Vestibular diseases Flashcards

1
Q

what do vestibular systems do

A

postural stability
gase stabiltiy
resolution of sensory conflict

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2
Q

vestibular system

A

detect forces created by gravity as we move

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3
Q

vestibular disorder causes

A

abnormal sense of movement
visual instability
loss of balance

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4
Q

T/F vestibular info must be integrated w vision and postural control

A

yes

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5
Q

why dizziness with age

A

hair cell lose

neuronal loss in vestibular nuclei

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6
Q

5 lesions associate with vestibular dysfunction

A
vestibular end organ
vestibular nerve terminals (8)
cerebellopontine 
brainstem / cerebellum
projections to cortex
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7
Q

endolymph

A

fluid movement in opposite direction of head

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8
Q

saccule

A

linear translation (up down)

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9
Q

utricle

A

tilt , acceleration

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10
Q

ampulla directing movement

A

deflect away from direction b/c of end

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11
Q

what determines rate of vestibular nerve

A

speed and direction of ampulla

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12
Q

semicircular canals

A

allow 3d head motion

each moves in a plane

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13
Q

otolith function

A

detect acc /dec

gravitational pull

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14
Q

what detects sagital plane motion

A

saccule

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15
Q

what detects horizontal motion

A

utricle

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16
Q

vertigo

A

hallucination of motion

17
Q

cardinal symptom of vestbular system disease

18
Q

imbalance

A

inability to orient body in space

chronic vestibular or neurological disease

19
Q

disequilirbum

A

feel drunk disoriented

vestibular, metabolic or multi sensory

20
Q

lightheadness

A

can be cardiovascular or metabolic

21
Q

VOR

A

when your head moves on way but eyes don’t

22
Q

3 vestibular spinal reflex patwahys

A

lateral vestibulospinal
medial vestibulospinal
reticulospinal

23
Q

lateral vestibulospinal

A

info rom otoliths / cerebellum

lower extremity posture in response to head position

24
Q

medial vestibulospinal

A

info from semicircular canals

postural respond to angular changes

25
reticulospinal tract
from vestibular nuclei | maintain balance
26
automatic posture controlled by
lateral vestibulospinal medial vestibulospinal reticulospinal
27
vestibular symptoms
``` change in hearing dizziness vertigo light headed oscillopsia ```
28
oscillopsia
visual distortion
29
continuous vertigo
acute unilateral loss of vestibular function ataxic gait resolve in few days
30
benign paroxysmal positional vertigo
episodic vertigo increase in fluid pressure in labytinth head motion lying down
31
treatment benign paroxysmal positional vertigo
habituation | canalith repositioning
32
vestibular neuronitis
viral infection | solves 6 weeks - 3 months
33
menieres syndrome
over accumulation of endolymph episodic verge, tinnitus, hearing los british
34
treatment menieres syndrome
diuretics histamine corticosteroids
35
acoustic neuroma
intracranial tumour of myelin forming cells
36
AKA acoustic neuroma
vestibular schwannoma
37
central vestibular loss
``` vascular events TBI brain tumour MS stroke ```