Background: Visual-vestibular and postural interactions can act as cues that trigger motion sickness and can also have a role in some anxiety disorders. We explore a method to detect individual sensitivity to visual-vestibular unusual patterns, which can signal a vulnerability to develop motion sickness and possibly anxiety disorders such as a fear of heights and panic. Material/Methods: 65 undergraduate students were recruited for the purposes of this study as voluntary participants (44 females); average age 21.65 years (SD=2.84) with normal or corrected to normal vision, without vestibular or postural deficiencies. Panic was assessed with the Albany Panic and Phobia Questionnaire, Motion Sickness with the Motion Sickness Susceptibility Questionnaire and Acrophobia was assessed by means of the Acrophobia Questionnaire. The Sharpened Romberg Test was used to test participant’s postural balance. The Rod and Frame Test (RFT) measures the participant’s ability to align a rod to the vertical within a titled frame providing a measure of error in the perception of verticality by degrees. This test was changed to measure the error offered when a participant’s head was tilted, and to trace the error caused by manipulating the vestibular system input. Results: The main findings show only motion sickness to be correlated with significant errors while performing a visual-vestibular challenging situation, and fear of heights is the only anxiety disorder connected with postural stability, although all disorders (fear of heights, panic and motion sickness) are correlated between each other in the self-report questionnaires. Conclusions: All disorders are correlated to each other in the surveys, and might have some common visual-vestibular origin, in theory. The rod and frame test was exclusively correlated with motion sickness whereas the postural stability test only displayed sensibility to acrophobia. Panic disorder was correlated to neither the RFT nor the Romberg. Although this method was initially employed to increase sensibility in order to detect anxiety disorders, it ended up showing its value in the detection of motion sickness.

4623 INTRODUCTION Sickle cell disease (SCD) is the most frequent cause of stroke in children. It is possible that cognitive dysfunction occurs in the absence of identifiable stroke due to silent cerebrovascular disorders. OBJECTIVE To evaluate SCD compromises cognitive functions of patients with no radiological nor clinical evidence of stroke. METHODS Thirty eutrophic children with SCD, with normal neurological examination and imaging (brain CT) and without past cerebrovascular disease were submitted to neuropsychological assessment between 2002 and 2008. The neuropsychological battery included the following tests: WISC-III, BTN (battery of neuropsychological tests, assessing laterality), Rey complex figure (visual perception and memory), and behavioral screening for ADHD, learning disorders and antisocial behavior. RESULTS 66.7% of patients were male. The average age of patients was 9.6 years (6 - 15 years). The mean total IQ was 78.8 (50 - 105) and the executive IQ was 77.9 (47 - 108), both at the borderline limit. The verbal IQ mean was 84.9 (55 - 113), on lower average. Verbal comprehension verbal was on average 87.4 (58 - 115). The results of visual memory was at the lower limit of normal (mean percentile 16 to 18). There was no correlation between the rates of behavior disorders (inattention, hyperactivity, learning difficulties and conduct disturbance) and IQ results. There was no statistically significant difference between the results of males and females or between age groups. 40% of the sample had not developed manual preference. CONCLUSION The subjects of this sample showed significant cognitive impairment in the absence of clinical or radiological evidence of cerebrovascular disease. The study has limitations as the sample size, the imaging technique used and neuropsychological battery comprehensiveness, but the results are quite suggestive of a relationship between SCD and cognitive impairment. The research group is developing a study with a larger sample (100 patients) to clarify the correlations between these findings. This will be important to outline earlier neuroprotective measures, which will provide improvements in neurodevelopment, learning, quality of life and social inclusion. Disclosures: No relevant conflicts of interest to declare.