The Vestibular System Flashcards

1
Q

What is the general orientation of the utricle and saccule?

A

Utricle is oriented in the horizontal plane

Saccule is in the verticle plane

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2
Q

How does the orientation of the utricle and saccule contribute to the perception of linear motion?

A

Each organ has a macula with hair cells embedded in a gelatinous membrane. The membrane has otoconia. When the body moves, the otoconia shifts due to gravity or inertia, which causes the hair cells to deflect and stimulate the organ.

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3
Q

How is the cupula stimulated by the rotations of the head?

A

When the head turns, the cupula moves against the flow of endolymph. This displacement deflects hair cells stereocilia within the cupula.

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4
Q

Describe how the three semicircular canals work in pairs.

A

The canals on each side of the head works in pairs. The horizontal canals work together and the left posterior canal works with right anterior canal

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5
Q

How does the orientation of three semicircular canals relates to the vestibulo-ocular reflex?

A

The canals are aligned to the planes of the eye muscles: horizontal canals are in the plane of the lateral and medial rectus, anterior and posterior are aligned with the superior/inferior recturs and oblique muscles. Once rotational movement occurs, this causes stimulation on one side and inhibits the other side.

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6
Q

Name the three cranial nerves involved in the vestibulo-occular reflex?

A
  1. Oculomotor (III)
  2. Trochlear (IV)
  3. Adbucens (VI)
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7
Q

What causes BPPV?

A

It’s a vestiblar disorder where the otoconia becomes displaced from the otolithic membrane and floats through the semicircular canals, causing vertigo.

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8
Q

How do we test for BPPV?

A

Dix-Hallpike

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9
Q

How can BPPV be treated?

A

Epley Maneuver

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10
Q

What does the two otolith organs sense?

A

Linear acceleration

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11
Q

Both the utricle and saccule contains:

A

Hair cells called macula

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12
Q

Which otolith organ is the largest?

A

Utricle

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13
Q

The otolith forms

A

The base of all three semicircular canals

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14
Q

The saccule is sensitive to:

A

Gravity while standing and acceleration

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15
Q

What is the macula?

A

Layer of supporting cells surroudning hair cells

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16
Q

Where are the hair cells of the macula embedded?

A

Gelatinous otolithic membranes

17
Q

What does the surface of the otolithic membrane have?

A

A calcium carbonate called otoconia.

18
Q

What does each otlith organ have?

A

A macula

19
Q

What are three semicircular canals?

A
  1. Anterior (Superior) Canal
  2. Lateral (Horizontal)
  3. Posterior (Inferior)
20
Q

What is the anterior canal sensitive to?

A

The rotation in the sagittal plane

21
Q

What is the lateral canal sensitve to?

A

The rotation in the transverse plane

22
Q

What is the posterior canal sensitive to?

A

The rotation in the coronal plane.

23
Q

What is each semicircular canal connected to?

A

The utricle at a widened based called the ampulla

24
Q

What’s within the ampulla?

A

Cupula

25
Q

What’s within the cupula?

A

Sensory hair cells embedded in the crista ampularis.

26
Q

When rotational movement of the vestibular-ocular occurs, what happens:

A
  1. Stimulation contracts one set of the eye muscles

2. Inhibition relaxes other set of eye muscles

27
Q

What is the net result of vestibulo-ocular reflex?

A

Eyes shifting in unison to perfectly counteract the turn of the head

28
Q

What happens when the vesitbular system detects movement of the head?

A

It reflexively activates the eye muscles to maintain visual fixation

29
Q

What happens when someone has vertigo>

A

Their eyes move reflexively to counteract their perceived movement

30
Q

What do e three cranial nerves involved in the vestibulo-occular reflex have in common?

A
  1. All motor nerves

2. All project to eye muscles

31
Q

What is nystagmus?

A

Involuntary rhythmic motion of the eyes

32
Q

What is vertigo?

A

False sensation of spinning

33
Q

What causes nystagmus?

A

Stimulation of the vesitbular system while the head is stationary