2014 — 2018 |
Kheradmand, Amir |
K23Activity Code Description: To provide support for the career development of investigators who have made a commitment of focus their research endeavors on patient-oriented research. This mechanism provides support for a 3 year minimum up to 5 year period of supervised study and research for clinically trained professionals who have the potential to develop into productive, clinical investigators. |
Tms of the Supramarginal Gyrus: a Window to Spatial Orientation @ Johns Hopkins University
DESCRIPTION (provided by applicant): This is a resubmitted application for Mentored Patient-Oriented Research Career Development Award (K23). The overall goal of this research is to understand how we perceive body orientation relative to our external environment, and how these perceptions become distorted and disorienting to patients with vestibular disease. The vestibular system provides a strong independent source of information about head orientation relative to gravity and plays a key role in spatial orientation. In humans, the function(s) of the many areas of the cerebral cortex that have access to and process information from the vestibular system are largely unknown. This project is based on a compelling preliminary finding that shows a small region of parietal cortex (SMGp) plays a central role in the accurate perception of one's sense of upright. This result suggests a more general function for this area; taking disparate information from visual, vestibular and proprioceptive sensors, which are inherently received and processed in different coordinate frames, and then integrating them into a coherent spatial orientation. Such a mechanism is an absolute requirement for successful motor responses to the changing demands of one's environment. The specific aims of this research project are to 1) study further the functional role of the SMGp in spatial orientation by systematic approach to different sensory modalities that contribute to upright perception ( i.e., using a functional model of spatial orientation) 2) probe the function of the corresponding area within the left hemisphere in upright perception 3) address whether the focal effect of TMS can modify perceptual adaptation of the sense of uprightness, as a potential treatment modality. Candidate: Amir Kheradmand is shortly to be an Assistant Professor in the Departments of Neurology and Otolaryngology at the Johns Hopkins Hospital. He earned an M.D. at the Tehran University of Medical Sciences in 2003 and completed residency training in Neurology at the University of Massachusetts in 2010. As a two-year postdoctoral fellow he has been studying the mechanisms involved in perception of upright with the emphasis on the functional role of the cerebral cortex in processing of inputs from the vestibular system. This work has been primarily under the mentorship of Dr. Zee and it was supported by an NIH training grant through the Johns Hopkins Center for Hearing and Balance and the Department of Biomedical Engineering. Dr. Kheradmand's short term goals in research are to 1) learn techniques for experiment design and data analysis in the psychophysics of perception, 2) learn Bayesian statistics, analysis and modeling to apply to the functional model of spatial orientation, and 3) gain more practical knowledge in using transcranial magnetic stimulation, and in the clinic, to gain experience in the neurophysiological techniques of clinical neurotology. His long term goal is to become an independent investigator in the field of vestibular perception and accomplished academic neurotologist. Environment: The investigations described in this proposal will be performed in the Vestibular/Eye Movement Laboratory, directed by Dr. Zee, in the Neurology Department at Johns Hopkins Hospital. A team of mentors and advisers (Dr. David Zee, Dr. Mark Shelhamer, Dr. John Carey, Dr. Pablo Celnik, and Dr. Dora Angelaki) from across departments and institutions will provide mentorship and oversee timely achievement of the stated goals in this proposal. All mentors are leaders in their respective fields and have a strong track record of mentoring young investigators to independence. Necessary equipment, software and engineering support are readily available to Dr. Kheradmand through the Vestibular/Eye Movement Laboratory. Research: The series of hypotheses and experiments proposed in this project provide a unique opportunity not only to explore how the brain creates the fundamental perception of upright, but also to suggest treatments for the disabling symptoms in patients with dizziness, imbalance and spatial disorientation. Through the research experience acquired by this work, intensive mentoring, and didactic activities, this K23 career development award will allow the primary investigator, Dr. Amir Kheradmand, to become an independent investigator conducting translational research in the field of vestibular physiology.
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2020 — 2021 |
Kheradmand, Amir |
R01Activity Code Description: To support a discrete, specified, circumscribed project to be performed by the named investigator(s) in an area representing his or her specific interest and competencies. |
Elucidating the Neural Mechanisms of Spatial Disorientation in Vestibular Migraine @ Johns Hopkins University
Vestibular migraine (VM) is among the leading causes of dizziness in general population. The VM pathophysiology is unknown with a major gap being lack of understanding neural mechanisms underlying symptoms related to spatial disorientation in these patients. While VM patients do not have peripheral vestibular dysfunction, their symptoms triggered by changes in the head position or visual surroundings indicate dysfunction at the high-level cortical mech- anisms or their interactions with the lower-level vestibular functions. We have studied spatial orientation in a novel context of Bayesian spatial model (BSM), which is built on decades of insights into neurophysiology of multisensory processing and integration for spatial orientation. Within this framework, sensory components that encode head and eye positions are taken into account to quantify spatial orientation. In prior work from our group, we showed that VM patients have altered spatial orientation with changes in the head tilt position as well as heightened sensi- tivity to visual motion. These findings suggest abnormal sensory integration for spatial orientation in VM patients. Using the effects of transcranial magnetic stimulation (TMS), we have shown that the multisensory vestibular cortex within the temporoparietal junction (TPJ) is involved in sensory integration for spatial orientation. We have also developed a novel neurophysiological technique that can probe modulating effect of TPJ on vestibulo-ocular func- tion, using transcranial direct current stimulation (tDCS). Through application of these methods, the overall objective of this proposal is to delineate mechanisms and neural correlates of VM spatial disorientation with links to clinical symptoms in patients. Our central hypothesis is that VM patients exhibit altered TPJ function within the vestibulo- cortical network associated with abnormal sensory integration for spatial orientation. To test this hypothesis, we (i) uncover distinct sensory mechanisms related to VM spatial disorientation, (ii) investigate whether such mechanisms are linked to clinical signs and symptoms (validated measures of visuospatial symptoms and postural instability), and (iii) delineate TPJ contributions to VM pathophysiology considering its role in both high and low level vestibular functions, and whether TPJ can be targeted using TMS to modulate spatial disorientation in these patients. These steps are crucial towards devising effective treatment strategies for debilitating dizziness and spatial disorientation in VM patients.
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