HYBRID EVENT: You can participate in person at Barcelona, Spain from your home or work.

12th Edition of International Conference on

Neurology and Neurological Disorders

June 22-24, 2026 | Barcelona, Spain

Neurology 2026

Is time born from the brain, or is it the other way around?

Speaker at Neurology and Neurological Disorders 2026 - Gennaro Della Rocca
AORN Antonio Cardarelli Hospital, Italy
Title : Is time born from the brain, or is it the other way around?

Abstract:

This presentation proposes a theoretical model positioning the inner ear – particularly the vestibular system – as a key contributor to neural synchronisation processes and cognitive network regulation. Traditionally viewed through its role in balance and spatial orientation, the vestibular system is here, reinterpreted as a sensory interface for temporal information, potentially modulating circadian rhythms and higher-order cognitive functions.

From an evolutionary perspective, both the vestibular apparatus and cochlea respond to periodic stimuli – movement and sound, respectively – highlighting their shared capacity to detect rhythmic inputs. These cyclical inputs underpin distinct yet complementary functions: postural control and spatial representation in the vestibular system and language processing and social communication in the cochlear system.

Critically, vestibular projections reach multiple cognitive domains, positioning the inner ear as a temporal coordinator of distributed neural networks. The timing signals it conveys may facilitate plasticity (via long-term potentiation), enable inter-areal communication (via coherence), and promote resonance-based synchronisation even across anatomically unconnected regions. Visual and vestibular afferents function as temporal and spatial reference frames, respectively, which are essential for the accurate reconstruction of external reality.

These mechanisms suggest therapeutic potential: rhythmic stimulation – whether auditory, vestibular or multimodal – could enhance neuroplasticity and restore connectivity patterns in neuropsychological disorders. By framing rhythm as a shared medium between neural substrates and behavioural functions, this model supports the integration of vestibular-based interventions in cognitive rehabilitation, particularly in conditions involving dysregulated timing, such as Parkinson’s disease, neglect, or affective disorders.

Biography:

Gennaro Della Rocca graduated in Medicine and Surgery in 1991 and specialized in Neurology in 1996. After working as a medical consultant at the “Villa Camaldoli” Clinic in Naples, where he focused on cognitive rehabilitation, he has been serving since July 2020 at the “Antonio Cardarelli” Hospital (AORN) in Naples in the Neurology & Stroke Unit, primarily dealing with dementia. His professional experience has been centered on dementia and cognitive rehabilitation, and he has authored several scientific papers, including Conchiglia G., Della Rocca G., Grossi D. On a peculiar environmental dependency syndrome in a case with fronto-temporal damage: Zelig-like syndrome. Neurocase, 2007, 13(1):1–5; Abate F., Della Rocca G., et al. The “zig-zag” sign in Progressive Supranuclear Palsy. Parkinsonism & Related Disorders, 2020; 79:86–87; and Della Rocca G. Is the Inner Ear the Brain’s Metronome? A New Vestibular Function in a Theoretical Model. Journal of Psychiatry and Cognitive Behaviour, Gavin Publishers, 2025. In September 2024, he published the book Is Time Born from the Brain or Is It the Other Way Around? (Giammarino Publishers), the culmination of ten years of research on the subject.

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