vestibular system - jullet Flashcards

1
Q

The membranous labyrinth contains ___________, while the bony labyrinth contains ___________.

A

The membranous labyrinth contains ENDOLYMPH, while the bony labyrinth contains PERILYMPH.

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2
Q

Where are the saccule and utricle located?

A

within the vestibule (large chamber of inner ear)

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3
Q

Which one is attahced to the semi-circular ducts - the utricle or the saccule?

A

Utricle

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4
Q

Where is endolymph made and reabsorbed?

A

made by the stria vascularis and resorbed in the endolymphatic duct and sac.

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5
Q

Where is the communication between the perilymph and the CSF?

A

cochlear aqueduct

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6
Q

What is the cochlear duct? How is this different from the cochlear aqueduct?

A

The cochlear duct is a membrane-lined sac that goes out to the cochlea and it contains the organ of corti and stria vascularis. The cochlear aqueduct is where the perilymph and the CSF are in communication with one another.

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7
Q

There is a potential difference of +80mV between the endolymph and perilymph. What creates this ionic difference?

A

pumps in the stria vascularis.

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8
Q

How is the composition of the fluid between the endolymph different than the perilymph or even CSF?

A

The endolymph contains almost no Na, but a ton of K. The perilymph and CSF both contains the “normal” extracellular fluid composition of high Cl and low K.

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9
Q

What are the sequence of events that occur when the stereocilia is deflected towards the kinocilum?

A

bending of the stereocilia towards the kinocilum causes the APICAL K channels to open -> K flow into the cell from the endolymph -> rapid depolarization -> opening of VG Ca2+ channels -> Influx of Ca2+ -> vesicle fusion and release of NT onto vestibular nerve of CN VIII AND opening of K channels at the BASE of the hair cell -> efflux of K into the perilymph -> repolarization.

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10
Q

How is the vestibular hair cell different than the cochlear hair cells at rest?

A

VESTIBULAR HAIR CELLS: the ion channels at the apex of the vestibular hair cells are constitutively open (bit of tension at baseline), which eventually leads to the depolarization of the cell and subsequent NT release onto the terminal of the vestibular nerve of CN VIII. COCHLEAR HAIR CELLS: ion channels at the apex of the hair cells only open in response to mechanical vibration of the basilar membrane.

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11
Q

Deflection of hair cells toward the kinocilum results in depolariation and transmitter release. What happens if the hair cells bend in the opposite direction?

A

Bending of the stereocilia away from the kinocilium pulls the Apical K channels close, resulting in decreased vesciular NT release and hyperpolarization

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12
Q

What are tip links?

A

protein filament that links K channels on the tip of one hair with a transmembrane motor protein of an adjacent hair cell. When the stereocilia bends toward the kinocilium, the K channels open

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13
Q

What mechanism underlies the fact that the vestibular hair cells are constitutively open under resting conditions?

A

The tip links are linked to transmembrane motor proteins of adjacent kinocilium. Movement of the motor proteins towards the tip of the kinocilium occurs when there is LOW intracellular Ca2+, which restores the tension on the K channel, causing it to open it again, which will in turn open Ca channels.

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14
Q

T/F Under constant vestibular stimulus, the hairs of the vestibular organ can adapt to it to establish a new baseline.

A

True.

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15
Q

Where are cristae found?

A

ampulla of semi-circular ducts

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16
Q

How are the hair cells orientated in the cristae?

A

all oriented in ONE direction - therefore deflection in one direction produces excitation of all hair cells and deflection in the other direction produces inhibition

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17
Q

Where are macula found?

A

sacculus and utricle (think: MSU - macs sack you)

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18
Q

What is the striola?

A

a dividing line that runs down the midline of the macula of the sacculus and utricle and hair cells on either side of this line are polarized in OPPOSITE directions. Every hair cell can signal bidrectionally (increase/decrease frequency of firing depending on the direction of deflection).

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19
Q

How are the hair cells orientated in the saccule and utricle?

A

hair cells on either side of the striola (dividing line) of the macula are polarized in OPPOSITE directions

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20
Q

What are the purpose of the otoliths in the macula of the saccule and utricle?

A

increases the density of the gel and allows the gelatinous mass to respond to gravity

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21
Q

What type of movement do the macula of the saccule and utricle detect? How does it do this?

A

linear acceleration or position (gravity). If the head accelerates in the plane of the organ, the crystals tend to lag behind, bending the hair cells and nerve activity, signaling linear acceleration. If the macula is positioned vertically, the otoliths are dragged down by gravity, indicating which direction is down.

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22
Q

What is benign position vertigo?

A

when the otoliths “fall off” the macula with head injury and roll around in the inner ear, sending confusing messages to the brain about the body’s position.

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23
Q

What is the effect of a constant tilt (and hair bent towards the kinocilium) on the discharge rate of axons in the vestibulocochlear nerve?

A

significant increase in AP firing, but the firing slowly adapts by decreasing frequency during the constant tilt

24
Q

In the saccule and utricle, the gelatinous mass is called macula. In the ampulla of the semicircular canals, it’s called this:

A

cupula

25
Q

How is the cupula structurally different than the macula?

A

Cupula: no otoliths, hair cells oriented in one direction, does not deflect due to gravitational forces; rather it is the movement of fluid that deflects the cristate thereby stimulating or inhibiting the hair cells. Macula: contains otoliths, hair cells oriented bidirectionally (on either side of the striola), deflects due to linear acceleration.

26
Q

How is the cupula different than the macula in terms of the movements they detect?

A

Cupula: angular acceleration. Macula: linear acceleration, gravity

27
Q

What is roll, pitch, and yaw?

A

rotation around x axis (roll), y axis (pitch), z axis (yaw)

28
Q

What is the functional organization of the semicircular canals?

A

they are complementary, such that the inner ear on one side is a mirror image of the one on the opposite side. While the cristae increases its firing in one inner ear, the firing decreases, allowing the NS to detect orientation of head movement.

29
Q

How does the ampulla detect angular acceleration?

A

The cristae in the ampulla are detectors of movement of ENDOLYMPHATIC FLUID within the semi-ciruclar canals. When there is movement, the displacement of the cupula results in APs being sent to the CNS.

30
Q

How does head movement affect the AP firing rate of the two inner ears?

A

On one side, there would be an increase in the firing rate of the nerves from the cristae in the semi-circular ducts that is in the plane of the angular head movement. In the opposite ear, there would be a decrease in the firing rate in the nerve from the complementary canal

31
Q

What is Scarpa’s ganglion? What’s it purpose?

A

it contains the cell bodies whose axons synapse on the hair cells of the macula and cristae; gives rise to the vestibulocochlear nerve that runs through the internal acoustic meatus to the medulla-pons junction. Also known as the vestibular ganglion.

32
Q

What are the central projections of the vestibular afferents of the inner ear?

A

central projections to the 1) vestibular nuclei and the 2) flocculonodular lobe of the cerebellum (vestibulocerebellum).

33
Q

What are the central projections of afferents from the cristae?

A

cristae (ampulla of semi-circular canals) splits and terminates in the vestibular nuclei (lateral, medial, and superior)

34
Q

Where can the vestibular nuclei be found?

A

it is the vestibular trigone. From the 4th ventricle view, the vestibular trigone can be found in the lateral part of the 4th ventricle (above the stria medullaris). In the cross-section, the vestibular trigone is dorsalateral.

35
Q

What is the vestibular nuclei also known as?

A

vestibular trigone

36
Q

Where does the 8th cranial nerve terminate in?

A

1) vestibular complex/trigone of the caudal pons and lateral rostral medulla and 2) flocculonodular lobe of the cerebellum

37
Q

Where does the vestibular complex connect to? (4)

A

1) ipsilateral cerebellum (floccularnodular node), 2) ipsilateral spinal cord via lateral/medial vestibulo-spinal tract (VST), 3) ipsilateral CN 3, 4, 6 via medial longitudinal fasiculus (MLF) and PPRF (paramedian pontine reticular formation), 4) contralateral vestibular complex, CN3, 4, 6 and PPRF

38
Q

What is PPRF?

A

paramedian pontine reticular formation, is where the vestibular complex synapses to; involved in the coordination of eye movements.

39
Q

What connects the vestibular complex to the spinal cord?

A

lateral and medial vestibulo-spinal tract (VST)

40
Q

What connects the vestibular complex to CN 3, 4, 6 and PPRF?

A

medial longitudinal fasciculus (MLF)

41
Q

What is the significance of the vestibular complex’s connection to the spinal cord?

A

these lateral and medial vestibulo-spinal tracts (VST) are important for regulating body muscle tone in response to vestibular stimuli.

42
Q

What is the vestibular righting reflex? What tracts mediate this?

A

a reflex initiated by the vestibular system that corrects the orientation of the NECK and BODY when it is taken out of its normal upright position. Mediated by the vestibular complex’s connection to the spinal cord via the medial (neck) and lateral (body) vestibulo-spinal tract (VST)

43
Q

Accordin to the vestibular righting reflex, if one starts tipping to the RIGHT, the extensor muscle tone will increase in the muscles on the ______ side.

A

right

44
Q

Other than the vestibular nerves (CN8), what other afferents connect to the vestibular nuclei?

A

1) flocculus and fastigial nucleus of the cerebellum (which is critical for adapative vestibular responses to changing environments and 2) spinal cord (to incorporate proprioception from the upper neck and body to make postural changes)

45
Q

What happens if there is damage to inner ear?

A

the vestibular system tells the CNS that there is an imbalance in input (vertigo), but since things aren’t moving, the cerebellum adjusts the activity over time so that the balance on both sides is proper

46
Q

What is the vestibulo-ocular reflex? What connection mediates this reflex?

A

a reflex that stabilizes the eye while the head is moving; mediated by output from the medial and lateral vestibular nucleus to the extra-ocular nuclei (nuclei that controls eye movements - CN 3,4,6) and to the neck muscles (to stabilize the head)

47
Q

What is the purpose of the thalamocortical pathways connecting vestibular information?

A

allows for PERCEPTION of movement; this is the pathway that produces vertigo when there are abnormalities in the vestibular system

48
Q

What pathway produces vertigo when there are abnormalities in the vestibular system?

A

thalamocortical pathway that carry vestibular information

49
Q

What are the connections of the thalamocortical pathway that carry vestibular information?

A

projection from the lateral + superior vestibular nuclei synapses onto neurons of the ventral posterior complex (VPM/VPL) of the thalamus. Those neurons then connect to the vestibular cortex (posterior parietal cortex and region near face representation of somatosensory cortex/post-central gyrus)

50
Q

What is nystagmus during normal rotation of the head?

A

to-and-fro movement of the eyes that is normal when the head is rotating. Ex: when the head rotates to the RIGHT, the eyes will move to the LEFT at the same rate as the head is moving to the right. When the eye approaches the end of their normal range, they will quickly dart back to the RIGHT and fix on a new target, which they will again track to the LEFT.

51
Q

What mediates nystagmus?

A

vestibule-ocular reflex, which is a product of stimulating of the cristae of the semi-circular ducts through angular acceleration.

52
Q

What mediates the vestibule-ocular reflex?

A

cristae of the semi-circular ducts through angular acceleration; which drives the eyes in the direction that is opposite to head movement.

53
Q

What is jerk nystagmus? What compensates for this.

A

due to vestibular imbalance (ie destruction of one inner ear, which creates an imbalanced input to the vestibular nuclei). Compensated by the cerebellum to reestablish balance.

54
Q

What is caloric reflex test?

A

tests the vestibulo-ocular reflex. Involves irrigating cold/warm water into the external auditory canal. The temp. difference between the body and the injected water creates a convective current in the endolymph of the nearby horizontal semicircular canal. Hot and cold water produce currents in opposite directions and therefore a horizontal nystagmus in opposite directions.

55
Q

In the caloric reflext test, what happens when you inject cold water into the external auditory canal? Warm water?

A

COLD: eyes turn toward the ipsilateral ear, with horizontal nystagmus to the contralateral ear. COLD EYES TURN TO THE SAME SIDE.

56
Q

In the caloric reflext test, what happens when you inject warm water into the external auditory canal?

A

WARM: eyes turn toward the contralateral ear, with horizontal nystagmus to the ipsilateral ear. WARM EYES LOOK AWAY

57
Q

What is the most important function of the vestibular complex?

A

stabilize the eyes during head movements; eyes move in opposite direction of head movement.