32 VESTIBULAR PHYSIOLOGY Flashcards

1
Q

Maintenance of balance involves three aspects:

A

Vestibular system, proprioception, sight

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2
Q

What part of the brain atrophies if you take away the vestibular system

A

The hippocampus. Involved in spatial memory (as well as long and short term memory)

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3
Q

What are the two kinds of motions the vestibular system detects

A

Linear and angular

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4
Q

What is the consequence of chronic gradual loss of vestibular function

A

May see no effect as the central nuclei compensate

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5
Q

Define vertigo

A

Perception of motion when there is no motion

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6
Q

Why does the vestibular system not work in space

A

Because it relies on gravity

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7
Q

What are the outputs for vestibular nuclei

A

Cerebral cortex, cerebellum, oculomotor cranial nerves, autonomic nervous system, pyramidal tract

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8
Q

What are the three sensory organs in the ear

A

The otolith organs, saccula and utricle and the semicircular canals

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9
Q

What are the sensory cells in the otolith organs called

A

Macula

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10
Q

What sensory organs detect linear movement

A

The otolithic organs- utricle and saccule

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11
Q

What detect angular movement

A

The semicircular canals (ampullae)

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12
Q

How do the otolithic organs work

A

Sensory epithelium of the otolithic organs is called the macula which consists of hair cells and supporting cells. Above the macula is a gelatinous layer and above this a fibrous layer called the otolithic membrane in which there are crystals called otoconia embedded. The otoconia make the otolithic membrane heavier than the structures and fluid surrounding it so when the head tilts gravity causes the membrane to tilt and there is a shearing motion between the otolithic membrane and the macula resulting in excitation of hair cells

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13
Q

How do the semicircular canals work

A

At the base of each semi circular canal are ampulla which house the sensory epithelium called crista. Hair bundle extend out of the crista into a gelatinous mass called the cupula that forms a barrier so that fluid cannot pass. The cupula is distorted with movements of the endolymph which moves via inertia when angular head movements occur (with linear movements there is equal forces on each side of the cupulla so hair cells are not displaced)

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14
Q

Describe the pairing relationship in semicircular canals

A

Each canal is paired with the canal on the opposite side that has its hair cells arranged in the opposite direction. When one is stimulated the other is hyperpolarized. this results in a system that provides information about the rotation of the head in any direction. It thus gives the brain an indication about what direction you are going in.

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15
Q

What are the longest stereocilla called

A

Klinocillium

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16
Q

Why might you have a sense of movement when only one side is working

A

Because discharge on on ear is zero and the other side is excited (there is baseline excitation), there is a differential so movement is ‘detected’. Vertigo ensues.

17
Q

Describe the vestibulo-ocular reflex

A

A mechanism for producing eye movement that counter head movements for gaze stabilisation. Connections between vestibular nuclei and oculomotor nuclei