Vestibular system Flashcards

1
Q

What are the main inputs in the vestibular system?

A
  • visual
  • rotation and gravity
  • pressure
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2
Q

What are the main outputs in the vestibular system?

A
  • vestibulo-ocular reflex: allows you to keep an image fixed in retina when you are moving
  • vestibulospinal reflex: postural control
  • cerebellar reflex: for cognition monitoring?
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3
Q

Where is the vestibular organ?

A

posterior part of inner ear

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4
Q

What structure are all 3 semicircular canals joined to?

A

the utricle

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5
Q

What are the big cilia called in the vestibular organ?

A

kinocilia

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6
Q

What are the small cilia called in the vestibular organ?

A

stereocilia

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7
Q

What are the otolith organs?

A
  • utricle and saccule (NO otoliths in semicircular canals)

- crystals on top of hair cells help w/ deflection of cilia

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8
Q

Which semicircular canals form a 90degree angle to each other?

A

anterior and posterior canals

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9
Q

What happens when the hair cells move towards the kinocilium?

A

generates depolarisation and an increase in nerve discharge

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10
Q

What happens when the hair cells move away from the kinocilium?

A

generates hyperpolarisation and a reduction in nerve discharge

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11
Q

Which otolith organ is sensitive to movement in the horizontal plane?

A

utricle (saccule sensitive to vertical movement)

N.B. this is linear acceleration

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12
Q

What pairs do the semicircular canals work in?

A
  • both laterals work together

- anterior from 1 side works w/ posterior of opposite side (as they share same plane)

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13
Q

What is the vestibule-ocular reflex?

A
  • keeps images fixed in retina
  • connection between vestibular nuclei and oculomotor nuclei
  • eye movement in opposite direction to head movement, but same velocity and amplitude
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14
Q

What is the vestibulospinal reflex?

A
  • motor neurons to limb muscles (lateral tract)
  • motor neurons to neck and back muscles (medial tract)
  • postural control, avoidance of falls and compensatory body movement according to head position
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15
Q

What are the main symptoms of a balance disorder?

A
  • vertigo: perception of rotation, things spinning

- dizziness

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16
Q

What are examples of peripheral vestibular disorders?

A
  • vestibular neuritis: ACUTE
  • benign paroxysmal positional vertigo (BPPV): INTERMITTENT, abnormal presence of otoliths in SCCs–> causes more movement of cupula
  • Meniere’s disease: RECURRENT, affects hearing too
  • unilateral and bilateral vestibular hypo function
17
Q

What can cause central vestibular disorders?

A
  • stroke: ACUTE
  • MS: PROGRESSIVE
  • tumours: PROGRESSIVE e.g. schwannoma vestibular (VIII nerve)