Vestibular Systems Flashcards

functional anatomy, hair cells and head movement, vertigo and Meniere's disease

1
Q

what is the vestibular systems designed to do ?

A

answer:
- which way is up/down
- which direction am i moving

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2
Q

wat do the 5 organs of the vestibular system do ?

A

independently measure linear and angular acceleration

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3
Q

where do the output from the vestibular organs of the inner ear flow to ?

A

vestibular nuclei in the brain stem

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4
Q

what do vestibular nuclei do?

A

help control posture and balance

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5
Q

what do we have in each inner ear?

A

a mirror-symmetric vestibular system

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6
Q

what is the cochlea for ?

A

processing sound

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7
Q

how many chambers are used for the utricle and saccule ?

A

2

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8
Q

how many chambers are used for the semi-circular canals ?

A

3

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9
Q

how many chambers total in the inner ear ?

A

5

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10
Q

what do the utricle and saccule do?

A

transduce linear accelerations of the head

e.g. jumping up e.g. sitting in a car that accelerates

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11
Q

what do semi-circular canals do ?

A

transduce angular accelerations

e.g. moving head to the right e.g. dipping head

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12
Q

what are the 3 semi-circular canals ?

A
  • posterior
  • anterior
  • horizontal
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13
Q

what is the vestibular labyrinth ?

A
  • simple organisation
  • each organ lined with a continous sheet of epithelial cells
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14
Q

what are the 5 organs in the vestibular system ?

A
  • saccule
  • utricle
  • 3 semicircular canals
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15
Q

what do cells in the epithelium of the vestibular organs do ?

A

produce endolymph vy the action of ion pumps

so chambers are fluid filled

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16
Q

what is the composition of endolymph ?

A

rich in potassium ions and low in sodium ions

same as cochlea

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17
Q

what is endolymph ?

A

extracellular fluid that washes over apical surfaces

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18
Q

where are hair cells found ?

A

in five clusters within vestibular labyrinth (one cluster for each organ)

also in cochlea

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19
Q

what do we find at the tip of the hair cells ?

A

sterocilia at apical ends

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20
Q

what are kinocilium ?

A

at the end of the array of stereocilia
- longest

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21
Q

how are sereocilia linked ?

A

a filamentous process - TIP LINK - connects one end of stereocilium to the sde of the longest adjacent one

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22
Q

what do tip links do ?

A
  • attach to one end of ion channel and swaying of stereocilia causes ion channel to open or close

depends on direction

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23
Q

when are ion channels in tip link opened ?

A

when stereocilia move towards kinocilium

(to longer stereocilia)(pulls open ion channel)(potassium influx into stereocilia)

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24
Q

hair cells as mechanoelectrical transducers

A
  • HCs depolarize even at rest
  • stereocilia deflected towards kinocillium = ion channels open = depolarizing cell = enhances neurotransmitter released
  • HCs depolarization sends glutamate to nerve at end of hair cell, which generates APs /increased firing

HCs themselves do not send APs, they just change MP

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25
Q

why do we get APs from HCs even at rest?

A

leakage of potassium into hair cell causes slight depolarisation

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26
Q

when are hair cells hyperpolarised ?

A

when bending away from kinocilium

HCs reduce neurotransmitter released

decreased firing from nerve

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27
Q

output of vestibular system ?

A

8th cranial nerve
- myelinated axons
- sends information into vestibular nuclei in the brain stem

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28
Q

what is the pattern of hair cells firing ?

A
  • most are tonically and phasically
  • some adapt to continuous stimulation (habituate)
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29
Q

what do hair cells code information about ?

A

abrupt and sustained accelerations and translations of the head

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30
Q

what are the inputs to the vestibular system ?

A

-brain stem sends inout to hair cells of the vestibular system
- can effect sensitivity of hair cells

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31
Q

how can te brainstem modulate signal sensitivity in the vestibular system ?

A

can increase or decrease excitability of some HCs making them more or less sensitive to pertubations (bending)

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32
Q

what accounts for the different sensitivities of the utricle and saccule from the three semi-circular canals

A

how the hair cells are moved

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33
Q

what do the utricle and saccule consist of and where are they ?

A
  • ovoidal sac (3mm)
  • sit at base of semi-circular canals
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34
Q

what is the macula?

A
  • organ that contains all the hair cells in the utricle and saccule
35
Q

what are stereocilia attached to ?

A
  • gelatinous sheet called the otolithic membrane

doesn’t move, why haircells are bending

36
Q

what does the otolithic membrane cover ?

A

entire macula

37
Q

what are otolithic organs ?

A
  • dense particles of calcium carbonate
  • called otoconia

otoconia are embedded within and lie on otolithic membrane

38
Q

why does the otolithic membrane lag behind in the movement of the head ?

A

due to inertia even though it is free to move in utricle and saccule

and because its attched to hair cells it causes them to bend

39
Q

what do otolithic membrane shift relative to ?

A

underlying epithelium

40
Q

where is the macula of each utricle oriented to ?

A
  • lie in the horizontal plane
41
Q

what does utricle work out ?

A

if we are accelerating forwards or backwards as its in orientation with membrane on top (horizontal plane)

42
Q

what does saccule work out ?

A

lies in vertical plane
- is head going up or down

43
Q

utricle cell actiation

A
  • horizontal acceleration will maximally activate (depolarising) one group of cells while suppressing (hyperpolarising) an oppositely oriented group of hair cells

opposite excitation and inhibition

44
Q

how are the maculas of saccules orientated ?

A

vertically

same opposite inhibition and excitation as utricle

45
Q

examples of vertical acceleration

A

changes in gravity
- swimming, bungee jumping, rolle coasters

46
Q

what can SOME saccule cells do ?

A

detect accelerations in horizontal plane
- forwards or backwards / anterior-posterior axis

47
Q

how does the brian determine whether the utricle has been activated either by linear acceleration or by head tilt?

A
  • combines angular acceleration signal of semi-circular canals
  • absence is linear
  • presence is head tilt

same hair cells still activated in both

48
Q

when does angular acceleration occur ?

A

whenever an object alters its rate of rotation about an axis

e.g. to side / left right/

49
Q

what detects angular accelerations ?

A

the three semi-circular canals in each ear
- send signal to mid brain

50
Q

structure of semi-circular canals

A
  • made up of closed tubes that are filled with endolymph and extend from the saccule and utricle
51
Q

how do semi-circular canals detect acceleration ?

A

using motion of endolymph fluid

52
Q

how do semi-circular canals detect the motion of enodlymph ?

A
  • gelatinous diaphragm called the CUPULA
  • at base of cupula are hair cells that only get excited in one direction
  • sends information to brain stem
53
Q

where is the cupula attached and not attached ?

A
  • attached to epithelium
  • except at ampullary crista
54
Q

what is ampullary crista ?

A

where epithelium is penetrated by hair cells

55
Q

how does the cupula work ?

A
  • endolymph moves as a result of accelration
  • presses against cupula
  • causes it to move
  • moves stereocilia of hair cells to bend and either hyperpoarises or depolarises them
  • signal to brain stem
56
Q

how are hair cells in cupula different to hair cells in utricle and saccule ?

A

all hair cells are oriented in the same direction - only excited in one direction suppressed in the other

57
Q

how are the three canals organised ?

A
  • perpendicular to one another
  • three mutually orthogonal axis
58
Q

how do semi-circular canals act ?

A

in pairs (from each ear)

e.g head movement to left or right detected by left and right horizontal canals

59
Q

what happens to hair cells in semi-circular canals when head turns to the left?

A
  • left orizontal canal hair cells activated
  • right horizontal hair cells are inhibted (closes tip links and decrease firing)

always activates side you move to

60
Q

how are anterior and posterior semi-circular canals organised ?

A

at 45 degrees

61
Q

what happpens in the semi-circular canals if you move your hea 45 degrees to the right ?

A
  • triggers anterior canal in right ear
  • combines with posterior semi-circular canal in left ear

rotations combine anterior and posterior canals form each ear

62
Q

vertigo

A

as a result of one of the vestibular labyrinths can cause disorientation
- produces conflicting and incorect information from damaged ear

better to get rid of ear that’s damaged as signals from one won’t be conflicting

63
Q

CNS and vestibular activity

A
  • learns to associate specific patterns of vestibular activity for each motor behaviour
  • any unsual vestibular responses evokes a protective reflex
64
Q

main protective reflex from CNS of unusual vestibular responses

A

throwing up

65
Q

what is Meniere’s disease ?

A

effects the receptor cells of vestibular labyrinth
- causes sporadic relapsing vertigo lasting from 10 minutes to 10’s of hours

66
Q

what is Meniere’s diseas associated with and why ?

A
  • tinnitus
  • beacuse it also affects cochlear hair cells
67
Q

what is the cause of Meniere’s diease ?

A
  • unkown
  • oedema (swelling) of endolymphatic saces damaging epethelial cells
  • potentially poor drainage of endolymph
68
Q

where does enolymph normally exit the vestibular labyrinth ?

A
  • endolymphatic duct
  • reabsorbed into spinal fluid in endolymphatic sac
69
Q

where does output output from vestibular labyrithns go ?

A

input to vestibular nuclei in medulla

70
Q

where do vestibular nuclei project to ?

A
  • cerebellum and basal ganglia and spinal cord
71
Q

where is the vestibular complex ?

A

floor of fourth ventricle

72
Q

what does the vestibular complex do ?

A
  • 4 major nuclei
  • combine information from vestibular system, visual system, spinal cord and cerebellum
73
Q

what are the 4 vestibular nuclei ?

A
  • medial
  • lateral
  • superior
  • descending
74
Q

where do vestibular nuclei send outputs to ?

A
  • reticular and spinal cnetres concerned with skeletal movements
  • cerebellum and thalamus and oculomotor nuclei
75
Q

where do superior and medial vestibular nuclei get inout from ?

A

semi-circular canals

76
Q

medial vs superior nuclei

A
  • medial is mostly excitatory neurons
  • superior mostly inhibitory
77
Q

what do superior and medial nuclei do ?

A

help generate gaze reflexes

78
Q

where does the lateral nucleus get input from ?

A
  • semi-circular canals
  • otolith organs
79
Q

where does lateral nucleus send outputs to ?

A

lateral vestibulospinal tract

80
Q

what is the lateral nucleus involved in ?

A

posture reflexes

81
Q

where does the descending nucleus get input from ?

A

otolith organs - utricle and saccule

82
Q

where does descending nucleus send outputs to ?

A

spinal cord, cerebellum, reticular formation, contralateral vestibular nuclei

83
Q

what does the descending nucleus do ?

A

integrates central motor signals with vestibular signals