Visuo-vestibular and cognitive connections of the vestibular neuromatrix are conserved across age and injury populations

Given the prevalence of vestibular dysfunction in pediatric concussion, there is a need to better understand pathophysiological disruptions within vestibular and associated cognitive, affective, and sensory-integrative networks. Although current research leverages established intrinsic connectivity...

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Veröffentlicht in:Journal of neuroimaging 2023-11, Vol.33 (6), p.1003-1014
Hauptverfasser: Smith, Jeremy L, Diekfuss, Jed A, Dudley, Jonathan A, Ahluwalia, Vishwadeep, Zuleger, Taylor M, Slutsky-Ganesh, Alexis B, Yuan, Weihong, Foss, Kim D Barber, Gore, Russell K, Myer, Gregory D, Allen, Jason W
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container_end_page 1014
container_issue 6
container_start_page 1003
container_title Journal of neuroimaging
container_volume 33
creator Smith, Jeremy L
Diekfuss, Jed A
Dudley, Jonathan A
Ahluwalia, Vishwadeep
Zuleger, Taylor M
Slutsky-Ganesh, Alexis B
Yuan, Weihong
Foss, Kim D Barber
Gore, Russell K
Myer, Gregory D
Allen, Jason W
description Given the prevalence of vestibular dysfunction in pediatric concussion, there is a need to better understand pathophysiological disruptions within vestibular and associated cognitive, affective, and sensory-integrative networks. Although current research leverages established intrinsic connectivity networks, these are nonspecific for vestibular function, suggesting that a pathologically guided approach is warranted. The purpose of this study was to evaluate the generalizability of the previously identified "vestibular neuromatrix" in adults with and without postconcussive vestibular dysfunction to young athletes aged 14-17. This retrospective study leveraged resting-state functional MRI data from two sites. Site A included adults with diagnosed postconcussive vestibular impairment and healthy adult controls and Site B consisted of young athletes with preseason, postconcussion, and postseason time points (prospective longitudinal data). Adjacency matrices were generated from preprocessed resting-state data from each sample and assessed for overlap and network structure in MATLAB. Analyses indicated the presence of a conserved "core" network of vestibular regions as well as areas subserving visual, spatial, and attentional processing. Other vestibular connections were also conserved across samples but were not linked to the "core" subnetwork by regions of interest included in this study. Our results suggest that connections between central vestibular, visuospatial, and known intrinsic connectivity networks are conserved across adult and pediatric participants with and without concussion, evincing the significance of this expanded, vestibular-associated network. Our findings thus support this network as a workable model for investigation in future studies of dysfunction in young athlete populations.
doi_str_mv 10.1111/jon.13136
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source Wiley-Blackwell Journals; MEDLINE
subjects Adult
Adults
Athletes
Brain Concussion - diagnostic imaging
Child
Cognition
Cognitive ability
Concussion
Functional magnetic resonance imaging
Humans
Information processing
Magnetic Resonance Imaging - methods
Networks
Neural networks
Neuroimaging
Pediatrics
Populations
Prospective Studies
Retrospective Studies
Vestibular system
title Visuo-vestibular and cognitive connections of the vestibular neuromatrix are conserved across age and injury populations
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