Evidence map›Paper›PMID 40170523›Full record

ArticleBrain and behavior2025

The Vestibulo-Ocular Reflex is Associated With Visuospatial Dysfunction in Patients With Parkinson's Disease.

Yukang Kim, Tonghoon Woo, Seoui Kwag, Hyunsoh Park, Hanseob Kim, Kyoungwon Baik, Sun-Uk Lee, Euyhyun Park, Chan-Nyoung Lee, Gerard J Kim and 1 more

Abstract read
In one paragraph

Article in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Yukang KimNeurotology and Neuro-ophthalmology Laboratory, Korea University Medical Center, Seoul, South Korea.
Tonghoon WooNeurotology and Neuro-ophthalmology Laboratory, Korea University Medical Center, Seoul, South Korea.
Seoui KwagNeurotology and Neuro-ophthalmology Laboratory, Korea University Medical Center, Seoul, South Korea.
Hyunsoh ParkNeurotology and Neuro-ophthalmology Laboratory, Korea University Medical Center, Seoul, South Korea.
Hanseob KimDepartment of Computer Science and Engineering, Korea University, Seoul, South Korea.
Kyoungwon BaikDepartment of Neurology, Korea University Medical Center, Seoul, South Korea.
Sun-Uk LeeNeurotology and Neuro-ophthalmology Laboratory, Korea University Medical Center, Seoul, South Korea.ORCID https://orcid.org/0000-0001-8660-7759
Euyhyun ParkNeurotology and Neuro-ophthalmology Laboratory, Korea University Medical Center, Seoul, South Korea.
Chan-Nyoung LeeDepartment of Neurology, Korea University Medical Center, Seoul, South Korea.
Gerard J KimDepartment of Computer Science and Engineering, Korea University, Seoul, South Korea.
Ji-Soo KimDepartment of Neurology, Seoul National University College of Medicine, Seoul, South Korea.

Funding

Ministry of Science and ICT, South Korea 2022R1A4A1018869Ministry of Science and ICT, South Korea RS-2025-00515755
6 · The paper itself

Abstract

backgroundVisuospatial impairment is one of the most frequent cognitive deficits in patients with Parkinson's disease (PD). It remains unknown whether the vestibulo-ocular reflex (VOR) function affects visuospatial perception and memory in patients with PD.

objectiveTo delineate the relationship between VOR and visuospatial function in patients with PD.

methodsWe prospectively evaluated video head-impulse tests in 151 patients with PD (mean age

resultsRCFT-copying and RCFT-delayed recall were impaired in 11 (11/151, 7%) and 15 (15/151, 10%) patients, respectively. The VOR gain was normal in 55 patients with PD (55/151, 36%). However, 69 patients overestimated VOR gain for at least one canal, and 34 patients showed a decreased gain for at least one canal (seven patients showed an overestimated gain for some canals and decreased gain for other canals). Multivariable logistic regression analysis showed that abnormal RCFT-copying was negatively associated with the VOR gain for the horizontal canal (odds ratio [OR]: 0.001, 95% confidence interval [CI]: 0.001-0.08, p = 0.007). In contrast, abnormal RCFT-delayed recall was negatively associated with Mini-Mental State Examination scores (0.70, 0.52-0.93, p = 0.013), positively with age (1.11, 1.00-1.22, p = 0.041), male sex (12.82, 1.17-142.86, p = 0.036), years of schooling (1.41, 1.09-1.82, p = 0.009), but not with the VOR gain for any canal.

conclusionsThe VOR function may be associated with deficits in visuospatial perception and learning in patients with PD. This implicates the development of more targeted therapeutic interventions and offers insights into the broader implications of PD on sensory-motor integration and cognitive function.

Indexed as

Parkinson DiseasePerceptual DisordersReflex, Vestibulo-OcularSpace PerceptionVisual PerceptionAgedFemaleHead Impulse TestHumansMaleMiddle AgedProspective Studiescognitionhead‐impulse testParkinson's diseasevertigovisuospatial function

Identifiers

PMID40170523
PMCPMC12498219

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.