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

A

vertigo

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
Q

reticulospinal tract

A

from vestibular nuclei

maintain balance

26
Q

automatic posture controlled by

A

lateral vestibulospinal
medial vestibulospinal
reticulospinal

27
Q

vestibular symptoms

A
change in hearing
dizziness
vertigo
light headed
oscillopsia
28
Q

oscillopsia

A

visual distortion

29
Q

continuous vertigo

A

acute unilateral loss of vestibular function
ataxic gait
resolve in few days

30
Q

benign paroxysmal positional vertigo

A

episodic vertigo

increase in fluid pressure in labytinth
head motion lying down

31
Q

treatment benign paroxysmal positional vertigo

A

habituation

canalith repositioning

32
Q

vestibular neuronitis

A

viral infection

solves 6 weeks - 3 months

33
Q

menieres syndrome

A

over accumulation of endolymph
episodic verge, tinnitus, hearing los
british

34
Q

treatment menieres syndrome

A

diuretics
histamine
corticosteroids

35
Q

acoustic neuroma

A

intracranial tumour of myelin forming cells

36
Q

AKA acoustic neuroma

A

vestibular schwannoma

37
Q

central vestibular loss

A
vascular events
TBI
brain tumour 
MS 
stroke