Proprioceptive Sensory Inputs Research Articles

Quantifying the weights of sensory influences on postural control across development

BACKGROUND: This study examined the weighting of multisensory and anthropometric factors in driving children’s and adult’s postural control. METHOD: A data set was created by aggregating individual participants’ postural stability measures from four target studies, employing participants ranging in age from 3 to 11 years, along with young adults. Using a meta-regression approach, this aggregate data set was then predicted from dummy codings of the including visual, haptic, and proprioceptive sensory inputs manipulated in these studies, as well as the anthropometric factor of participant height. Two forms of coding regimens were examined – one capturing simple presence versus absence of sensory sources, and one quantifying the degree of stability provided by sensory sources. RESULTS: The results of this study revealed that proprioceptive input had the strongest impact on stability, followed by roughly equivalent visual and haptic inputs, and finally anthropometric factors. Developmentally, this pattern of findings was stable by 5- to 7-years of age. Although both coding schemes predicted posture, the degree of stability coding scheme provided consistently superior predictions. INTERPRETATION: These findings are discussed with respect to a multicomponential approach to postural control, a framework that emphasizes the importance of multiple component factors in characterizing complex behavior.

Orientation representation in human visual cortices: contributions of non-visual information and action-related process.

Orientation processing in the human brain plays a crucial role in guiding grasping actions toward an object. Remarkably, despite the absence of visual input, the human visual cortex can still process orientation information. Instead of visual input, non-visual information, including tactile and proprioceptive sensory input from the hand and arm, as well as feedback from action-related processes, may contribute to orientation processing. However, the precise mechanisms by which the visual cortices process orientation information in the context of non-visual sensory input and action-related processes remain to be elucidated. Thus, our study examined the orientation representation within the visual cortices by analyzing the blood-oxygenation-level-dependent (BOLD) signals under four action conditions: direct grasp (DG), air grasp (AG), non-grasp (NG), and uninformed grasp (UG). The images of the cylindrical object were shown at +45° or - 45° orientations, corresponding to those of the real object to be grasped with the whole-hand gesture. Participants judged their orientation under all conditions. Grasping was performed without online visual feedback of the hand and object. The purpose of this design was to investigate the visual areas under conditions involving tactile feedback, proprioception, and action-related processes. To address this, a multivariate pattern analysis was used to examine the differences among the cortical patterns of the four action conditions in orientation representation by classification. Overall, significant decoding accuracy over chance level was discovered for the DG; however, during AG, only the early visual areas showed significant accuracy, suggesting that the object's tactile feedback influences the orientation process in higher visual areas. The NG showed no statistical significance in any area, indicating that without the grasping action, visual input does not contribute to cortical pattern representation. Interestingly, only the dorsal and ventral divisions of the third visual area (V3d and V3v) showed significant decoding accuracy during the UG despite the absence of visual instructions, suggesting that the orientation representation was derived from action-related processes in V3d and visual recognition of object visualization in V3v. The processing of orientation information during non-visually guided grasping of objects relies on other non-visual sources and is specifically divided by the purpose of action or recognition.

Effects of unilateral neck muscle vibration on standing postural orientation and spatial perception in healthy subjects based on stimulus duration and simultaneous stimulation of trunk muscles.

Neck muscle vibration (NMV) influences proprioceptive sensations and modulates standing postural orientation and spatial perception. However, the effects of NMV in healthy participants would vary based on the influence of stimulus duration and combination with trunk muscle vibration. Therefore, this study with a cross-over design clarified these effects. Twenty-four healthy participants (mean age, 25.7±3.7 years) were enrolled. To assess standing postural orientation, standing center-of-pressure (COP) measurements were recorded on a COP platform, starting with closed eyes and then with open eyes. The mean mediolateral (ML) and anteroposterior (AP) position [mm] of COP and other parameters were calculated. To assess spatial perception, subjective straight ahead (SSA) measurements were recorded, wherein participants were instructed to point and project the position of the manubrium of sternum on the touch panel using their right index finger with their eyes closed. Measurements were taken before and after four conditions: no vibration (control), left NMV for 30 s, left NMV for 10 min, and left NMV and left lumbar back vibration for 10 min. Vibratory stimulation was performed with the eyes closed at 80 Hz. The measurements under the four conditions were conducted with random cross-over and 5-min resting period between the conditions. COP and SSA values were subtracted before and after each condition for standardized variation and compared. NMV combined with trunk muscle vibration for 10 min resulted in significant deviations of the ML-COP toward the stimulation side and AP-COP toward the anterior side compared to the control condition with closed eyes. SSA showed no significant differences. These findings suggest that NMV-induced nervous system modulation would be amplified by proprioceptive sensory input to trunk muscles. Therefore, this method could provide a new option for clinical trials on postural orientation using NMV. SSA based on proprioceptive sensation may not be biased without visual illusions.

PVH-Peri5 Pathway for Stress-Coping Oromotor and Anxious Behaviors in Mice

Stressful stimuli can activate the hypothalamic-pituitary-adrenal (HPA) axis. Clinically, it has been widely reported that stressful events are often accompanied by teeth clenching and bruxism, while mastication (chewing) can promote coping with stress. Trigeminal motoneurons in the trigeminal motor nucleus supplying the chewing muscles receive direct inputs from interneurons within the peritrigeminal premotor area (Peri5). Previous studies found that the paraventricular hypothalamic nucleus (PVH) participates in trigeminal activities during stressful events. However, the neural pathway by which the stress-induced oral movements alleviate stress is largely unknown. We hypothesized that paraventricular-trigeminal circuits might be associated with the stress-induced chewing movements and anxiety levels. First, we observed the stress-coping effect of wood gnawing on stress-induced anxiety, with less anxiety-like behaviors seen in the open field test and elevated plus maze, as well as decreased corticosterone and blood glucose levels, in response to stress in mice. We then found that excitotoxic lesions of PVH reduced the effect of gnawing on stress, reflected in more anxiety-like behaviors; this emphasizes the importance of the PVH in stress responses. Anterograde, retrograde, transsynaptic, and nontranssynaptic tracing through central and peripheral injections confirmed monosynaptic projections from PVH to Peri5. We discovered that PVH receives proprioceptive sensory inputs from the jaw muscle and periodontal ligaments, as well as provides motor outputs via the mesencephalic trigeminal nucleus (Me5) and Peri5. Next, pathway-specific functional manipulation by chemogenetic inhibition was conducted to further explore the role of PVH-Peri5 monosynaptic projections. Remarkably, PVH-Peri5 inhibition decreased gnawing but did not necessarily reduce stress-induced anxiety. Moreover, neuropeptide B (NPB) was expressed in Peri5-projecting PVH neurons, indicating that NPB signaling may mediate the effects of PVH-Peri5. In conclusion, our data revealed a PVH-Peri5 circuit that plays a role in the stress response via its associations with oromotor movements and relative anxiety-like behaviors.

Changes in gain of horizontal vestibulo-ocular reflex during spaceflight.

BACKGROUND:The vestibulo-ocular reflex (VOR) is a basic function of the vestibular system that stabilizes gaze during head movement. Investigations on how spaceflight affects VOR gain and phase are few, and the magnitude of observed changes varies considerably and depends on the protocols used.OBJECTIVE:We investigated whether the gain and phase of the VOR in darkness and the visually assisted VOR were affected during and after spaceflight.METHODS:We measured the VOR gain and phase of 4 astronauts during and after a Space Shuttle spaceflight while the subjects voluntary oscillated their head around the yaw axis at 0.33 Hz or 1 Hz and fixed their gaze on a visual target (VVOR) or imagined this target when vision was occluded (DVOR). Eye position was recorded using electrooculography and angular velocity of the head was recorded with angular rate sensors.RESULTS:The VVOR gain at both oscillation frequencies remained near unity for all trials. DVOR gain was more variable inflight and postflight. Early inflight and immediately after the flight, DVOR gain was lower than before the flight. The phase between head and eye position was not altered by spaceflight.CONCLUSION:The decrease in DVOR gain early in the flight and after the flight reflects adaptive changes in central integration of vestibular and proprioceptive sensory inputs during active head movements.

The evaluation of gravitational recognition in patients with spinocerebellar degeneration using Listing’s plane

Background: The thickness of Listing’s plane accurately reflects gravitational recognition, constructed through the integration of visual, vestibular, and proprioceptive sensory input in the neural integrator of the central nervous system. Spinocerebellar degeneration (SCD) is a progressive degenerative disease mainly involving the cerebellum and brainstem that leads to destabilize the gravitational recognition, and may thicken thickening of Listing’s plane.Objective: The aim of this study is to evaluate the gravitational recognition in response to positional change in patients with SCD, using the thickness of Listing’s plane as a parameter.Materials and methods: In this prospective study, we evaluated the thickness of Listing’s plane in 21 consecutive patients with SCD and 32 healthy subjects in the seated and supine positions, and investigated the association with other neuro-otological examinations (electronystagmography including caloric test and posturography).Results: We detected significant thickening of Listing’s plane in SCD patients only when they were in the seated position. The thickness of Listing’s plane correlated with neither the caloric response nor Romberg’s ratio or the total center of the pressure path length.Conclusions and significance: The thickness of Listing’s plane could be a useful parameter for assessing a gravity-oriented internal model in SCD patients.

Serotonin1B receptor-mediated presynaptic inhibition of proprioceptive sensory inputs to jaw-closing motoneurons

The proprioceptive sensory inputs from neurons in the mesencephalic trigeminal nucleus (MesV) to masseter motoneurons (MMNs) play an important role in regulating masseter muscle activity during mastication. Several histological studies have shown that serotonin (5-HT) fibers densely innervate both the MesV and the trigeminal motor nucleus. However, the functional roles of 5-HT in the regulation of the excitatory synaptic inputs from MesV afferents to MMNs remain to be clarified. Thus, using the whole-cell recording technique in brainstem slice preparations from juvenile Wistar rats aged between postnatal days 8 and 12, we examined the effects of 5-HT on the excitatory synaptic inputs from MesV afferents to MMNs. Bath application of 5-HT reduced the peak amplitude of excitatory postsynaptic potentials evoked in MMNs by electrical stimulation of the MesV afferents (eEPSPs), and this inhibitory effect of 5-HT on eEPSPs was replicated with the 5-HT1B receptor agonist CP-93129 but not by the 5-HT1A receptor agonist 8-OH-DPAT. Moreover, the 5-HT1B receptor antagonist SB-224289 but not the 5-HT1A receptor antagonist WAY-100635 antagonized the inhibitory effect of 5-HT on eEPSPs. CP-93129 increased the paired-pulse ratio and decreased the frequency of miniature excitatory postsynaptic currents (mEPSCs), while it did not alter the mEPSC amplitude. These results suggest that presynaptic 5-HT1B receptors are involved in the inhibition of the excitatory synaptic inputs from MesV afferents to MMNs. Such inhibition may regulate MesV afferent activity during mastication.

Postural control of Parkour athletes compared to recreationally active subjects under different sensory manipulations: A pilot study

In Parkour activity, the aim is to move from one place to another as quickly and efficiently as possible by running, climbing, swinging, vaulting, rolling, crawling and jumping on tiny obstacles … . Performing these actions places a great demand on the postural control system. The purpose of the present study was to investigate postural control of Parkour practitioners – called Traceurs – compared to recreationally active (RA) subjects in different postural conditions after manipulating the visual and/or proprioceptive sensory inputs. Ten Traceurs (mean experience 5.9 ± 0.9 years; >5 hours per week) and 10 RA subjects participated in this study. We measured the centre of pressure area (CoPA) of the upright standing bipedal and unipedal postures in different postural conditions: on a firm and on a foam surfaces; on an oscillating surface in the sagittal plane and in the frontal plane in eyes open and eyes closed. To evaluate vision contribution, the Romberg index (RI) was calculated. Results showed that Traceurs presented a significant (P < .001) lower CoPA values compared to RA subjects in eyes closed condition, suggesting that they were able to maintain a better balance control when vision is removed. Traceurs seems to be less dependent on visual cues (lower RI values) and proprioceptive inputs for maintaining balance than RA subjects. According to our study, Parkour training (experience for at least five years with a minimum of five hours per week) may improve postural abilities of young adult practitioners in specific postural conditions.

Cerebellar compartments for the processing of kinematic and kinetic information related to hindlimb stepping.

We previously showed that proprioceptive sensory input from the hindlimbs to the anterior cerebellar cortex of the cat may not be simply organized with respect to a body map, but it may also be distributed to multiple discrete functional areas extending beyond classical body map boundaries. With passive hindlimb stepping movements, cerebellar activity was shown to relate to whole limb kinematics as does the activity of dorsal spinocerebellar tract (DSCT) neurons. For DSCT activity, whole limb kinematics provides a solid functional framework within which information about limb forces, such as those generated during active stepping, may also be embedded. In this study, we investigated this idea for the spinocerebellar cortex activity by examining the activity of cerebellar cortical neurons during both passive bipedal hindlimb stepping and active stepping on a treadmill. Our results showed a functional compartmentalization of cerebellar responses to hindlimb stepping movements depending on the two types of stepping and strong relationships between neural activities and limb axis kinematics during both. In fact, responses to passive and active stepping were generally different, but in both cases their waveforms were related strongly to the limb axis kinematics. That is, the different stepping conditions modified the kinematics representation without producing different components in the response waveforms. In sum, cerebellar activity was consistent with a global kinematics framework serving as a basis upon which detailed information about limb mechanics and/or about individual limb segments might be imposed.

Characterization of the encoding properties of intraspinal mechanosensory neurons in the lamprey.

Proprioceptive sensory inputs are an integral part of the closed-loop system of locomotion. In the lamprey, a model organism for vertebrate locomotion, such sensory inputs come from intraspinal mechanosensory cells called "edge cells". These edge cells synapse directly onto interneurons in the spinal central pattern generator (CPG) circuit and allow the CPG to adjust the motor output according to how the body is bending. However, the encoding properties of the edge cells have never been fully characterized. To identify these properties and better understand edge cells' role in locomotion, we isolated spinal cords of silver lampreys (Ichthyomyzon unicuspis) and recorded extracellularly from the lateral tracts where edge cell axons are located. We identified cells that responded to mechanical stimuli and used standard spike sorting algorithms to identify separate units, then examined how the cells respond to bending rate and bending angle. Although some cells respond to the bending angle, as was previously known, the strongest and most common responses were to bending velocity. These encoding properties will help us better understand how lampreys and other basal vertebrates adapt their locomotor rhythms to different water flow patterns, perturbations, or other unexpected changes in their environments.

Inferior frontal gyrus links visual and motor cortices during a visuomotor precision grip force task

Coordination between vision and action relies on a fronto-parietal network that receives visual and proprioceptive sensory input in order to compute motor control signals. Here, we investigated with magnetoencephalography (MEG) which cortical areas are functionally coupled on the basis of synchronization during visuomotor integration. MEG signals were recorded from twelve healthy adults while performing a unimanual visuomotor (VM) task and control conditions. The VM task required the integration of pinch motor commands with visual sensory feedback. By using a beamformer, we localized the neural activity in the frequency range of 1–30Hz during the VM compared to rest. Virtual sensors were estimated at the active locations. A multivariate autoregressive model was used to estimate the power and coherence of estimated activity at the virtual sensors. Event-related desynchronisation (ERD) during VM was observed in early visual areas, the rostral part of the left inferior frontal gyrus (IFG), the right IFG, the superior parietal lobules, and the left hand motor cortex (M1). Functional coupling in the alpha frequency band bridged the regional activities observed in motor and visual cortices (the start and the end points in the visuomotor loop) through the left or right IFG. Coherence between the left IFG and left M1 correlated inversely with the task performance. Our results indicate that an occipital-prefrontal-motor functional network facilitates the modulation of instructed motor responses to visual cues. This network may supplement the mechanism for guiding actions that is fully incorporated into the dorsal visual stream.

Visuomotor adaptation to a visual rotation is gravity dependent.

Humans perform vertical and horizontal arm motions with different temporal patterns. The specific velocity profiles are chosen by the central nervous system by integrating the gravitational force field to minimize energy expenditure. However, what happens when a visuomotor rotation is applied, so that a motion performed in the horizontal plane is perceived as vertical? We investigated the dynamic of the adaptation of the spatial and temporal properties of a pointing motion during prolonged exposure to a 90° visuomotor rotation, where a horizontal movement was associated with a vertical visual feedback. We found that participants immediately adapted the spatial parameters of motion to the conflicting visual scene in order to keep their arm trajectory straight. In contrast, the initial symmetric velocity profiles specific for a horizontal motion were progressively modified during the conflict exposure, becoming more asymmetric and similar to those appropriate for a vertical motion. Importantly, this visual effect that increased with repetitions was not followed by a consistent aftereffect when the conflicting visual feedback was absent (catch and washout trials). In a control experiment we demonstrated that an intrinsic representation of the temporal structure of perceived vertical motions could provide the error signal allowing for this progressive adaptation of motion timing. These findings suggest that gravity strongly constrains motor learning and the reweighting process between visual and proprioceptive sensory inputs, leading to the selection of a motor plan that is suboptimal in terms of energy expenditure.

The modulatory effect of electrical stimulation on the excitability of the corticospinal tract varies according to the type of muscle contraction being performed.

Afferent input caused by electrical stimulation of a peripheral nerve increases corticospinal excitability during voluntary contractions, indicating that proprioceptive sensory input arriving at the cortex plays a fundamental role in modulating corticospinal excitability. The purpose of this study was to investigate whether the effect of electrical stimulation on the corticospinal excitability varies according to the type of muscle contraction being performed. Motor-evoked potentials (MEPs) were elicited by transcranial magnetic stimulation (TMS) during a shortening contraction, an isometric contraction, or no contraction of the first dorsal interosseous (FDI) muscle. In some trials, electrical stimulation of the ulnar nerve was performed at 110% of the sensory threshold or 110% of the motor threshold prior to TMS. Electrical stimulation involved either a train of 50 pulses at 10 Hz or a single pulse. Shortening contraction with the train of electrical stimuli significantly increased MEP amplitudes, and the increase was dependent on the type of stimulation. Isometric contraction with the train of electrical stimuli and electrical stimulation without voluntary contraction did not affect MEP amplitudes. A single pulse of electrical stimulation did not affect MEP amplitudes in any condition. Thus, electrical-stimulation-induced modulation of corticospinal excitability varied according to the type of muscle contraction performed and the type of stimulation. These results show that the type of contraction should be considered when using electrical stimulation for rehabilitation in patients with central nervous system lesions.

Recovery of cerebellar peduncle injury in a patient with a cerebellar tumor: validation by diffusion tensor tractography.

The cerebellum has a complex network and relates to various clinical functions including ataxia, gait disturbance, hearing and vision, cognition and affective control. Cerebellar peduncles are the structure connecting the cerebellum to the brain stem and the cerebrum. There exist three cerebellar peduncles. The superior cerebellar peduncle (SCP) involves vestibular sense and proprioception connecting to the thalamocortical pathway. The middle cerebellar peduncle (MCP) is the largest structure among the three cerebellar peduncles conveying impulses from the cerebral cortex to the cerebellum through corticopontocerebellar tract. The main function of the inferior cerebellar peduncle (ICP) is to integrate proprioceptive sensory input and postural maintenance connecting the cerebellum with the spinal cord. Therefore, these three cerebellar peduncles were known as useful indicators of neurological ataxia in several kinds of diseases including cerebellar tumor, cerebellar infarct and traumatic brain injury (Kashimura et al., 2003; Ying et al., 2009; Hong and Jang, 2010). However, because conventional MRI is limited in delineating structural abnormalities of cerebellar peduncle, accurate estimation of the cerebellar peduncle is difficult (Lee et al., 2013). Recent development of diffusion tensor imaging (DTI) has enabled detailed assessment of the state of neural tracts in vivo using its ability to visualize characteristics of water diffusion (Lee et al., 2013).

Ephrin-B2 expression in the proprioceptive sensory system

Recent studies have shown that ephrin-B2 on sensory afferent fibers from the dorsal root ganglia (DRG) controls transmission of pain sensation to the spinal cord. We examined ephrin-B2 expression in mouse DRG and spinal cord using an ephrin-B2/ß-galactosidase chimeric allele. We found that ephrin-B2 is expressed exclusively in proprioceptive neurons and fibers in neonates, while expression in lamina III and IV of the adult spinal cord was observed in addition to that in the deeper laminae. We confirmed that ephrin-B2 protein causes co-clustering of EphB2 and glutamate receptors in spinal cord neurons. Our data are consistent with a role for ephrin-B2 in transmission of positional information to the CNS, and thus suggest a role in synaptic plasticity of spinal cord locomotor circuits that are known to be sensitive to proprioceptive sensory input after spinal cord injury.

Neuronal mechanism of epileptogenesis in EL mouse

The convulsions of the EL mouse (EL) were described by Imaizumi et al. in 1954 and were established as epilepsy by Suzuki in 1976. The EL mouse has been kept as an inbred strain and is considered one of the best animal models originated in Japan. The mode of inheritance is autosomal dominant, and environmental risk factors for seizure occurrence are hypothesised to contribute to the polygenic background. Paroxysmal activities in the EL brain arise from the parietal cortex (PCX) and are augmented in the hippocampus, demonstrated by electrophysiology and autoradiography using 2-deoxy glucose when clinical symptoms of seizures appeared. The neurons in the EL PCX, where GABA activity is lower than that of DDY PCX demonstrate increased excitability to proprioceptive sensory input. After repetitive seizure-provoking stimuli, seizures are more easily induced, eventually occurring spontaneously. This phenomenon of “abnormal plasticity” is also observed in the EEG, decreasing GABA activity, expression of the immediately early gene, and various biochemical and molecular processes. This phenomenon is similar to the learning or progressive process of certain neurological diseases.

Experimental System for Investigation of Visual Sensory Input in Postural Feedback Control

The human postural control system represents a biological feedback system responsible for maintenance of upright stance. Vestibular, proprioceptive and visual sensory inputs provide the most important information into the control system, which controls body centre of mass (COM) in order to stabilize the human body resembling an inverted pendulum. The COM can be measured indirectly by means of a force plate as the centre of pressure (COP). Clinically used measurement method is referred to as posturography. In this paper, the conventional static posturography is extended by visual stimulation, which provides insight into a role of visual information in balance control. Visual stimuli have been designed to induce body sway in four specific directions – forward, backward, left and right. Stabilograms were measured using proposed single-PC based system and processed to calculate velocity waveforms and posturographic parameters. The parameters extracted from pre-stimulus and on-stimulus periods exhibit statistically significant differences.

Changes in Listing Plane Thickness Caused by Vestibular Schwannoma

Three-dimensional analysis of video-oculograms can be used to calculate Listing plane for patients and experimental subjects. Listing plane reflects the head's orientation with respect to gravity, which suggests that the plane is derived from otolithic vestibular input, itself, or from a gravity-oriented internal model constructed through integration of visual, vestibular, and proprioceptive sensory inputs. The goal of this study was to determine whether the Listing plane can serve as a parameter for evaluating static (peripheral or central) vestibular function. Prospective study. Tertiary referral center. Healthy subjects and patients with unilateral vestibular schwannoma without any previous treatment. Diagnostic. Video-oculograms were recorded from healthy subjects (aged 36.8 ± 6.3 yr) and from patients (aged 60.3 ± 7.5 yr) during voluntary gaze with the head in an upright or each-side-down orientation, and the thicknesses of the calculated Listing planes were then compared. Results revealed thickening of the Listing plane in patients only when the head was in an impaired-side-down orientation (1.250 ± 0.795 and 1.074 ± 0.759 degrees in the right- and left-side-down head orientations in healthy subjects versus 2.222 ± 1.237 degrees in the impaired-side-down orientation in patients), and this thickening correlated with caloric weakness. By contrast, neither the sensation of postural instability nor postural disturbance in force platform recordings contributed to the thickness of Listing plane. The thickness of the Listing plane could be a novel parameter for quantitatively evaluating static vestibular (otolithic) function, although central compensation might exist.

Head roll influences perceived hand position

Visual and proprioceptive sensory inputs are naturally coded in different reference frames, i.e., eye-centered and body-centered, respectively. To use these signals in conjunction for motor planning or perception ultimately requires converting them into a common frame of reference using estimates of the relative orientation of the eyes, head, and body. Here, we examine whether extraretinal signals-specifically head roll-alter multisensory perception through noisy reference frame transformations. To do so, we examine the accuracy of visual localization relative to proprioceptive hand position for different head roll orientations. Subjects were required to judge whether a visual target was located closer or further and left or right (4-alternative forced-choice task) from their unseen hand. This was done for three different head roll rotations (-30, 0, and 30 deg). We show that eccentric head roll increased the variability in the subjects' ability to discriminate target location relative to the fingertip. We conclude that sensory perception is sensitive to body-geometry-dependent noise affecting the coordinate matching transformations of sensory data.

Cerebellar atrophy is frequently associated with non-paraneoplastic sensory neuronopathy

Sensory neuronopathies (SN) are peripheral nervous system disorders associated with degeneration of dorsal root ganglion neurons. Despite the evidence of a defective proprioceptive sensory input in SN,the prominent gait and truncal ataxia raises the question of a concomitant involvement of the cerebellum. OBJECTIVE: To evaluate cerebellar atrophy in SN. METHOD: We analyzed MRI-based volumetry of anterior lobe (paleocerebellum) and total cerebellum in patients with non-paraneoplastic chronic SN and compared to age- and gender-matched controls. RESULTS: Cerebellum and anterior lobe MRI volumetry were performed in 20 patients and nine controls. Mean anterior lobe and cerebellar volume were not statistically different. Three patients (15%), however, had an abnormal anterior lobe and cerebellar volume index (values outside 2.5 standard deviations). One of them also had a specific atrophy of the anterior lobe. All these patients had infectious or dysimmune associated SN. CONCLUSION: Cerebellar atrophy is infrequently associated with SN, but can be found in some patients with SN related to infectious or immune mediated conditions. It can be more prominent in the anterior lobe and may contribute to the ataxia seen in these patients.