vestibular system Flashcards

1
Q

what are the 3 main inputs in the vestibular system

A

visual
proprioceptive
and vestibular information

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2
Q

what is the vestibular system

A

system that allows us to keep balance/ corporate balance e.g posture

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3
Q

what are the outputs of vestibular system

A

mainly reflexes to maintain stable posture and stable gaze

e.g ocular reflex and postural control

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4
Q

what is role of cns

A

integrates information and generates responses

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5
Q

where is vestibular organ found

A

posterior area in inner ear

contain hair cells

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6
Q

where are utricle and saccule located

A

in vestibule
are joined by conduit
saccule is also joined to cochlea

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7
Q

what are the 3 semicircular canals on each ear

A

anterior
posterior
lateral
semicircular canals have ampulla on one side and connected to utricle

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8
Q

why are the planes for the anterior and posterior canals important

A

determine which structure will be stimulated with specific head movement

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9
Q

what are vestibular hair cells called

A

kinocilium - biggest cilium

stereocilia - hairs on hair cells

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10
Q

what is role of cilia

A

allows cells to depolarise cell with movement of endolymph generated by head movements

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11
Q

what are the organs in vestibular system

A

3 semicircular canals and otoliths: utricle and saccule

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12
Q

why are utricle and saccule called otolith organs

A

contain otoliths(crystals)
cells are located on maculae
- placed horizontally in utricle
- placed vertically in saccule

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13
Q

what do the maculae contain

A

hair cells, gelatinous matrix and otoliths

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14
Q

what are otoliths

A

carbonate crystals that help deflection of hairs

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15
Q

what can be found in canals

A

hair cells located in ampulla

rest of canal has liquid high in potassium called endolymph

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16
Q

what do ampulla has

A

crista, where hair cells are located

cells are surrounded by cupula which help hair cell movement

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17
Q

what is orientation of canals in head

A

anterior and posterior canals form 90” angle

lateral canals are horizontal to other canals

18
Q

where are primary afferents end

A

in vestibular nuclei and in cerebellum

19
Q

where do vestibular nuclei have projections to

A

spinal cord - for postural movement
nuclei of extraocular muscle - for eye movement
cerebellum
centres for cardiovasc and resp control

20
Q

what is the main processing centre for vestibular system

A

in parietal lobe - parieto- insular vestibular cortex

21
Q

what are the vestibular system functions

A
  • detect and inform about head movements
  • keep images fixed in retina during head movements
  • postural control
22
Q

explain hair cell potentials

A

have resting potential - have basal discharge to nerve
hairs moving towards kinocilium generates depolarisation and increase in nerve discharge
hairs moving away - generates hyperpolarisation and reduction in nerve discharge

23
Q

what movements is utricle sensitive to

A

horizontal

24
Q

what movements is saccule sensitive to

25
how do circular canals work
angular acceleration cupulla moves and displaces hair cells output signal on 8th nerve is velocity
26
what is the vestibulo ocular reflex
keeps images fixed in retina connections between vestibular nuclei and oculomotor nuclei - eye movement is opposite direction to head movement, but same velocity and amplitude
27
what is the vestibulo spinal reflex
postural control - avoidance of falls and compensatory body movement according to head position motor neurones to limb muscles - lateral tract motor neurons to neck and back muscles - medial tract
28
how to carry out assessment of vestibular system
``` anamesis - history posture and gait cerebellar function eye movements vestibular tests ct,mri symptoms and impact assessment ```
29
what are some vestibular tests that can be carried out
caloric test video head impulse test vestibular evoked myogenic potential rotational test
30
what is the main symptoms of balance disorder
dizziness and vertigo(spinning)
31
how can balance disorders be categorised
location of affected structure | evolution of signs and symptoms
32
what is a peripheral vestibular disorder
labyrinth and/or 8th nerve disorder
33
what are some examples of peripheral vestibular disorders | more common
vestibular neuritis benign positional vertigo bppv menieres disease unilateral/bilateral vestibular hypofunction
34
what are central nerve disorders
anything involving brainstem and upwards
35
what are some examples of central vestibular disorders
stroke ms tumours
36
what is bppv
abnormal presence of otolith crystals in canals
37
what is menieres disease
affects both hearing and vestibular - problem with absorption of endolymph
38
what are acute balance disorders
vestibular neuritis | stroke
39
intermittent balance disorders
bppv
40
recurrent balance disorders
menieres disease | migraine
41
progressive balance disorders
schwanonnoma vestibular | degenerative conditions e.g ms