T2 L13 Physiology of balance, taste & stimuli Flashcards
What is the endolymph in the scala media continuous with?
Apical surface of vestibular hair cells
Describe the 6 semi-circular canals
At right angles to one another to detect head rotation in all directions
Left & right lateral semi-circular canals are functionally pairs
Describe the 4 otolith organs
Aren’t at right angles to resolve head tilt & linear acceleration in all directions
What are the sensory cels in the ampullae of the semi-circular canals embedded in?
Cupula
What are the sensory cells in the otolith organs embedded in?
Gelatinous sheet covered with heavy crystals of calcium carbonate
What does Newton’s second law show?
Gravity & linear acceleration provide same stimulus to otolith organs
What is Newton’s second law?
F = m x a
Describe type II vestibular hair cells
Most common
Receive afferent & efferent innervation
Describe type I vestibular hair cells
Surrounded by afferent nerve calyx
Not direct contact with efferent nerve fibres
Which type of vestibular hair cell appears to be more sensitive?
Type II
What is nystagmus?
Slow eye movements followed by fast ones during a continuous head rotation
When does physiological nystagmus occur?
When rotating the head
What is spontaneous nystagmus?
Eyes move rhythmically side to side in absence of head movements
When does spontaneous nystagmus occur?
When one of the canals is damage
There is difference in the vestibular nerve firing rates when the head is stationary as the vestibular nerve innervating the intact canal is still firing
What is caloric testing used for?
Test brainstem function in unconscious patient
What happens during caloric testing if the brainstem is intact?
Both eyes move toward the side of the cold water
What happens during caloric testing if there is a lesion of the medial longitudinal fasciculus?
Movement of eye only on the irritated side
What is the diagnosis if neither eyes move during caloric testing?
Low brainstem lesion