vestibular system Flashcards

1
Q

parts of vestibular labyrinth DIAGRAM: bony and membranous

A

bony labyrinth- filled with perilymph: cochlea and semi-circular canals (bony part)

membranous labyrinth- has endolymph, has utricle, saccule (2 sacs- utricle larger and closer to canals) and semicircular ducts (within canals): WITHIN bony labyrinth

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2
Q

functions of vestibular system

A

perception of motion in space reflex balance reactions to prevent gait stabilises eyes on target during head movement (vestibulo-ocular reflex) supports control of BP during rapid up/down movements causes motion sickness

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3
Q

components of vestibular system

A

semi-circular canals- angular motion of head otolith organs filled with endolymph- sense LINEAR accleration of head due to gravity

saccule forms cochlear duct, utricle forms semi-circular canals

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4
Q

vestibular hair cells and transduction

A

mechanoreceptors- has stereocilia (varying height) and a long single kinocilum- displacement towards kinocilium= depolarisation, displacement away= hyperpolarisation

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5
Q

semi-circular canals and function DIAGRAM

A

bone structures forming bony labyrith- - 3 in each labyrinth, with hair cells inside a sheet called crista (within ampulla) and endolymph- the stereocilia are covered in a cap called CAPULA kinocilia are unidirectional- acceleration phase of head rotation moves endolymph in one direction, which displaces cilia signal proportional to speed of acceleration- signals to brain that head is acclerating ANGULARLY

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6
Q

how semi-circular canals work DIAGRAM

A

constant rotation= endolymph keeps moving on both sides= on signal deceleration= canal on opposite side activated (eg going from right to left stimulates left canal)- other canal inhibited, so that brain detects rotation: canals on both side have their own tonus (firing rate)- at rest they balance out

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7
Q

otolith organs DIAGRAM

A

saccule and utricle have macula (vestibular hair cells), and above is otolithic organ,then crystals of CaCO3 (OTOCONIA)

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8
Q

saccule and utricle

A

orientation in vertical vs horizontal plane ie head tilting (NOT rotating)

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9
Q

how otolith organs work DIAGRAM

A

during HEAD TILTS and LINEAR ACCELERATION, gravity shifts membrane, which displaces hair cells through a SHEARNG motion

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10
Q

vestibular nuclei somatotopic organisation

A

primary afferent neurones of vestibular nerve go to the 4 vestibular nuclei in brain there is a somatotopic organisation- otolith sends to lateral and inferior nuclei, canals send to medial and superior nuclei

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11
Q

projections from vestibular nuclei- spinal cord

A

spinal cord (helps with upright posture and balance)- lateral vestibulo-spinal tracts sends impulse to limb muscles, medial vestib. tract sends to neck and back muscles thalamus and cortex- thalamic nuclei project to cortex nuclei of extra-ocular muscles cerebellum

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12
Q

vestibulo-ocular reflex DIAGRAM

A

function- produces eye movement in opposite direction to head movement, keeps images on target canal goes to superior/medial vestibular neurons- go to extraocular muscles- medial goes to contralateral abducens nucleus to ABDUCT eye by innervating lateral rectus muscle (left head movement= right OUTWARD eye movement), abducens nucleus projects to contralateral oculomotor nucleus to ADDUCT other eye by innervating medial rectus muscle (left head movement= left inward movement)

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13
Q

vertigo vs oscillopsia

A

sensation of spinning, either gentle or violent- you think YOU are moving

oscillopsia- you think world is moving

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14
Q

vestibular nystagmus

A

unilateral loss of vestibular function- tonus of intact canal causes eyes to go to LESIONED side due to the VOR (ie brain acting as if head turning to intact side)- normally tonuses from each side balance out this detected by brainstem which resets eye positioning with fast SACCADES= nystagmus- here you are NOT turning, your body thinks you are

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15
Q

oscillopsia

A

bilateral loss of vestibular function- everything lags behind during head movements- head shake test shows eye taken off target by head rotation, with many saccades to refocus on target: you think WORLD is moving- loss of VOR occurs

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16
Q

consequences of vertigo

A

bilateral disorders causes gait ataxia (problems with moving), unilateral causes problems with balance can lead to hypotension (dizziness) and respiratory problems- vestibular system affects HR, vessels and respiratory muscles also nausea and vomiting

17
Q

examination of acute vertigo

A

eyes- test gaze, VOR and fundoscopy (assesses nystagmus) ears- otoscopy legs- gait