Vestibular Flashcards

1
Q

There are 3 semicircular canals that are perpendicular to each other. Together, they can measure rotation. What are they?

A

Anterior, Posterior, Horizontal Semicircular canals

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2
Q

How is motion transduced into neural firing?

A

There is an increase in the frequency of AP’s in VIIIth
 nerve afferents

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3
Q

Endolymph vs Perilymph

A

Perilympth
high sodium, low potassium
similar to extracellular fluid (CSF)
found between the bone and membrane labrynth
Fluid inside middle ear is called perilymph
receptors are bathed in perilymph
scala vestibuli and scala tympani

Endolympth
   similar to intracellular fluid
   fills inside of membranous labrynth
   hair cells are bathed in endolymph
   scala media
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4
Q

Bending steriocilia in which direction depolarizes the cell?

A

Bending of the cilia towards the kinocilium depolarizes the cell (increase in AP’s)
Bending of the cilia away from the kinocilium causes hyperpolarization (decrease in AP’s)

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5
Q

Describe the semicircular canals

A

Each canal has a swelling at it’s base, called the ampulla

The crista is a saddle shaped receptor epithelium that is covered with sensory hair cells

The stereocilia of the hair cells are embedded in a gelatinous membrane (the cupula) which forms a fluid tight seal across the ampulla

Each canal has a partner in the other labyrinth (i.e., SSC work in pairs). When one partner is maximally excited, the other is maximally inhibited (push-pull organization)

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6
Q

How do the SCC
detect rotational
motion?

A
When there is a change in
 head rotational speed, the
 endolymph lags behind 
 due to inertia.  This  
 pushes on the cupula which
 displaces the stereocilia.

Excitatory response to
ipsilateral motion. Inhibitory
response to contralateral
motion.

Canals work in pairs as
push-pull system.

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7
Q

What are the otolith organs and describe them

A

two membranous sacs called the utricle and the saccule

The receptor epithelium (the macula) contains hair cells innervated by afferents of the VIIIth nerve

With the head upright, the macula of the utricle is horizontal and the saccule is on the side

Within each macula, hair bundles are oriented in all possible directions (indicated by arrows)

The direction of linear acceleration or gravity is determined by which hair cells are most active

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8
Q

How do otolith organs detect linear acceleration?

A

the inertia of the otoconia crystals in the otolith membrane

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9
Q

Where are the 2 VNC inputs?

A

Vestibular nuclei

cerebellum

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10
Q

There is strong convergence between what?

A

There is strong convergence between vestibular, visual and somatosensory signals on second-order neurons

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11
Q

What does the vestibular system do?

A

Important in the control of posture and equilibrium

Minimizes retinal image motion during head/body movements, by rotating the eyes and keeping gaze stable in space – maintains visual acuity

Critical for the perception of spatial orientation and self-motion

Autonomic nervous system (e.g., blood pressure and heart rate)

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12
Q

What does the Vestibulo-spinal system do?

A

Influences muscle tone
produces reflexive postural adjustments of the head and body

Gaze control
Stabilizes head in space
MVST Function

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13
Q

What is the path for the VOR?

A

The short latency simple VOR path consists of 3 neurons:

1) afferent fiber
2) central VNC neuron
3) eye muscle motor neuron
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14
Q

What happens with a left head rotation in the VOR?

A

1) Left afferents excited, right inhibited
2) VNC cells on left excited
3) VNC projects excitatory input to contralateral (right) abducens neurons
4) Abducens motor neurons excite right lateral rectus
5) Abducens interneurons project back across to excite left oculomotor neurons and left medial rectus
6) Opposite action inhibitory path from right canal and circuit

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15
Q

What is nystagmus?

A

Normal nystagmus is seen during large head rotation
the VOR generates the slow phases
when eye approaches the edge of the oculomotor range, a saccade (quick phase) is generated in the opposite direction
Nystagmus is also seen with lesions, such as head trauma or temporal bone fractures

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16
Q

Linear acceleration or tilt relative to gravity?

A

The otolith afferents can not distinguish the two…
Sometimes it can by using multi-sensory information (extra-otolith cues).
Other times, the ambiguity results in illusions, disorientation and accidents!

17
Q

How are Thalamic neurons involved in spatial orientation and navigation

A

VPL cells encode body movement and vestibular motion information through mulitsensory integration
Other thalamic cells encode orientation of the head relative to world space and visual landmarks in the horizontal plane.
Both require a vestibular signal
Thalamic neurons project to several cortical areas – primarily parietal and pre-frontal cortex.

18
Q

Where are the Cortical vestibular regions?

A
Post-central gyrus (Area 3A)
Pre-central gyrus (Area 2v)
Lateral intra-parietal (MST-MT)
Premotor area 6
   Projects to PIVC, 3A, 2 
PIVC