The Vestibular Pathway Flashcards

1
Q

What are the inputs to the central pathways of balance?

A

Visual - eyes
Proprioceptive - sense of joint position in space
Vestibular - eara
Cardiovascular - for perfusion of central pathways

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2
Q

What are the outputs of the central pathways?

A

Vestibulospinal Tract - provides tone to the back and legs; stabilises the body
Vestibulo-ocular reflex - allows gaze stabilisation

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3
Q

What are the five key vestibular organs of balance?

A
Lateral semicircular canal
Anterior semicircular canal
Posterior semicircular canal
Utricle
Saccule
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4
Q

Which nerve supplies the utricle and lateral and anterior semicircular canal?

A

Superior vestibular nerve

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5
Q

Which nerve supplies the posterior semicircular canal and saccule?

A

Inferior vestibular nerve

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6
Q

What is the name of the largest and longest hair cells in the vestibule?

A

Kinocilium

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7
Q

What is the name of the smaller hair cells in the vestibule?

A

Stereocilium

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8
Q

What is the arrangement of the kinocilium and stereocilium?

A

The kinocilium are in the centre surrounded by many stereocilium

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9
Q

How does movement cause firing of impulses?

A

The fluid within the vestibules moves over the stereocilia causing them to bend towards or away from the kinocilia. The difference is perceived by the inner ear.

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10
Q

What does deflection of the stereocilia towards the kinocilia translate to?

A

Increased firing of the afferent nerves

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11
Q

What does deflection of the stereocilia away from the kinocilia translate to?

A

Decreased firing rate of the afferent nerves

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12
Q

What are the otolith organs?

A

Utricle and saccule

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13
Q

What type of fluid is contained within the vestibular canals?

A

Endolymph

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14
Q

What is the function of the otolith organs?

A

To detect forward and backward movement and gravitational forces e.g. if the head is the right way up

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15
Q

What plane does the utricle detect movement in?

A

Horizontal e.g. driving a car

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16
Q

What plane does the saccule detect movement in?

A

Vertical e.g. using a lift

17
Q

How do the utricle and saccule detect movement?

A

They have stereocilia that project upward into a gelatinous matrix that contains otoconia (calcium carbonate crystals). The otoconia move and pull the membrane in a specific direction

18
Q

What is the vestibulo-ocular reflex?

A

This is a gaze stabilising reflex. When the head moves - the eyes also move to stabilise the image