Workshop 8: Inner Ear and Vertigo Flashcards

1
Q

Recap: What is Parkinson’s disease?

A

A degenerative disorder that affects nerve cells within the basal ganglia and the substantia nigra (interferes with dopamine system)

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2
Q

Recap: Which population are most affected by Parkinson’s disease?

A

Older populations (Particularly males)

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3
Q

Recap: How does Parkinson’s disease affect the brain and what are the symptoms of Parkinson’s?

A

Causes degeneration of the dopaminergic neurons connecting the substantia nigra with the caudate nucleus.

Common physical symptoms include bradykinesia (slowness in movement), resting tremor, rigidity and postural instability

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4
Q

What was the pioneering treatment for parkinson’s in the video?

A

A Ultrasound surgery – focusing high intensity ultrasound – to “burn out” a section of the thalamus responsible for the tremor (not a cure, but alleviates symptoms)

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5
Q

How many pairs of nerves are there in the brain?

A

43

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6
Q

How many of these are cranial nerves?

A

12

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7
Q

How many of these are spinal nerves?

A

31

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8
Q

What are the Otoconia?

A

Calcium carbonate ear crystals
- Movement of these crystals by endolymph is picked up by the otholithic membrane

Transduced to from mechanical to chemical and then electrical energy

(all in the organs of the vestibule)

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9
Q

3 clinical conditions

A
  • Labyrinthitis
  • Tinnitus
  • Benign paroxsmal positional vertigo (BPPV)
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10
Q

Labyrinthisis:

A

Inflammation / infection of the labrynth

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11
Q

Tinnitus:

A

a hallucination ringing, can be triggered by loud noise

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12
Q

Benign paroxysmal positional vertigo (BPPV)

A

Disorder of the inner ear - symptoms including vertigo, dizziness, and vomiting

(Inflammation of this system, get a spinning sensation)

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13
Q

Treatments of Labyrnthitis:

A
  • Dizziness & vertigo
    ○ Antibiotics
    ○ Antivirals

Vestibular rehabilitation (aim to realign ear crystals by movements) using Brandt-Daroff exercises

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14
Q

Tinitus treatment:

A

Sound therapies

CBT

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15
Q

What causes the Leans Illusion?

A
  • Pilots determine which way up they are based on the vestibular system

Consequences due to illusions before technology put into place

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16
Q

Examples of illusions & hallucinations

A

▪ Feelings of warmth/cold
▪ Skin tightening
▪ Formication
▪ Phantom Limbs
▪ Presence of others
▪ Rubber Hand illusion

17
Q

What does the vestibular system detect?

A

Motion

Head positioning

Spatial orientation

Motor control when controlling balance/ posture

18
Q

Vestibular labyrinth: The semicircular canals

A

contains the 3 ear canals containing fluid (endolymph)

Movement of fluid = hair cells (stereocilia) move = otoconia move = NTs released, info to the brain

19
Q

Vestibular Labyrinth: Otolith organs

A
  • detect forward and backward movement
  • detect gravitational forces

2 organs:
- UTRICLE

  • SACCULE
20
Q

Otolith organs: Utricle

A

detects horizontal movement

21
Q

Otolith organs: Saccule

A

Detects vertical movement