Vestibular system Flashcards

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1
Q

What is the main function of the vestibular system? What two sensory organs are responsible for it - and which aspects do they process?

A
  • Designed to sense the motions that arise from head movements and gravity (pulling on our body)
    - Static head position and linear rotation = Otolith organs
    - Rotational acceleration = Semicircular canals
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2
Q

How does our head move? Give names to the specific rotations.

A

We move through linear planes as well as rotations around such axes.
- Roll = kind of like a plane
- Pitch = nodding
- Yaw = side to side
Additionally we may also move e.g. up or down

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2
Q

Where do vestibular systems from inner ear go and why (provide 2 locations)?

A
  1. Vestibular signals (VIII cranial nerve) are relaed to brainstem and cerebellum
    • Adjusting postural reflexes and eye movement
  2. Also reach parts of parietal cortex
    • Construction of spatial awareness, orientation (abnormalities may lead to dizziness)
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2
Q

Why would vestibular and auditory be this close together from emryological stand of point?

A

The common precurser of both semicircular cannals and cochlea is Otic placode

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3
Q

What do we find inside and around the vestibular cannals? Why is that important?
(plus look at the picture)

A

Semicircullar cannals are filled with endolymph - enriched in K+ (similar to within cells rather than outer)
- surrounding these membranes - perilymph (more like extracellular space)

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4
Q

What structures do we find in/next to the vestibular labirinth?

A

The vestibular labyrinth has 2 kinds of structures
1. Utricle and Saccule = Otolith organs
2. Semicircular cannals - superior, posterior, horizontal (sensitivity to different rotation of the head)

  • Scarpa’s ganglion - contain nerve cells innervating hair cells in the vestibular labyrinth
    - separate devisions supply the aformentioned structures
    => Cranial nerve VIII axons
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5
Q

How does the transduction itself work?

A

Similar as in audition
- Stereocilia are sensitive to deflection towards or away from their longest parts (opening x closing K+ channels)
- depolarization or hyperpolarization of hair cells
- Opens voltage-gated Ca2+ channels
- release of neurotransmitters (glutamite)
=> AP could develop

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6
Q

What is the organization inside otolith organs? How do we call that part? Where are the longest stereocilia -> what type of motion are they sensitive to?

A

In each otolith organ there is a characteristic organization of sensory epithelium = macula (“spot”)
- arrows = axis of symmetry of hair cells (points to the longest stereocilia)
- saccular macula = sensitive to pitch (both forward and backward tilt) - vertical plane
- utrical macula = sensitive to linear accelaration to the horizontal plane, roll (mostly horizontal but has a tilt)

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7
Q

How is it with hair cells in semicircular cannals? Where? Direction?

A

Semicircular cannals have their hair cells in ampilla (pl. ampulli)
- houses sensory epithelium = Crista
- In each crista hair cells are arranged in the same direction (unlike in otolith organs)

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8
Q

What is interesting about the structure of otolith organ epithelium? What happens if we tilt our head? Why does it assimilate processes in retina?

A

On top of the sensory epithelium - gelatinous membrane -> Otoconia (“ear stones”) = calcium carbonate crystals
- If we tilt our head => shift in the distribution of otolithic membrane -> hair cells bend in downward fashion
=> stereocilia on one side of the axis = depolarization
=> the oppsite side = hyperpolarization
=> half activated and half inhibited by a tilt (kind of like on and off ganglions)

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9
Q

What happens when we accelerate or decelerate? Also as an electrical response?

A

Tilt and acceleration will have similar effects.

Electrical response:
- Acceleration, sustained tilt forward eould produce TONIC firing as long as the motion, position is going (deflection of sterecilia maintained) -> when head retored =

  • Deceleration, backward tilt (we’re recording the same neuron again) -> TONIC hyperpolarization
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10
Q

Which directions do otolith organs respond to? Is it always just one of them?

A

Vertical axis (+elevetor up and down) = saccule (due to orientation of hair cells)
Horizontal axis = utricle

There is some overlap, but one membrane likely activated more than the other

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11
Q

Describe the anatomy of sensory part within semi-cercular cannals.

A

Inside Ampulla we have Crista (sensory epithelium) -> on top gelatinous layer with hair cells = Cupula
- One axis of depolarization

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12
Q

What happens if we tilt our head?

A
  • Cupula blocks the flow of endolympth -> it would stop it in motion and become slightly displaced
    => deflection of hair cells towards longest stereocilia = depolarization
  • Each crista has its functional pair on the other side of the head
    - Tilt -> one gets activated -> the other deactivated
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13
Q

Is there again something similar to on and off mechanism of retinal ganglion cells? What happens with the firing of neurons if we start rotating our head -> maintain rotation -> change direction?

A
  • Each crista has its functional pair on the other side of the head
    - Tilt -> one gets activated -> the other deactivated

Picture: First few seconds of motion = increase in firing -> BUT if we maintain the same speed, motion = cupula will relax ton neutral position -> Opposite motion = decrease in firing (deflecting hair cells in the opposite direction)

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14
Q

What’s the difference between otolith organs and semicircular cannals when it comes to functional pairs?
How does it work when we tilt our head forward right? How about forward middle?

A

Otolith organs operate on the same axis on both sides of the head
BUT semicircular cannals NOT
- horizontal will stay horizontal on both sides
- BUT superior on one side has a function pair of inferior on the other
- BUT vice versa
-> This mainly applies if we tilt our head also to one side (e.g. forward right = right superior, left inferior)
- If we’re tilting just forward = both superior will be activated (slightly less then to their preferred side)

15
Q

What about right direction in horizontal axis?

A

=> Right horizontal cannal activates (endolympth moves towards side of motion)
=> Left horizontal cannal DEactivates (the other side)

16
Q

How does information get from the sensory neurons to the cerebrum or cerebellum?

A

Vestibular organs send information to Scarpa’s ganglion cells -> along 8th cranial nerve -> brainstem -> innervate vestibular nuclear complex
=> Vestibulocerebellum

17
Q

Where exactly could we find vestibular nuclear complex? What is its primary function?

A

Lateral tegmentum of upper pons

Helps us to stabilize/fixate eye gaze despite head motion

18
Q

Describe the muscles of eye movement? (how do we call the motions they enable?)

A

Latin origin:
- ductio = “lead”
- ab = “away”, ad = “to/towards”
- supra = “up”, infero = “down”
1. Lateral rectus = abduction, it abducts the eye (movement temporally)
2. Medial rectus = adduction (movement nasally)
3. Superior r = elevation, supraduction
4. Inferior r. = depression, infraduction
5. Superior oblique
6. Inferior oblique

19
Q

What cranial nerves move our eyes? Add which muscles.

A
  1. Abducens nerve (from Abducens nucleus)
    • Lateral rectus
  2. Trochlear nerve (Trochlear nucleus)
    • exits DORSAL aspect and crosses over!
    • CONTRALATERAL Superior oblique
  3. Oculomotor nerve (Oculomotor nucleus)
    • remaining muscles
20
Q

Why do we need Vestibulo-ocular reflex? What would be expect if turning our head to the right?

A

It allows us to match our eyes on velocity and position with the head motion
- If I turn my head to the right -> expecting to activate my right semicircular cannals -> my eyes have to move to the left (left lateral rectus, right medial rectus - while relaxing the opposites)

21
Q

So how does the Vestibulo-cochlear reflex work?

A
  1. Activation of left side Scarpa’s ganglio cells
  2. Innervating neurons in Medial vestibular nucleus
  3. One neuron will release EXCITATORY neurotrans. in contralateral abducens nucleus
    1. One n = Contraction of contralateral lateral rectus (right)
    2. Second n. = internuclear interneuron growing from a.n. to oculomotor nucleus (crossing back to the side of activation - left) => contraction of ipselateral medial rectus
  4. Second n. supresses firing of motor n. in ipselateral abducens nucleus
    4. Same as the excitatory path
22
Q

What is a Vestibular nystagmus? When would it occur normally and what are the components?

A

= as if you’re falling asleep and then snapping back up - but with eyes

= rhythmic for of reflexive eye movement composed of slow component in one direction interrupted repeatedly by fast saccadic-like movement in the opposite direction

  • normally could happen if we spin someone (rotate their head)
    - slow component - driven by vestibulo-cochlear complex
    - fast c - repositioning of the eyes
    NOTE: can be true for any direction (even combination of cannals)
23
Q

What could vestibular nystagmus be indicative of? How may that work with e.g.left side?

A

A disbalance between activity of vestibulocochlear nerves

E.g. There may be a hypofunction of the right side - this corresponds to head movement towards left
-> when we move to left - eyes must go to right
=> slow component would drive the eye towards right and then fast repositio it back

24
Q

What is the second main function of vestibular nuclear complex? (after eye movement)

A

Producing reflexive adjustments of posture

25
Q

What pathways do we find in lateral and medial aspects of the spinal cord?

A

Lateral = concerned with movement of upper and lower extremities

Medial = postural adjustments

26
Q

What are the 2 tracts concerned with postural control?

A
  1. Medial vestibulospinal tract
    • starts in medial vestibular nucleus
    • runs bilaterally -> motor n. in cervical cord (neck, proximal upper extremity muscles)
  2. Lateral vestibulospinal tract - more lateral position but still Medial decending system
    • start in lateral vestibular nucleus
    • runs on the ipselateral aspect of the spine
      -> up to lambo-sacral enlargement
27
Q

Describe vestibulo-cervical reflex. Which tract is involved?

A

If I trip and start falling down -> excessive accelaration of the head (activation of superior cannals)
=> dorsal flexion of the neck
=> extension of the arms (to stop us)
- governed by the medial vestibulospinal tract (has to be bilateral e.g. need of both hands)

28
Q

When could we encounter reflex of the other tract?

A

E.g. when standing in a crowded bus
- I start falling to the right side -> vestibular system notices that -> sends signlas towards the lateral vestibulospinal tract to activate the ipsilateral extensor muscles in the lower extremity

29
Q

What relay station could be found in the cerebrum?
What information do we integrate? Which part of the brain contributes to e.g. sea sickness?

A
  1. Vestibular nuclear complex
  2. Projects to ventral posterior nucleus of thalamus
  3. Parietal lobe
    • face representation region, proprioception, vestibular processing => all integrated (also with other e.g. vision)

Plus connected to reticular formation
- controls visceral functions -> may make us feel sick (even in the absence of motion) e.g. sea sickness