Vestibular dysfunction and its association with cognitive impairment and dementia

The vestibular system plays an important role in maintaining balance and posture. It also contributes to vertical perception, body awareness and spatial navigation. In addition to its sensory function, the vestibular system has direct connections to key areas responsible for higher cognitive functio...

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Main Authors: Cristian Aedo-Sanchez, Patricio Riquelme-Contreras, Fernando Henríquez, Enzo Aguilar-Vidal
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-03-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2024.1304810/full
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author Cristian Aedo-Sanchez
Patricio Riquelme-Contreras
Patricio Riquelme-Contreras
Patricio Riquelme-Contreras
Patricio Riquelme-Contreras
Fernando Henríquez
Fernando Henríquez
Fernando Henríquez
Enzo Aguilar-Vidal
author_facet Cristian Aedo-Sanchez
Patricio Riquelme-Contreras
Patricio Riquelme-Contreras
Patricio Riquelme-Contreras
Patricio Riquelme-Contreras
Fernando Henríquez
Fernando Henríquez
Fernando Henríquez
Enzo Aguilar-Vidal
author_sort Cristian Aedo-Sanchez
collection DOAJ
description The vestibular system plays an important role in maintaining balance and posture. It also contributes to vertical perception, body awareness and spatial navigation. In addition to its sensory function, the vestibular system has direct connections to key areas responsible for higher cognitive functions, such as the prefrontal cortex, insula and hippocampus. Several studies have reported that vestibular dysfunction, in particular bilateral vestibulopathy, is associated with an increased risk of cognitive impairment and the development of dementias such as Alzheimer’s disease. However, it is still controversial whether there is a causal relationship between vestibular damage and cognitive dysfunction. In this mini-review, we will explore the relationship between the vestibular system, cognitive dysfunction and dementia, hypotheses about the hypothesis and causes that may explain this phenomenon and also some potential confounders that may also lead to cognitive impairment. We will also review multimodal neuroimaging approaches that have investigated structural and functional effects on the cortico-vestibular network and finally, describe some approaches to the management of patients with vestibular damage who have shown some cognitive impairment.
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spelling doaj.art-bf121e9e21094d46abf196e3ef71f6052024-03-27T04:28:59ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2024-03-011810.3389/fnins.2024.13048101304810Vestibular dysfunction and its association with cognitive impairment and dementiaCristian Aedo-Sanchez0Patricio Riquelme-Contreras1Patricio Riquelme-Contreras2Patricio Riquelme-Contreras3Patricio Riquelme-Contreras4Fernando Henríquez5Fernando Henríquez6Fernando Henríquez7Enzo Aguilar-Vidal8Department of Medical Technology, Faculty of Medicine, Universidad de Chile, Santiago, ChileDepartment of Medical Technology, Faculty of Medicine, Universidad de Chile, Santiago, ChileMemory and Neuropsychiatric Center (CMYN), Department of Neurology, Hospital del Salvador and Faculty of Medicine, Universidad de Chile, Santiago, ChileLaboratory of Neuropsychology and Clinical Neuroscience (LANNEC), Faculty of Medicine, Universidad de Chile, Santiago, ChileGeroscience Center for Brain Health and Metabolism (GERO), Santiago, ChileLaboratory of Neuropsychology and Clinical Neuroscience (LANNEC), Faculty of Medicine, Universidad de Chile, Santiago, ChileGeroscience Center for Brain Health and Metabolism (GERO), Santiago, ChileLaboratory for Cognitive and Evolutionary Neuroscience (LaNCE), Department of Psychiatry, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, ChileDepartment of Medical Technology, Faculty of Medicine, Universidad de Chile, Santiago, ChileThe vestibular system plays an important role in maintaining balance and posture. It also contributes to vertical perception, body awareness and spatial navigation. In addition to its sensory function, the vestibular system has direct connections to key areas responsible for higher cognitive functions, such as the prefrontal cortex, insula and hippocampus. Several studies have reported that vestibular dysfunction, in particular bilateral vestibulopathy, is associated with an increased risk of cognitive impairment and the development of dementias such as Alzheimer’s disease. However, it is still controversial whether there is a causal relationship between vestibular damage and cognitive dysfunction. In this mini-review, we will explore the relationship between the vestibular system, cognitive dysfunction and dementia, hypotheses about the hypothesis and causes that may explain this phenomenon and also some potential confounders that may also lead to cognitive impairment. We will also review multimodal neuroimaging approaches that have investigated structural and functional effects on the cortico-vestibular network and finally, describe some approaches to the management of patients with vestibular damage who have shown some cognitive impairment.https://www.frontiersin.org/articles/10.3389/fnins.2024.1304810/fullvestibulardementiaAlzheimer’s diseasevestibular dysfunctiondizziness
spellingShingle Cristian Aedo-Sanchez
Patricio Riquelme-Contreras
Patricio Riquelme-Contreras
Patricio Riquelme-Contreras
Patricio Riquelme-Contreras
Fernando Henríquez
Fernando Henríquez
Fernando Henríquez
Enzo Aguilar-Vidal
Vestibular dysfunction and its association with cognitive impairment and dementia
Frontiers in Neuroscience
vestibular
dementia
Alzheimer’s disease
vestibular dysfunction
dizziness
title Vestibular dysfunction and its association with cognitive impairment and dementia
title_full Vestibular dysfunction and its association with cognitive impairment and dementia
title_fullStr Vestibular dysfunction and its association with cognitive impairment and dementia
title_full_unstemmed Vestibular dysfunction and its association with cognitive impairment and dementia
title_short Vestibular dysfunction and its association with cognitive impairment and dementia
title_sort vestibular dysfunction and its association with cognitive impairment and dementia
topic vestibular
dementia
Alzheimer’s disease
vestibular dysfunction
dizziness
url https://www.frontiersin.org/articles/10.3389/fnins.2024.1304810/full
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