Vestibular Part 1 Flashcards

1
Q

List the central vestibular pathway

A

8VVCROSS
cn 8
Vestibular Nuclei Ipsilateral
Vestibular Nuclei contralateral
cerebellum (to and from)
reticular formation
Occular muscles via CN III, IV, VI
Spinal cord (LVST and MVST)
Superior Sylvian gyrus and SI areas

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2
Q

What 3 systems are involved in balance?

A

vision
somatosensory
vestibular
all 3 work together for us to keep our balance

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3
Q

what are the two external forces in vestib system

A

vision and somatosensory

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4
Q

What is the internal reference of vestib system

A

vestibular

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5
Q

what is the main role of the balance system?

A

to allow us to interact and maintain contact with our surroundings in a safe and efficient manner

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6
Q

what is ma de debarquement sysndrome (MdDS)

A

rare vestib disorder that makes you feel like you’re moving even when youre not. most common after travel, usually by boat

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7
Q

what part of the peripheral vestib system happens with acceleration and deceleration

A

vestibular

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8
Q

what part of the peripheral vestib system happens with standing still

A

somatosensory

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9
Q

series of interconnected canals and cavities located in the petrous poriton of the temporal bone

A

labyrinth

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10
Q

located medially and anteriorly in petrous apex

A

cochlea

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11
Q

located laterally and posteriorly in petrous apex

A

vestibular

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12
Q

how many sensory organs are there and where are they located

A

5 in each membranous labyrinth (10 total)
utricle and saccule macula
3 ampullae (cristae ampullaris)

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13
Q

what and where are the vestibular ganglion

A

scarpa’s ganglion (cell bodies)
located in internal auditory canal
two divisions (superior (LSU) and inferior vestib nerve (PS))

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14
Q

How many and what type of fibers are in vestib?

A

20,000
primarily bipolar afferent fibers

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15
Q

what is the name of the afferent fiber that branches off of the inferior vestib nerve of CN VIII and attaches to the cochlea

A

vestibulocochlear ramus

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16
Q

what is the accessory structure in the vestibular?

A

cupulla

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17
Q

The vestibular system is ________ (more / less) effective when the head or body is still and ________ (more / less) active when the body is in motion.

A

less (use vision more here)
more (vestib main function here)

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18
Q

Balance is dependent upon sensory information gathered from what three systems?

A

somatosensory/proprioception
vestibular
visual

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19
Q

What are the two types of sensory structures in the vestibular system and what stimuli do they respond to?

A

crista ampullaris in SCC - angular acceleration - pitch, roll, yaw?
maculae in utricle and saccule (otolithic membrane)- linear acceleration and gravitational forces

20
Q

does kinocilium disappear after embryonic development in the vestibular system?

A

no, just in the cochlea

21
Q

why may we be able to regenerate hair cells and where?

A

in the vestibular system because the kinocilia is still present

22
Q

what are the type of hair cells in the vestib system?

A

Type 1 and type II

23
Q

which vestibular hair cell is flask shaped with a large nerve innervating directly by afferent fibers?

A

type I

24
Q

which vestibular hair cell is cylindrical and innervated directly by efferent fibers

A

type II

25
Q

what produces endolymph in vestibular system?

A

dark cells

26
Q

how are kinocilia oriented in the horizontal canal

A

toward the utricle

27
Q

how are the kinocilia oriented in the superior/posterior canals

A

away from the utricle

28
Q

What fluid movement causes excitation in horizontal canal?

A

fluid movement from the semicircular canal side and toward the utricle (hits smaller stereocilia first)

29
Q

what fluid movement causes inhibition in horizontal canal?

A

fluid movement from the utricle toward the canal (hits kinocilia first)

30
Q

what fluid movement causes excitation in ant/post canals?

A

fluid movement from the utricle toward the canal

31
Q

what fluid movement causes inhibition in ant/post canals?

A

fluid movement from the semicircular canals toward the utricle

32
Q

what are the otolithic structures

A

utricle and saccule

33
Q

what plays a large role in postural control and senses change in orientation in respect to gravity (moving forward in a car)

A

utricle

34
Q

what is in the otolithic membrane to give it density

A

otoconia

35
Q

what are embedded in the otolithic membrane

A

stereocilia and kinocilia

36
Q

what detects linear acceleration and gravitational forces

A

maculae (utricle - horizontal saccule - verticle)

37
Q

calcium carbonate crystals mixed with a protein matrix

A

otoconia

38
Q

small grain- or rice-shaped particles with a density that allows the utricle to respond transiently to linear acceleration and in a more practical fashion to head tilt

A

otoconia

39
Q

tilt head left =

A

inhibitory

40
Q

tilt head right =

A

excitatory

41
Q

imaginary line through axis of each maculae which hair cells are organized

A

striola

42
Q

axis for polarization allowing for complex stimulation patterns

A

striola

43
Q

this allows for a complex multidirectional pattern of responses

A

the alignment of hair cells around the striola

44
Q

kinocilia are ____ striola in utricle

A

toward

45
Q

kinocilia are ____ striola in saccule

A

away

46
Q

primarily registers vertical movement, like going up in an elevator

A

saccule

47
Q

how is the saccule connected to the utricle and semicircular canals?

A

vestibular aqueduct