Courses

Neuromodulation of the Central Vestibular System

How subthalamic deep brain stimulation modulates motion perception and vestibular balance in Parkinson's disease

Discover how subthalamic DBS modulates motion perception and balance in Parkinson's disease, illuminating the future of vestibular neuromodulation.

Functional Neurology
Aasef Shaikh
Level:
3
-
Integrator
Credit Hours:
1
Price:

$

45

$

(

% off)

$

45.00
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Course Description

Falls affect seventy percent of people living with Parkinson's disease, and current models often underestimate the role of central vestibular dysfunction in that risk. Motion perception deficits, including impaired heading accuracy, represent a measurable, severity-dependent breakdown in the brain's spatial navigation circuitry that standard vestibular assessments frequently miss.

In this one-credit course, Dr. Aasef Shaikh presents cutting-edge laboratory and clinical findings on how subthalamic nucleus deep brain stimulation modulates the cerebellothalamic pathway to restore motion perception in Parkinson's patients. Clinicians gain a mechanistic framework for understanding central vestibular dysfunction beyond the inner ear, expanding their clinical reasoning for complex balance and dizziness cases across neurological populations.

What you’ll learn:

  • Explain the mechanisms linking subthalamic nucleus dysfunction to vestibular perception deficits
  • Interpret psychometric heading perception data and its clinical significance in Parkinson's
  • Identify how DBS electrode placement influences cerebellothalamic fiber activation
  • Distinguish motion perception impairment from vestibulo-ocular reflex dysfunction
  • Apply a neuromodulation framework to central vestibular balance dysfunction in complex cases

More About This Course

Central vestibular neuromodulation represents one of the most consequential emerging intersections in clinical neuroscience today. For clinicians working with patients who present with complex balance disorders, dizziness, or Parkinson's disease, the gap between peripheral vestibular assessment and central vestibular circuitry has long been a limiting factor in clinical outcomes. This course bridges that gap with rigorous, translational research, examining how deep brain stimulation of the subthalamic nucleus modulates heading perception and spatial navigation through the cerebellothalamic pathway.

This course equips clinicians with a mechanistic understanding of how central vestibular dysfunction operates differently from its peripheral counterpart. Drawing on psychometric motion analysis, patient-specific DBS modeling, and traced neural pathway data, participants gain a precise neuroanatomical and clinical framework for understanding why Parkinson's patients lose spatial navigation accuracy in a severity-dependent pattern, and how targeted neuromodulation can partially restore it. This is not a theoretical overview. It is a window into active laboratory science that is reshaping how the field thinks about vestibular dysfunction at the level of the basal ganglia and cerebellum.

This course is designed for licensed clinicians in functional neurology, chiropractic neurology, neurology, rehabilitation medicine, physical therapy, and any discipline in which central vestibular dysfunction presents as an unresolved clinical challenge. Clinicians who regularly evaluate balance disorders, manage Parkinson's patients, or treat patients with unexplained dizziness and spatial disorientation will find this content directly applicable to their clinical reasoning and patient conversations.

Dr. Aasef Shaikh, MD PhD, holds the Penny and Steven Weinberg Chair in Brain Health and serves as Vice Chair for Research in the Department of Urology at University Hospitals, with an affiliation to Case Western Reserve University in Cleveland, Ohio. A former fellow under Professor DeLong at Emory University, Dr. Shaikh is a recognized authority on vestibular neuroscience, basal ganglia circuitry, and deep brain stimulation. His presentation at the International Symposium in Clinical Neuroscience reflects the caliber of research and clinical translation that defines the Carrick Institute's commitment to advancing the profession.

Components

Educational Syllabus

  • Balance and Falls in Parkinson's Disease
    • Seventy percent of people with Parkinson's fall frequently. Examine the three primary contributors to falls, including tremor, dyskinesia, and impaired spatial navigation driven by central vestibular dysfunction.
  • Heading Perception and Motion Accuracy in Parkinson's
    • Using psychometric function analysis and a six-axis motion platform, discover how Parkinson's patients show severity-dependent declines in heading accuracy while their directional bias remains intact, revealing a distinct central deficit.
  • The STN-Cerebellum-Thalamus Pathway Revealed
    • Trace the neural architecture connecting the subthalamic nucleus to precerebellar and deep cerebellar nuclei and on to the thalamus. Understand how abnormal STN activity in Parkinson's disrupts vestibular motion perception via this pathway.
  • Restoring Motion Perception with Subthalamic DBS
    • Review clinical and patient-specific DBS modeling data showing how subthalamic nucleus stimulation normalizes heading perception accuracy, and examine which electrode positions and fiber tract engagement drive the strongest vestibular response.

Venue, Hotels & Schedule

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Also includes

—
1
Months Medline Access
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Ability to resubscribe to keep access after
1
months
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You have
1
month(s) access from the date you begin the course
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Eligibility for Neurology Fellowship and Diplomate Examinations after the completion of 300+ hours of study
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Certificate of Completion
Neuromodulation of the Central Vestibular System | 21ISCN | On-Demand with Dr. Aasef ShaikhNeuromodulation of the Central Vestibular System | 21ISCN | On-Demand with Dr. Aasef Shaikh

Neuromodulation of the Central Vestibular System

Discover how subthalamic DBS modulates motion perception and balance in Parkinson's disease, illuminating the future of vestibular neuromodulation.

Functional Neurology
Aasef Shaikh
Level:
3
-
Integrator
Credit Hours:
1
Price:

$

45

$

(

% off)

$

45.00

The Carrick Institute team is ready to assist with enrollment, CE approval, or program planning. Email visit our CE Portal or Contact Us directly.

On Demand
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In Person
Hands-on · Full immersion
Aasef Shaikh
|
MD, PhD
Instructor of Functional Neurology
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