Vestibular function Flashcards

1
Q

what is the vestibular system

A

sensory system essential in the control of posture and balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the vestibular system and where is it found

A

inner ear - series of fluid filled membraneous tubes (labyrinths) that are embedded in the temporal bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the components of the vestibular apparatus

A

3 semi-circualr canals - at right angles to each other

utricle

saccule

all contain sensory hair cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the otolith organs

A

the utricle and saccule collectively

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what do the otolith organs detect

A

Both:
linear accelleration
encode info about the position of the head in space

utricle - back/front head tilt

saccule - vertical movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what do the semicircular canals (SSC)

A

detect rotational acceleration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the structure of the SSC

A

filled with endolymph fluid - contain sensory cells in swellings (cristae) at the base (ampulla) of the bony canals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is contained in the cristae

A

flexible gelatinous structure called the cupula - stretches across entrire width of the ampulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what does the cupula respond to

A

movement of endolymph fluid within the canals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are found in the base of the cupula

A

cilia of hair cells that synapse with the sensory neurones of the vestibular nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how do the SSC canals detect rotational acceleration

A
  1. skull rotated right or left
  2. ampulla moves as it is embedded in the skull
  3. BUT endolymph does not move at first (inertia)
  4. inertia produces drag which bends the cupula and and ciliary in it in the opposite direction
  5. constant velocity - endolymph catches up and rotates at same speed - cupula and ciliary no longer bending

sudden stop:

  1. causes endolymph to carry on moving in same direction
  2. drag of cupula in opposite direction
  3. creates continuing sense of movement and dizziness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are the two types of cilia of the hair cells

A

single large kinocilium

progressively smaller stereocilia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how does movement of the cilia allow the brain to determine its position in time and scape

A

movement of the cilia in different directions causes depolarisation or hyperpolarisation of the vestibular nerve

all cupula orientated slightly differently so the brain can build up a 3D image of body position form pattern of firing and inhibition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what happens when the cilia distort TOWARDS the kinocilium

A

DEPOLARISATION

increases discharge of APs in the vestibular nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what happens when the cilia distort AWAY from the kinocilium

A

HYPERPOLARISATION

decreased discharge of APs in the vestibular nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

where does integration of this sensory information from the cilia and vestibular nerve take place

A

cerebellum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what are the sensory apparatus of the saccule and utricle known as

A

maculae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

how are macula orientated

A

utricle - horizontal plane

saccule - vertical plane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the structure of the maculae

A

set of cilia (single kinocilium, series of stereo cilium) protrude into otolith membrane

crystals called otoliths are embedded on other side of the membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what detects tilting of the head

A

macula in the utricle (horizontal plane)

otoliths have greater density than endolymph - more affected by gravity - otoliths moving move membrane - membrane moving moves cilia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

how is a backwards tilt detected

A

moves otoliths TOWARDS kinocilium

depolarisation and increased APs in vestibular nerve

22
Q

how is a forward tilt detected

A

moves otoliths AWAY from kinocilium

hyperpolarisation and decreased APs in vestibular nerve

23
Q

what detects vertical forces (e.g. movement in a lift)

A

macula in saccule

also provide info on orientation of the head when lying down

24
Q

where do projections from the vestibular nuclei project

A

ipsilaterally, bilaterally and contra-laterally to descending motor pathways

also extraocular nuclei (extraocular muscles)

25
where do vestibular nuclei receive input from
proprioceptors signalling limb and body position also from neck and eye muscles
26
how do we get kinaesthesia
kinaesthesia = perception of movement and body position from vestibular nuclei projecting via the thalamus to the cerebral cortex
27
what tracts do vestibular system reflexes involve
vestibulocortical and vestibulospinal tracts
28
what are the three vestibular system reflexes
tonic labyrinthine relfex dynamic righting relfex vestibulo-occular reflexs
29
what is the tonic labyrinthine reflex
keeps axis of head in constant relationship with the body - use info from maculae and neck proprioceptors
30
what is the dynamic righting reflex
rapid postural adjustments made to stop you falling when you trip - long reflexes involving extension of all limbs
31
how does info from the vestibular system affect eye movement
afferents from the semi circular canals connect in the vestibular nuclei to afferents travelling to the extraocular nuclei = influence eye movement
32
why might you have increased difficulty balancing when closing your eyes
visual system sends descending projections which control posture
33
how is the balance of people with damaged vestibular apparatus affected
can still maintain balance when eyes open immediately lost on closing eyes
34
what are the two vestibulo-ocular reflexes
static reflex dynamic vestibular nystagmus
35
what is the static reflex
when you tilt your head - eyes intort/extort to compensate
36
what is dynamic vestibular nystagmus
series of saccadic eye movements - rotate eye against the direction of rotation of the head so that original direction of gaze is preserved
37
what is the conventional direction of nystagmus
right rotation = right nystagmus vice versa
38
how can nystagmus be used to test vestibular function
post -rotatory nystagmus caloric stimulation
39
what is seen during post-rotatory nystagmus
left rotation - during acceleration = left nystagmus end of rotation - deceleration = right nystagmus due to endolymph catching up and pushing chapel in opposite direction
40
what is caloric stimulation nystagmus
test for horizontal SSC when outer ear washed with warm or cold water - temp gets through thin bone and sets up convection current to move endolymph warm into R ear = R nystagmus cold into R ear = L nystagmus
41
when can nystagmus be seen pathologically
lesions to peripheral or central vestibular pathways
42
what is kinetosis and what causes it
motion sickeness caused by maintained stimulation of the vestibular system if visual and vestibular inputs to cerebellum are in conflict e.g. vestibular indicates rotation but visual does not
43
what are the symptoms of kinetosis and how are they brought about
nausea, vomiting, deceased BP, dizziness, sweating, pallor when conflict between visual/vestibular - cerebellum generates "sickness signal" to hypothalamus - brings about ANS changes
44
what does labyrinthitis cause
acute interference with normal vestibular function = all ANS symptoms and vertigo
45
what is vertigo
perception of movement in the absence of movement
46
what is involved in menieres disease
overproduction of endolymph causing increase pressure = vertigo, nausea, nystagmus, tinnitus
47
what is tinnitus
subjective noise
48
give an example of a drug that can attack the inner ear
streptomycin
49
how can chronic vestibular function be compensated for
by the visual system - learning circuits can be set up in the cerebellum *problems if subjects cannot use visual info
50
what can lad to nystagmus at rest
lesions of the brainstem