Vestibular Function Flashcards

1
Q

What is the function of the vestibular system?

A

Control of posture and balance

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2
Q

Where is the vestibular system found?

A

In the inner ear

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3
Q

In which bone are the labyrinths embedded?

A

Temporal bone

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4
Q

Which structures make up the vestibular apparatus?

A

3 semi-circular canals, utricle and saccule

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5
Q

What are the swellings at the bottom of the semi-circular canals called?

A

Ampulla

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6
Q

What are the utricle and saccule collectively known as?

A

Otolith organs

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7
Q

What is the function of the otolith organs?

A

They detect linear acceleration and the position of the head in space. Back/front tilt is detected by the utricle. Vertical movement is detected by the saccule

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8
Q

Which structure in the inner ear detects rotational movement?

A

Semi-circular canals

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9
Q

Which receptors are contained within the ampulla and what do they consist of?

A

Cristae - made up of cupula (a flexible gelatinous structure)

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10
Q

What is embedded in the cupula?

A

Cilia of hair cells that synapse directly with the sensory neurons of the vestibular nerve (CrN VIII)

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11
Q

How do the hair cells in the cupula detect rotational movement?

A

If the skull is rotated left or right from rest the endolymph does not move at first but the ampulla does because it is embedded in the skull. This produces a drag which bends the cupula and cilia in the opposite direction to movement

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12
Q

What are the two types of cilia of the hair cells?

A

One large kinocilium and progressively smaller stereocilia

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13
Q

What happens to AP discharge when the distortion of the cilia is in the direction of the kinocilium?

A

It is increased

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14
Q

What happens to AP discharge when the distortion of the cilia is away from the kinocilium?

A

It is decreased due to the hyperpolarization

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15
Q

Where does the integration of the sensory information from the cupula take place?

A

Cerebellum

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16
Q

What are the sensory receptors of the otolith organs called?

A

Maculae

17
Q

What are otoliths and where are they found?

A

CaCO3 crystals found in the otolith membrane

18
Q

What happens to the otoliths when the head is tilted?

A

They move and so does the otolith membrane. This moves the cilia

19
Q

What is kinaesthesia?

A

Perception of movement and body perception

20
Q

What is the function of the tonic labyrinthine reflex?

A

It keeps the axis of the head in a constant relationship with the rest of the body

21
Q

What is the function of the dynamic righting reflex?

A

It produced rapid postural adjustments that are made to stop you falling when you trip (involves extension of all limbs) and is most profound in cats

22
Q

What happens to people who have destruction of the vestibular apparatus when they close their eyes?

A

They immediately lose balance

23
Q

What is kinetosis and what is it caused by?

A

Motion Sickness - caused by powerful maintained stimulation of the vestibular system

24
Q

What is the presentation of kinetosis?

A

Nausea, vomiting, decreased BP, dizziness, sweating and pallor (all ANS symptoms)