vestibular system Flashcards

1
Q

where is vestibular system

A

It is encased in the bony labyrinth and is continuous with the cochlea

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2
Q

what are functions of vestibular system

A

Providing spatial reference for other sensory motor co-ordinations
Providing compensatory reflexes (Vestibular Ocular reflex)
Tuning cardiovascular function for re-orientations
Helping with perception of motion in space
Controlling balance reactions

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3
Q

what is the vestibular system

A

sensory organ for detecting sensations of equilibrium

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4
Q

name the otolith organs and their functions

A

Utricle and Saccule

Each has a sensory area called a MACULA
Detects LINEAR ACCELERATION and POSITION OF THE HEAD DUE TO GRAVITY

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5
Q

name the semicircular canals and their functions

A

Anterior, Posterior, Lateral

Canals are filled with ENDOLYMPH
Have swelling at the end called AMPULLA
Detects ANGULAR ACCELERATION

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6
Q

what do the maculas contain

A

hair cells which synapse with the vestibular nerve

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7
Q

describe the structure of these hair cells

A

hair cells have minute projections called STEREOCILIA and one longer projection (on one side) called a KINOCILIUM

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8
Q

what is the gel layer that the stereocilia and kinocilium project project into

A

OTOCONIA (gel containing small calcium carbonate crystals )

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9
Q

describe how linear acceleration and gravity is detected by the otolith organs

A

Gravity pulls on crystals called OTOCONIA or linear acceleration causes them to move
The otoconia in turn cause the stereocilia and kinocilium to move
This opens ion channels and causes depolarization or hyperpolarization of the hair cells
Thus, signals are sent via the vestibular nerve to give an idea of linear acceleration and the position of the head due to gravity

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10
Q

how are the three semi-circular canals arranged

A

at right angles to each other

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11
Q

describe the structure of semi circular canals

A

They each have an enlargement at one end which is called the ‘ampulla’
They are also filled with a fluid called endolymph

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12
Q

describe how the SCC aid in detecting angular acceleration

A

When you move your head one way, your SCC also move that way, however, the endolymph moves in the OPPOSITE DIRECTION
This moves a structure in the ampulla called the CUPULA and stimulates hair cells and vestibular nerves
The semi-circular canals give us information about angular acceleration

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13
Q

describe what happens in the sac when the head is moved to the left

A

At least one of semi-circular canals ON BOTH SIDES OF YOUR HEAD will move to the left
Endolymph in the SCC will move to the right (clockwise)
On the left hand side the endolymph will be moving in such a way that it STIMULATES the hair cells and there is increased firing
On the right hand side the endolymph will be moving in such a way that it INHIBITS hair cells and decreases firing
Thus when you move your head to one side, there is increased firing of nerves on the opposite side

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14
Q

define dizziness

A

a term used to describe a range of sensations, such as feeling faint, woozy, weak or unsteady

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15
Q

define vertigo

A

a feeling of spinning or whirling when you are not actually moving

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16
Q

define Oscillopsia

A

a visual disturbance in which objects in the visual field appear to oscillate

17
Q

is there a relationship between vertigo and dizziness

A

yes, Vertigo can cause dizziness

18
Q

describe 2 differences between vertigo, dizziness and Oscillopsia

A

Vertigo occurs when stationary, while dizziness when stationary OR moving
Dizziness is much more constant than vertigo or oscillopsia

19
Q

what is Unilateral vestibular dysfunction and what do patients develop

A

Dysfunction of one side
Unaffected side still generates tonic action potentials
Patients develop vertigo in OPPOSITE direction to lesion e.g. left lesion generates vertigo in right hand direction

20
Q

what is a clinical feature of Unilateral vestibular dysfunction

A

Eyes passively drift towards the side of the lesion but ‘beat’ back towards unaffected side (nystagmus)

Left sided lesion means eyes drift to the left and ‘beat’ back to right (this is called left sided nystagmus or right beating nystagmus)

21
Q

what is Bilateral vestibular dysfunction and what does it lead to

A

Dysfunction of both vestibular systems
Decreased sensory input leads to dizziness as co-ordination and balance is affected
NO VERTIGO

22
Q

why does vertigo not occur in Bilateral vestibular dysfunction

A

Vertigo Requires sensation of head turning but this doesn’t occur in bilateral dysfunction