Res Vestib Sci.  2024 Dec;23(4):132-146. 10.21790/rvs.2024.014.

Exploring the nexus: unilateral vestibulopathy and visuospatial cognitive impairments

Affiliations
  • 1Department of Neurology, Jeonbuk National University Hospital, Jeonbuk National University Medical School, Jeonju, Korea
  • 2Research Institute of Clinical Medicine, Jeonbuk National University-Jeonbuk National University Hospital, Jeonju, Korea
  • 3Department of Pharmacology, Hue University of Medicine and Pharmacy, Hue, Vietnam
  • 4Department of Neurology, University Hospital, Ludwig-Maximilians-University, Munich, Germany
  • 5German Center for Vertigo and Balance Disorders, University Hospital, Ludwig-Maximilians-University, Munich, Germany
  • 6Munich Cluster for Systems Neurology (SyNergy), Munich, Germany

Abstract

The interplay between vestibular disorders and visuospatial impairments has long captured scholarly attention. While evidence robustly supports visuospatial deficits in bilateral vestibulopathy, findings regarding unilateral vestibulopathy remain equivocal. Recent studies, both animal-based employing vestibular deafferentation models and human-based involving spatial cognitive tasks, hint at potential visuospatial cognitive impairments in individuals with acute and chronic unilateral vestibulopathy. Nevertheless, these results are preliminary and necessitate further rigorous investigation. The posture-first principle is evident in cognitive-motor dual tasks among patients with vestibular disorders. This review synthesizes these emergent insights, aiming to lay a groundwork for future studies that seek to elucidate this complex relationship further.

Keyword

Vestibular; Unilateral vestibulopathy; visuospatial cognition; visuospatial cognitive impairment; postural priority; Posture-first principle; Cognitive-postural interference
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