9.19 Vestibular (Big Concepts) Flashcards

1
Q

Example of partial redundancy of the balance system

A

co-planar pairing

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2
Q

How do the paired SCC act together?

A

push - pull

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3
Q

Orientation of canals: wall

A

Stand at 45˚ to corner, chin slightly tucked:

  • wall you’re facing = anterior canal
  • wall behind = posterior canal
  • floor = horizontal canal
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4
Q

What is the coplanar pair to the right posterior canal?

A

L anterior canal

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5
Q

What is the coplanar pair to the left anterior canal

A

R posterior canal

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6
Q

Quick head turn to R:

Fluid in R horizontal SCC

A

moves toward midline

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7
Q

Quick head turn to R:

Firing rates on R and L sides

A

R: firing rate goes up
L: firing rate goes down

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8
Q

Quick head turn to R:

eye movements

A

Eyes move left (equal and opposite direction)

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9
Q

Sustained spinning to R: endolymph movement

A

moves relatively toward midline (to L)

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10
Q

phases of peripheral nystagmus

A
  • slow phase

- fast phase

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11
Q

Which phase is the VOR?

A

slow phase

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12
Q

fast pase is this type of movement

A

corrective

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13
Q

nystagmus aka

A

uncontrolled VOR

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14
Q

What is nystagmus?

A
  • rhythmic, uncontrolled eye movement

- slow phase followed by a fast phase in the opposite direction

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15
Q

vascular supply of the peripheral system

A

NO collaterals to the peripheral system

only takes 5-15 seconds to cause damage

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16
Q

What are characteristics of a peripheral vestibular lesion?

A
  • presence of nystagmus in the absence of visual fixation COMBINED WITH
  • absence of nystagmus in the presence of visual fixation
17
Q

Most common cause of dizziness in general population

A

cardiovascular

18
Q

Most common PT presentation of dizziness

A

BPPV

19
Q

Most common type of BPPV

A

posterior canal

20
Q

2 causes of BPPV

A
  • cupulolithiasis

- canalithiasis

21
Q

cupulolithiasis

A

otoconia adhered to cupulae

22
Q

canalithiasis

A

free floating otoconia in SSC

23
Q

How does a pt present with complete bilateral vestibular loss?

A
  • NO dizziness

- DO have a lot of instability

24
Q

How to try to narrow down symptoms to diagnose?

A
  • timing of symptoms
  • circumstances which trigger symptoms
  • associated symptoms
25
Q

Which part of the vestibular system gives you info about tilt?

A

utricle