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Out-of-Body Experiences and Other Complex Dissociation Experiences in a Patient with Unilateral Peripheral Vestibular Damage and Deficient Multisensory Integration

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Out-of-body experiences (OBEs) are illusory perceptions of one’s body from an elevated disembodied perspective. Recent theories postulate a double disintegration process in the personal (visual, proprioceptive and tactile disintegration) and extrapersonal (visual and vestibular disintegration) space as the basis of OBEs. Here we describe a case which corroborates and extends this hypothesis. The patient suffered from peripheral vestibular damage and presented with OBEs and lucid dreams. Analysis of the patient’s behaviour revealed a failure of visuo-vestibular integration and abnormal sensitivity to visuo-tactile conflicts that have previously been shown to experimentally induce out-of-body illusions (in healthy subjects). In light of these experimental findings and the patient’s symptomatology we extend an earlier model of the role of vestibular signals in OBEs. Our results advocate the involvement of subcortical bodily mechanisms in the occurrence of OBEs.

Affiliations: 1: 3Department of Otorhinolaryngology Head and Neck Surgery, University Hospital (Inselspital) of Bern, Switzerland

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1. Alvarado C. S. ( 2000). "Out-of-body experiences", in: Varieties of Anomalous Experience: Examining the Scientific Evidence, Cardeña E. , Lynn S. J. , Krippner S. (Eds). American Psychological Association, Washington, DC, USA.
2. Avillac M. , Hamed S. B. , Duhamel J.-R. ( 2007). "Multisensory integration in the ventral intraparietal area of the macaque monkey", J. Neurosci. Vol 27, 19221932. http://dx.doi.org/10.1523/JNEUROSCI.2646-06.2007
3. Berthoz A. , Pavard B. , Young L. ( 1975). "Perception of linear horizontal self-motion induced by peripheral vision (linearvection) basic characteristics and visual–vestibular interactions", Exp. Brain Res. Vol 23, 471489.
4. Blackmore S. J. ( 1982). "Out-of-body experiences, lucid dreams, and imagery: two surveys", J. Am. Soc. Psych. Res. Vol 76, 301317.
5. Blackmore S. ( 1987). "Where am I? Perspectives in imagery and the out-of-body experience", J. Ment. Imagery Vol 11, 5366.
6. Blanke O. ( 2012). "Multisensory brain mechanisms of bodily self-consciousness", Nat. Rev. Neurosci. Vol 13, 556571.
7. Blanke O. , Arzy S. ( 2005). "The out-of-body experience: disturbed self-processing at the temporo-parietal junction", Neuroscientist Vol 11, 1624. http://dx.doi.org/10.1177/1073858404270885
8. Blanke O. , Dieguez S. ( 2009). "Leaving body and life behind: out-of-body and near-death experience", in: The Neurology of Consciousness: Cognitive Neuroscience and Neuropathology, Laureys S. , Tononi G. (Eds), pp.  303325. Academic Publishers, London, UK.
9. Blanke O. , Mohr C. ( 2005). "Out-of-body experience, heautoscopy, and autoscopic hallucination of neurological origin: implications for neurocognitive mechanisms of corporeal awareness and self-consciousness", Brain Res. Rev. Vol 50, 184199. http://dx.doi.org/10.1016/j.brainresrev.2005.05.008
10. Blanke O. , Ortigue S. , Landis T. , Seeck M. ( 2002). "Neuropsychology: stimulating illusory own-body perceptions", Nature Vol 419, 269270. http://dx.doi.org/10.1038/419269a
11. Blanke O. , Landis T. , Spinelli L. , Seeck M. ( 2004). "Out-of-body experience and autoscopy of neurological origin", Brain Vol 127, 243258. http://dx.doi.org/10.1093/brain/awh040
12. Bremmer F. , Klam F. , Duhamel J. R. , Ben Hamed S. , Graf W. ( 2002). "Visual–vestibular interactive responses in the macaque ventral intraparietal area (VIP)", Eur. J. Neurosci. Vol 16, 15691586. http://dx.doi.org/10.1046/j.1460-9568.2002.02206.x
13. Brugger P. , Regard M. , Landis T. ( 1997). "Illusory reduplication of one’s own body: phenomenology and classification of autoscopic phenomena", Cogn. Neuropsychiat. Vol 2, 1938. http://dx.doi.org/10.1080/135468097396397
14. Bünning S. , Blanke O. ( 2005). "The out-of body experience: precipitating factors and neural correlates", Progr. Brain Res. Vol 150, 331606. http://dx.doi.org/10.1016/S0079-6123(05)50024-4
15. Butler J. S. , Smith S. T. , Campos J. L. , Bülthoff H. H. ( 2010). "Bayesian integration of visual and vestibular signals for heading", J. Vis. Vol 10, 23.
16. Calvert G. A. , Campbell R. , Brammer M. J. ( 2000). "Evidence from functional magnetic resonance imaging of crossmodal binding in the human heteromodal cortex", Curr. Biol. Vol 10, 649657. http://dx.doi.org/10.1016/S0960-9822(00)00513-3
17. Cheyne J. A. , Girard T. A. ( 2009). "The body unbound: vestibular–motor hallucinations and out-of-body experiences", Cortex Vol 45, 201215. http://dx.doi.org/10.1016/j.cortex.2007.05.002
18. Cheyne J. A. , Rueffer S. D. , Newby-Clark I. R. ( 1999). "Hypnagogic and hypnopompic hallucinations during sleep paralysis: neurological and cultural construction of the night-mare", Consc. Cogn. Vol 8, 319337. http://dx.doi.org/10.1006/ccog.1999.0404
19. Crawford J. , Garthwaite P. H. ( 2002). "Investigation of the single case in neuropsychology: confidence limits on the abnormality of test scores and test score differences", Neuropsychologia Vol 40, 11961208. http://dx.doi.org/10.1016/S0028-3932(01)00224-X
20. Cyran C. A. M. , Boegle R. , Stephan T. , Dieterich M. , Glasauer S. ( 2015). "Age-related decline in functional connectivity of the vestibular cortical network", Brain Struct. Funct., DOI: .
21. Dahlitz M. , Parkes J. ( 1993). "Sleep paralysis", Lancet Vol 341, 406407. http://dx.doi.org/10.1016/0140-6736(93)92992-3
22. Demanez J. P. ( 1986). "[Electronystagmography aspects of peripheral and central vestibular syndromes]", Acta Otorhinolaryngol. Belg. Vol 40, 695858.
23. Devinsky O. , Feldmann E. , Burrowes K. , Bromfield E. ( 1989). "Autoscopic phenomena with seizures", Arch. Neurol. Vol 46, 10801088. http://dx.doi.org/10.1001/archneur.1989.00520460060015
24. Dieterich M. , Brandt T. ( 2015). "The bilateral central vestibular system: its pathways, functions, and disorders", Ann. N. Y. Acad. Sci. Vol 1343, 1026. http://dx.doi.org/10.1111/nyas.12585
25. Dresler M. , Wehrle R. , Spoormaker V. I. , Koch S. P. , Holsboer F. , Steiger A. , Obrig H. , Samann P. G. , Czisch M. ( 2012). "Neural correlates of dream lucidity obtained from contrasting lucid versus non-lucid REM sleep: a combined EEG/fMRI case study", Sleep Vol 35, 10171020.
26. Fasold O. , Von Brevern M. , Kuhberg M. , Ploner C. J. , Villringer A. , Lempert T. , Wenzel R. ( 2002). "Human vestibular cortex as identified with caloric stimulation in functional magnetic resonance imaging", Neuroimage Vol 17, 13841393. http://dx.doi.org/10.1006/nimg.2002.1241
27. Fetsch C. R. , Turner A. H. , Deangelis G. C. , Angelaki D. E. ( 2009). "Dynamic reweighting of visual and vestibular cues during self-motion perception", J. Neurosci. Vol 29, 1560115612. http://dx.doi.org/10.1523/JNEUROSCI.2574-09.2009
28. Freyss G. , Toupet M. ( 1978). "[G. Freyss’ vestibulogram. Graphic representation of results of the unilateral bithermal vestibular caloric test]", Rev. Laryngol. Otol. Rhinol. (Bord.) Vol 99, 540550.
29. Gackenbach J. ( 1988). "The psychological content of lucid versus nonlucid dreams", in: Conscious Mind, Sleeping Brain, Gackenbach J. , LaBerge S. (Eds), pp.  181220. Plenum Press, New York, NY, USA. http://dx.doi.org/10.1007/978-1-4757-0423-5_9
30. Gackenbach J. , Snyder T. , Rokes L. , Sachau D. ( 1986). "Lucid dreaming frequency in relation to vestibular sensitivity as measured by caloric stimulation", J. Mind Behav. Vol 7, 277298.
31. Green C. E. ( 1968). Out-of-the-Body Experiences. Institute of Psychophysical Research, Oxford.
32. Greenhouse H. B. ( 1975). The Astral Journey. Doubleday, Garden City, NY, USA.
33. Grüsser O. , Pause M. , Schreiter U. ( 1990a). "Vestibular neurones in the parieto-insular cortex of monkeys ( Macaca fascicularis): visual and neck receptor responses", J. Physiol. Vol 430, 559583. http://dx.doi.org/10.1113/jphysiol.1990.sp018307
34. Grüsser O. , Pause M. , Schreiter U. ( 1990b). "Localization and responses of neurones in the parieto-insular vestibular cortex of awake monkeys ( Macaca fascicularis)", J. Physiol. Vol 430, 537557. http://dx.doi.org/10.1113/jphysiol.1990.sp018306
35. Guldin W. , Grüsser O. ( 1998). "Is there a vestibular cortex?" Trends Neurosci. Vol 21, 254259. http://dx.doi.org/10.1016/S0166-2236(97)01211-3
36. Hishikawa Y. , Shimizu T. ( 1994). "Physiology of REM sleep, cataplexy, and sleep paralysis", Adv. Neurol. Vol 67, 245271.
37. Hunt H. T. ( 1989). The Multiplicity of Dreams: Memory, Imagination, and Consciousness. Yale University Press, New Haven, CT, USA.
38. Ionta S. , Heydrich L. , Lenggenhager B. , Mouthon M. , Fornari E. , Chapuis D. , Gassert R. , Blanke O. ( 2011a). "Multisensory mechanisms in temporo-parietal cortex support self-location and first-person perspective", Neuron Vol 70, 363374. http://dx.doi.org/10.1016/j.neuron.2011.03.009
39. Ionta S. , Gassert R. , Blanke O. ( 2011b). "Multi-sensory and sensorimotor foundation of bodily self-consciousness — an interdisciplinary approach", Front. Psychol. Vol 2, 383. DOI: . http://dx.doi.org/10.3389/fpsyg.2011.00383
40. Jamali M. , Mitchell D. E. , Dale A. , Carriot J. , Sadeghi S. G. , Cullen K. E. ( 2014). "Neuronal detection thresholds during vestibular compensation: contributions of response variability and sensory substitution", J. Physiol. Vol 592, 15651580. http://dx.doi.org/10.1113/jphysiol.2013.267534
41. Jáuregui-Renaud K. , Sang F. Y. P. , Gresty M. A. , Green D. A. , Bronstein A. M. ( 2008). "Depersonalisation/derealisation symptoms and updating orientation in patients with vestibular disease", J. Neurol. Neurosurg. Psychiat. Vol 79, 276283. http://dx.doi.org/10.1136/jnnp.2007.122119
42. Lackner J. R. , DiZio P. ( 2005). "Vestibular, proprioceptive, and haptic contributions to spatial orientation", Annu. Rev. Psychol. Vol 56, 115147. http://dx.doi.org/10.1146/annurev.psych.55.090902.142023
43. Lenggenhager B. , Tadi T. , Metzinger T. , Blanke O. ( 2007). "Video ergo sum: manipulating bodily self-consciousness", Science Vol 317, 10961099. http://dx.doi.org/10.1126/science.1143439
44. Leslie K. , Ogilvie R. ( 1996). "Vestibular dreams: the effect of rocking on dream mentation", Dreaming Vol 6, 1. http://dx.doi.org/10.1037/h0094442
45. Lopez C. ( 2013). "A neuroscientific account of how vestibular disorders impair bodily self-consciousness", Front. Integr. Neurosci. Vol 7, 91. DOI: . http://dx.doi.org/10.3389/fnint.2013.00091
46. Lopez C. , Blanke O. ( 2011). "The thalamocortical vestibular system in animals and humans", Brain Res. Rev. Vol 67, 119146. http://dx.doi.org/10.1016/j.brainresrev.2010.12.002
47. Lopez C. , Borel L. , Magnan J. , Lacour M. ( 2005). "Torsional optokinetic nystagmus after unilateral vestibular loss: asymmetry and compensation", Brain Vol 128, 15111524. http://dx.doi.org/10.1093/brain/awh504
48. Lopez C. , Lacour M. , Ahmadi A. E. , Magnan J. , Borel L. ( 2007). "Changes of visual vertical perception: a long-term sign of unilateral and bilateral vestibular loss", Neuropsychologia Vol 45, 20252037. http://dx.doi.org/10.1016/j.neuropsychologia.2007.02.004
49. Lopez C. , Heydrich L. , Seeck M. , Blanke O. ( 2010). "Abnormal self-location and vestibular vertigo in a patient with right frontal lobe epilepsy", Epilepsy Behav. Vol 17, 289292. http://dx.doi.org/10.1016/j.yebeh.2009.12.016
50. Lopez C. , Blanke O. , Mast F. ( 2012). "The human vestibular cortex revealed by coordinate-based activation likelihood estimation meta-analysis", Neuroscience Vol 212, 159179. http://dx.doi.org/10.1016/j.neuroscience.2012.03.028
51. Maguire E. A. , Burgess N. , Donnett J. G. , Frackowiak R. S. , Frith C. D. , O’keefe J. ( 1998). "Knowing where and getting there: a human navigation network", Science Vol 280, 921924. http://dx.doi.org/10.1126/science.280.5365.921
52. Mazzola L. , Lopez C. , Faillenot I. , Chouchou F. , Mauguière F. , Isnard J. ( 2014). "Vestibular responses to direct stimulation of the human insular cortex", Ann. Neurol. Vol 76, 609619. http://dx.doi.org/10.1002/ana.24252
53. Mergner T. , Rosemeier T. ( 1998). "Interaction of vestibular, somatosensory and visual signals for postural control and motion perception under terrestrial and microgravity conditions — a conceptual model", Brain Res. Rev. Vol 28, 118135. http://dx.doi.org/10.1016/S0165-0173(98)00032-0
54. Mozolic J. L. , Hugenschmidt C. E. , Peiffer A. M. , Laurienti P. J. ( 2012). "Multisensory integration and aging", in: The Neural Bases of Multisensory Processes, Murray M. M. , Wallace M. T. (Eds), pp. 381394. CRC Press, Boca Raton FL, USA.
55. Muldoon S. , Carrington H. ( 1951). The Phenomena of Astral Projection. Rider, London.
56. Murray M. M. , Wallace M. T. , Deangelis G. C. , Angelaki D. E. ( 2012). "Visual–vestibular integration for self-motion perception", in: The Neural Bases of Multisensory Processes, Murray M. M. , Wallace M. T. (Eds), pp. 629652. CRC Press, Boca Raton FL, USA.
57. Nelson K. R. , Mattingly M. , Schmitt F. A. ( 2007). "Out-of-body experience and arousal", Neurology Vol 68, 794795. http://dx.doi.org/10.1212/01.wnl.0000256784.85952.6f
58. Noreika V. , Windt J. M. , Lenggenhager B. , Karim A. A. ( 2010). "New perspectives for the study of lucid dreaming: from brain stimulation to philosophical theories of self-consciousness", Int. J. Dream Res. Vol 3, 3645.
59. Osis K. , Mitchell J. L. ( 1977). "Physiological correlates of reported out-of-body experiences", J. Soc. Psych. Res. Vol 49, 525536.
60. Overney L. S. , Arzy S. , Blanke O. ( 2009). "Deficient mental own-body imagery in a neurological patient with out-of-body experiences due to cannabis use", Cortex Vol 45, 228235. http://dx.doi.org/10.1016/j.cortex.2008.02.005
61. Pfeiffer C. , Lopez C. , Schmutz V. , Duenas J. A. , Martuzzi R. , Blanke O. ( 2013). "Multisensory origin of the subjective first-person perspective: visual, tactile, and vestibular mechanisms", PLoS One Vol 8, e61751. DOI: .
62. Pfeiffer C. , Schmutz V. , Blanke O. ( 2014). "Visuospatial viewpoint manipulation during full-body illusion modulates subjective first-person perspective", Exp. Brain Res. Vol 232, 40214033. http://dx.doi.org/10.1007/s00221-014-4080-0
63. Poynton J. ( 1975). "Results of an out-of-the-body survey", in: Parapsychology in South Africa, Poynton J. C. (Ed.), pp.  120121. South African Society for Psychical Research, Johannesburg, South Africa.
64. Prsa M. , Gale S. , Blanke O. ( 2012). "Self-motion leads to mandatory cue fusion across sensory modalities", J. Neurophysiol. Vol 108, 22822291. http://dx.doi.org/10.1152/jn.00439.2012
65. Rogers M. W. , Wardman D. L. , Lord S. R. , Fitzpatrick R. C. ( 2001). "Passive tactile sensory input improves stability during standing", Exp. Brain Res. Vol 136, 514522. http://dx.doi.org/10.1007/s002210000615
66. Sang F. Y. P. , Jauregui-Renaud K. , Green D. A. , Bronstein A. M. , Gresty M. A. ( 2006). "Depersonalisation/derealisation symptoms in vestibular disease", J. Neurol. Neurosurg. Psychiat. Vol 77, 760766. http://dx.doi.org/10.1136/jnnp.2005.075473
67. Schönhammer R. ( 2004). Fliegen, Fallen, Flüchten: Die Psychologie Intensiver Träume. dgvt-Verlag, Tübingen, Germany.
68. Sheils D. ( 1978). "A cross-cultural study of beliefs in out-of-the-body experiences, waking and sleeping", J. Soc. Psych. Res. Vol 49, 697741.
69. Siegler I. , Viaud-Delmon I. , Israël I. , Berthoz A. ( 2000). "Self-motion perception during a sequence of whole-body rotations in darkness", Exp. Brain Res. Vol 134, 6673. http://dx.doi.org/10.1007/s002210000415
70. Smith P. F. , Curthoys I. S. ( 1989). "Mechanisms of recovery following unilateral labyrinthectomy: a review", Brain Res. Rev. Vol 14, 155180. http://dx.doi.org/10.1016/0165-0173(89)90013-1
71. Tart C. T. ( 1974). "Out-of-body experiences", in: Psychic Exploration: A Challenge for Science, White J. (Ed.), pp.  349373. Putnam, New York.
72. Terhune D. B. ( 2009). "The incidence and determinants of visual phenomenology during out-of-body experiences", Cortex Vol 45, 236242. http://dx.doi.org/10.1016/j.cortex.2007.06.007
73. Valko Y. , Lewis R. F. , Priesol A. J. , Merfeld D. M. ( 2012). "Vestibular labyrinth contributions to human whole-body motion discrimination", J. Neurosci. Vol 32, 1353713542. http://dx.doi.org/10.1523/JNEUROSCI.2157-12.2012
74. Van Elk M. , Blanke O. ( 2012). "Balancing bistable perception during self-motion", Exp. Brain Res. Vol 222, 219228. http://dx.doi.org/10.1007/s00221-012-3209-2
75. Vogeley K. , May M. , Ritzl A. , Falkai P. , Zilles K. , Fink G. ( 2004). "Neural correlates of first-person perspective as one constituent of human self-consciousness", J. Cogn. Neurosci. Vol 16, 817827. http://dx.doi.org/10.1162/089892904970799
76. Von Brevern M. , Faldon M. E. , Brookes G. B. , Gresty M. A. ( 1997). "Evaluating 3D semicircular canal function by perception of rotation", Otol. Neurotol. Vol 18, 484493.
77. Waespe W. , Henn V. ( 1978). "Conflicting visual–vestibular stimulation and vestibular nucleus activity in alert monkeys", Exp. Brain Res. Vol 33, 203211. http://dx.doi.org/10.1007/BF00238060
78. Wexler M. , Panerai F. , Lamouret I. , Droulez J. ( 2001). "Self-motion and the perception of stationary objects", Nature Vol 409, 8588. http://dx.doi.org/10.1038/35051081
79. Windt J. M. , Metzinger T. ( 2007). "The philosophy of dreaming and self-consciousness: what happens to the experiential subject during the dream state?"in: The New Science of Dreaming: Volume 3. Cultural and Theoretical Perspectives, Barrett D. , McNamara P. (Eds), pp.  193247. Praeger Publishers/Greenwood Publishing Group, Westport, CT, USA.
80. Windt J. M. , Noreika V. ( 2011). "How to integrate dreaming into a general theory of consciousness — a critical review of existing positions and suggestions for future research", Consc. Cogn. Vol 20, 10911107. http://dx.doi.org/10.1016/j.concog.2010.09.010
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2017-11-20

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