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PreprintCC BY 4.0HAL

Causal mapping of self-motion networks in the human brain

Abstract

Although functional neuroimaging studies using caloric and galvanic vestibular stimulation have identified a distributed cortical network involved in human vestibular processing, including the posterior insula, parietal operculum, temporo-parietal junction, cingulate and frontal areas, the causal contribution of specific brain regions to vestibular self-motion perception remains poorly understood. Invasive electrical brain stimulation (EBS) during stereoelectroencephalography (SEEG) offers a unique opportunity to causally map the cortical networks underlying vestibular self-motion perception in humans.

Here, we retrospectively analyzed EBS-induced vestibular percepts in 354 patients with drugresistant epilepsy undergoing SEEG. A total of 19,708 stimulations (11,004 at 50 Hz and 8,704 at 1 Hz) yielded 3,015 clinical responses. Vestibular self-motion illusions were defined as sensations of vertigo, dizziness, whole-body rotation, or translation occurring without corresponding physical movement. Stimulation sites were assigned to the seven large-scale functional networks of the Schaefer-Yeo atlas to characterize the network organization of vestibular self-motion perception.

Vestibular self-motion sensations were elicited in 46 patients (21 females; mean age ± SD: 25 ± 11 years) during 86 EBS delivered outside epileptogenic and lesional regions. Percepts ranged from nonspecific vertigo and dizziness (54.7%) to more explicit rotational (30.2%) and translational (15.1%) self-motion illusions. Vestibular responses were most commonly evoked by stimulation of the insula, medial temporal regions, cingulate cortex, inferior frontal gyrus, and premotor cortices. Network-level mapping using the Schaefer-Yeo atlas revealed a non-uniform distribution of vestibular sites across large-scale functional networks, with the highest representation within the salience/ventral attention, visual, and dorsal attention networks.

Together, these findings provide causal evidence that vestibular self-motion perception emerges from activity within a distributed cortical network involved in attentional control and multisensory processing. Beyond advancing our understanding of human vestibular processing, these findings may have clinical relevance for disorders involving altered self-motion perception, including vestibular epilepsy and functional neurological disorders.

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BibTeX
@misc{dary2026causal,
  title = {{Causal mapping of self-motion networks in the human brain}},
  author = {Zoé Dary and Stanislas Lagarde and Samuel Medina Villalon and Hugo Dary and Jacques Leonard and Fabrice Bartolomei and Christophe Lopez},
  howpublished = {HAL},
  year = {2026},
  month = sep,
  doi = {10.64898/2026.09.19.752147},
  url = {https://hal.science/hal-05764213v1},
  note = {CC BY 4.0},
}
RIS
TY  - UNPB
TI  - Causal mapping of self-motion networks in the human brain
AU  - Zoé Dary
AU  - Stanislas Lagarde
AU  - Samuel Medina Villalon
AU  - Hugo Dary
AU  - Jacques Leonard
AU  - Fabrice Bartolomei
AU  - Christophe Lopez
PY  - 2026
DA  - 2026/09/19
PB  - HAL
DO  - 10.64898/2026.09.19.752147
UR  - https://hal.science/hal-05764213v1
AB  - Although functional neuroimaging studies using caloric and galvanic vestibular stimulation have identified a distributed cortical network involved in human vestibular processing, including the posterior insula, parietal operculum, temporo-parietal junction, cingulate and frontal areas, the causal contribution of specific brain regions to vestibular self-motion perception remains poorly understood. Invasive electrical brain stimulation (EBS) during stereoelectroencephalography (SEEG) offers a unique opportunity to causally map the cortical networks underlying vestibular self-motion perception in humans.  Here, we retrospectively analyzed EBS-induced vestibular percepts in 354 patients with drugresistant epilepsy undergoing SEEG. A total of 19,708 stimulations (11,004 at 50 Hz and 8,704 at 1 Hz) yielded 3,015 clinical responses. Vestibular self-motion illusions were defined as sensations of vertigo, dizziness, whole-body rotation, or translation occurring without corresponding physical movement. Stimulation sites were assigned to the seven large-scale functional networks of the Schaefer-Yeo atlas to characterize the network organization of vestibular self-motion perception.  Vestibular self-motion sensations were elicited in 46 patients (21 females; mean age ± SD: 25 ± 11 years) during 86 EBS delivered outside epileptogenic and lesional regions. Percepts ranged from nonspecific vertigo and dizziness (54.7%) to more explicit rotational (30.2%) and translational (15.1%) self-motion illusions. Vestibular responses were most commonly evoked by stimulation of the insula, medial temporal regions, cingulate cortex, inferior frontal gyrus, and premotor cortices. Network-level mapping using the Schaefer-Yeo atlas revealed a non-uniform distribution of vestibular sites across large-scale functional networks, with the highest representation within the salience/ventral attention, visual, and dorsal attention networks.  Together, these findings provide causal evidence that vestibular self-motion perception emerges from activity within a distributed cortical network involved in attentional control and multisensory processing. Beyond advancing our understanding of human vestibular processing, these findings may have clinical relevance for disorders involving altered self-motion perception, including vestibular epilepsy and functional neurological disorders.
ER  -