FE: Lecture 3: Cranial Nerve 8 Flashcards

1
Q

Where do the vestibular and cochlear nerve originate?

A

the inner ear

auditory- cochlea
vestibule and semicircular ducts- vestibular

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2
Q

What does the cochlea detect?

A

sound or vibrations in the ear

20-20,000 Hz- human

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3
Q

What does the canals and semicircular ducts detect?

A

vibrations of the head, 0-10 Hz

static tilt

dynamic movements like linear and angular acceleration

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4
Q

What are the three main features of the external ear?

A

Pinna- concentrates sound and direction filter

External auditory meatus

tympanic membrane- first to vibrate (external ear ends here)

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5
Q

What is the name of the air filled chamber in the middle ear?

A

eustachian tube- fills with fluid when you have a cold due to pressure

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6
Q

What bones and muscles comprise middle ear?

A

malleus, incus and stapes- bones

muscles- tensor tympani cn 5, stapedius cn 7 these both decrease vibration

damage to either nerve cause hyperacusis

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7
Q

What are the two windows of the inner ear?

A

oval window- pushes air in (hydraulic like)

round window- allows relief out

they both transmit sound mechanically

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8
Q

What is the bony labyrinth in the inner ear?

A

spaces in the bone that contain vestibule, semicircular canals and cochlear

filled with perilymph

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9
Q

What is the membranous labyrinth in the inner ear?

A

sacs inside the spaces- utricle, saccule, semicircular ducts, cochlear ducts

these contain endolymph and contain receptor cells

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10
Q

What is the cochlea?

A

spiral chamber in the petrous temporal bone

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11
Q

How does sound pressure wave move in cochlea?

A

sounds enters oval window and down the scala vestibuli

sound exits via round window though scala tympani

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12
Q

What is in the cochlear duct?

A

endolymph and organ of corti sensory receptor

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13
Q

Describe the organization of the Organ of Corti?

A

hair cells are in basilar membrane which also contact tectorial membrane which amplifies movement of endolymph

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14
Q

Describe of hair cells are depolarized in organ of corti?

A

any type of vibration depolarizes these hair cells and action potentials can be created and sent to spiral ganglia via primary afferent fibers

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15
Q

Hair cells or stereocilia are what type of gated channels?

A

mechanical that make synaptic contact with primary afferent fibers

AP encode amplitude of sound as frequency of firing

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16
Q

What is the pathway of an AP from the stereocilia?

A
  1. hair cell receptors to spiral ganglia to cochlear nuclei (dorsal and ventral rostral medulla)
17
Q

How are low and high frequencies discriminated?

A

due to tonotopic receptive fields- place theory

based on where it is detected in organ of corti

high freq- base of organ

low- apex of organ

18
Q

What is the definition of deafness?

A

loss or reduction of hearing

due to loss of amplitude, can be specific to frequency

high frequency loss is common from rock music (loss of hairs)

19
Q

What different pathologies can cause deafness?

A

CVA (labyrinth artery), trauma, infections, toxins (penecillin)

20
Q

What is conduction deafness?

A

unable to transmit sound energy due to external ear or middle ear damage therefore no AP is ever created

21
Q

What is sensorineural deafness?

A
  1. damage to cochlea/organ of corti- total, high end or notch hearing loss
  2. acoustic neuropathy- damage to auditory part of CN 8
22
Q

What is central deafness?

A

damage to cochlear nuclei

23
Q

What is the pathway of auditory info from cochlear nuclei to cerebral cortex?

A
  1. cochlear nuclei of medulla to inferior colliculus (some fibers )via lateral lemniscus, others may go to superior olive or nucleus of LL first then IC
  2. inferior colliculus to medial geniculate nucleus of thalamus
  3. MGN to primary auditory cortex areas 41/42 in the superior temporal gyrus
24
Q

Where does info from the left cochlea go?

A

both sides of cortex

25
Q

Where are the only two places in the pathway that if damaged will produce ipsilateral deafness?

A

labyrinth/ cochlear nerve or cochlear nuclei

26
Q

What type of auditory problems will you have with ipsilateral deafness?

A

sound localization, problems detecting complex sounds like speech

27
Q

Where are the auditory cortical areas?

A
  1. primary auditory - 41, tone, intensity and localization
  2. Auditory association cortex- 42, 22, memory of music speech and noise
  3. speech sensory association cortex- 22, 39, 40 wernike’s area, comprehension of language
28
Q

What is the one major difference between auditory and vestibular hair cells?

A

vestibular hair cells have a kinocilia

if flow is toward kinocilia then the cell is depolarized and an AP is created (increased number of AP)

if flow is away then cell is hyperpolarized (decreased number of AP)