Corrective saccades in acute vestibular neuritis: studying the role of prediction using automated passively-induced head impulses.

Kerkeni, Hassen; Zee, David S; Korda, Athanasia; Morrison, Miranda; Mantokoudis, Georgios; Ramat, Stefano (2023). Corrective saccades in acute vestibular neuritis: studying the role of prediction using automated passively-induced head impulses. Journal of neurophysiology, 129(2), pp. 445-454. American Physiological Society 10.1152/jn.00382.2022

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When the demands for visual stabilization during head rotations overwhelm the ability of the vestibulo-ocular reflex (VOR) to produce compensatory eye movements, the brain produces corrective saccades that bring gaze towards the fixation target, even without visual cues (covert saccades). What triggers covert saccades and what might be the role of prediction in their generation are unknown. We studied 14 subjects with acute vestibular neuritis. To minimize variability of the stimulus, head impulses were imposed using a motorized torque generator with the subject on a bite-bar. Predictable and unpredictable (timing, amplitude, direction) stimuli were compared. Distributions of covert corrective saccade latencies were analyzed with a 'LATER' (linear approach to threshold with ergodic rate) approach. On the affected side, VOR gain was higher (0.47±0.28 vs. 0.39±0.22, p<<0.001) with predictable than unpredictable head impulses, and gaze error at the end of the head movement was less (5.4±3.3 vs 6.9±3.3 deg p<<0.001). Analyzing trials with covert saccades, gaze error at saccade end was significantly less with predictable than unpredictable head impulses (4.2 ±2.8 vs 5.5 ±3.2 deg, p<<0.001). Furthermore, covert corrective saccades occurred earlier with predictable than unpredictable head impulses (140±37 vs. 153±37 ms p<<0.001). Using a LATER analysis with reciprobit plots, we were able to divide covert corrective saccades into two classes - early and late - with a break point in the range of 88-98ms. We hypothesized two rise-to-threshold decision mechanisms for triggering early and late covert corrective saccades, with the first being most engaged when stimuli are predictable.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT)
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Kerkeni, Hassen, Korda, Athanasia, Morrison, Miranda Claire, Mantokoudis, Georgios

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0022-3077

Publisher:

American Physiological Society

Language:

English

Submitter:

Pubmed Import

Date Deposited:

19 Jan 2023 10:20

Last Modified:

19 Jan 2024 00:25

Publisher DOI:

10.1152/jn.00382.2022

PubMed ID:

36651642

Uncontrolled Keywords:

Head impulse Later Analysis acute vestibular neuritis prediction saccades

BORIS DOI:

10.48350/177675

URI:

https://boris.unibe.ch/id/eprint/177675

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