Lecture 20: Balance One Flashcards
Where is the first synapse of the auditory nerve?
- Cochlear nucleus. (all afferent fibres terminate here, nothing further)
Describe the cochlear nucleus first synapse;
- Obligatory synapse of all afferent auditory nerve fibres
- Some neural features to extra features of sound (e.g onset, offset, noise vs tones)
- Somatosensory influence. (tonotopic organisation) Important for cleaning the response and removing any biological noise i.e Heart and resp noise
How can the cochlear nucleus be divided?
In three;
- Dorsal cochlear nucleus
- Posteroventral cochlear nucleus
- Anteroventral cochlear nucleus
How do the cell types in the cochlear nucleus differ?
DCN; Fusiform cell types
PCN and ACN = bushy and stellate cell types
Whats the function of the DCN:
- Projects to midbrain
- More complex sound processing possibly important for speech detection
Whats the function of the vestibular system?
Balance and posture
What is balance?
- Maintenance of steady position
Essential for;
- coordination of motor responses, eye movement, posture
- Dynamic and static equilibrium
What is a key feature of balance?
Highly integrated system
what is integrated in balance?
Involves integration of;
- Vision
- Vestibular organs
- Proprioceptive inputs
What pathways are involved in balance?
Sensory input;
- Vision
- Vestibular organs
- Proprioceptive inputs
Integration of input;
- Cerebellum (posture,movement,balance co-ordination)
- Cerebral cortex (memory, higher think int)
- Brain stem (sensory int)
Motor Output:
- Vestibulo-occular reflex
- Motor impulses (to control eye movement)
- Motor impulses (to control posture)
What is the role of cognition in balance?
- Self motion perception
- Bodily self consciousness
- Spatial navigation
- Spatial learning
- Spatial memory and object recognition
Describe hippocampal connections, spatial memory and vestibular system interplay
- Hippocampal atrophy with bilateral vestibular lesion (i.e vestibular system contributes to spatial memory)
- Spatial representation in hippocampus influenced by vestibular organ
- contribute to navigational deficits in people with abnormal vestibular function
What does the vestibular system sense?
- Sense dynamic and static position of the head.
- Detect linear and angular acceleration of the head.
- Conscious awareness of head position and reflex control of eye movements.
Describe the sensitivity of the vestibular system;
Vestibular system is exquisitely sensitive and finely balanced
Describe the impact of small derangement of the vestibular system:
Minor, acute derangement have catastrophic effects on balance causing VERTIGO (sense of losing balance, movement), disorientation and nausea