of self-motion We realized a systematic review with an extensive data visualization. We included neuroimaging studies (e.g., functional magnetic resonance imaging [fMRI], positron emission tomography [PET] or near infrared spectroscopy [NIRS]) that have measured functional activity in human adults reporting vertigo and/or dizziness. We included 21 studies ( n  = 336 participants), ~ 64% male, age ranging from 18 to 80.5 years. The different stimuli used to induce vertigo: caloric stimulation, galvanic stimulation, visual stimulation or vibratory stimulus on neck muscles. We found a consistent activation of the insular cortex, inferior parietal lobule, putamen, cerebellum, anterior cingulate cortex, precentral gyrus, superior temporal gyrus and thalamus. Cortical and subcortical activation seems to have a contralateral pattern to the perception of self-movement. We found a deactivation pattern of structures related to the ventral and third visual pathway. Vertigo is an unpleasant and subjective experience which involves multiple vestibular and non-specific networks with the involvement of a cortico–basal ganglia– cerebellar–thalamic network. Graphical abstract
ISSN:1931-7557
1931-7565
DOI:10.1007/s11682-022-00729-3