Abstract
Since the 19th century, the vestibular system has been known to contribute essential information to an optimal regulation of body and eye position (Purkinje, 1820; Ménière, 1861; Breuer, 1874; Ewald, 1892). A cortical representation has been postulated with the argument that there is a true vestibular sensation and that vestibular signals might also be useful for higher motor mechanisms (Spitzer, 1924). Foerster (1936) showed that auras that accompany seizures originating from foci within the intraparietal sulcus may include vestibular sensations. Also, a vestibular projection to the temporal lobe, near the auditory area, was conjectured (Spiegel, 1932, 1934; Gerebtzoff, 1940). This view was seemingly supported by the finding of a directional preponderance of the caloric nystagmus in temporal lobe lesions (Carmichael et al., 1954), and by sensations of vertigo on stimulation of the temporal lobe (Penfield and Jasper, 1954). However, the directional preponderance of caloric nystagmus was later shown to result from subcortical hemispheric lesions of the corticofugal efferents to the brain stem, not from cortical lesions in the temporal lobe (Bader and Kornhuber, 1965). Furthermore, electrical stimulation of the depth of the intraparietal sulcus in humans was shown by Penfield (1957) to produce sensations of dizziness that may be accompanied by eye movements or pupillary responses. In the experience of the present authors, typical vestibular sensations of being rotated or tilted are very rare in temporal lobe epilepsy.
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Fredrickson, J.M., Rubin, A.M. (1986). Vestibular Cortex. In: Jones, E.G., Peters, A. (eds) Sensory-Motor Areas and Aspects of Cortical Connectivity. Cerebral Cortex, vol 5. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2149-1_3
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