The visual and vestibular systems play one of the central roles in the perception of verticality,
spatial orientation, maintenance of balance and distinguishing self-motion from
motion of the environment. As the brain continuously and simultaneously receives an
enormous quantity of information through their receptor organs, collaboration between
these systems at different levels of information processing is crucial for the proper execution
of the above mentioned functions. Psychophysical and neuroimaging research in
humans has provided support for the concept of a reciprocal inhibitory visual-vestibular
interaction, the functional significance of which lies in suppression of potential mismatch
between incongruent sensory inputs delivered from the two systems. Functional magnetic
resonance imaging (fMRI) enabled visualization of this interaction through detection of
blood-oxygen-level-dependant (BOLD) signal increases or signal decreases in the visual
and vestibular networks during unisensory stimulation. Specifically, visual stimulation
related to the percept of self-motion, such as optokinetic stimulation, was shown to elicit
BOLD signal increases in areas involved in visual processing along with BOLD signal
decreases in areas involved in vestibular processing.
Increasing age was shown to alter the morphological and functional properties of the
sensory, motor and cognitive systems. Previous research has revealed that senescence
associates with deterioration of both, visual and vestibular functions, as well as a change
in the psychophysical measurements related to their interaction. However, the effects of
age on the BOLD signal pattern reflecting the visual-vestibular interaction have not yet
been investigated. Exploring these effects in healthy subjects could offer the possibility
to detect early age-related changes in the cortical function occurring before a decline in
behavioural measurements can be detected. Aside broadening the scientific knowledge
on the physiological changes with age in the sensory systems and their interactions, such
research would also help to better understand the pathophysiological processes underlying
various visual and vestibular disorders investigated in neuroimaging studies. Therefore,
the aim of this doctoral thesis was to explore how the BOLD signal related to the visualvestibular
interaction during optokinetic nystagmus (OKN) changes with age in healthy
subjects. It specifically aimed to investigate the age-related changes in the spatial and
temporal patterns of the signal during unaltered oculomotor performance. In order to
obtain information on the diverse effects of age, the changes in the mean of the BOLD signal, as well as the changes in its temporal variability were analyzed. For the purpose
of differentiating between global and task-related changes with age, the alterations of the
BOLD signal during OKN were compared to the alterations of the BOLD signal elicited
by a pure visual and a pure motor task.
In the frame of this work, we were able to show that significant age-related changes in the
mean of the BOLD signal and in its temporal fluctuations occur prior to any measurable
decline in OKN performance. The changes in the mean of the BOLD signal were taskspecific
and possibly reflected age-related alterations in neurovascular coupling and neural
processing related to OKN. They were found only in cortical and subcortical areas of the
visual system. The changes in the temporal fluctuations of the BOLD signal were not
specific for the OKN task, but rather region-specific, affecting mostly areas know to be
part of the multimodal vestibular processing network.