vestibular system Flashcards

1
Q
  1. Recognize and name the components of the vestibular system.
A

3 semicircular canals (superior, inferior and horizontal), utricle and saccule. Perilymph surrounds the semicircular canals, and they are filled with endolymph. Stria vascularis of cochlear duct has air to stabilize pressure

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2
Q
  1. Describe the hair cell and its physiology.
A

kinocilium is the tallest stereocilia. Stereocilia are mechanical transducer

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3
Q

Function of vestibular system

A

motion detection (self and surroundings) and orientation (body vs gravity, limb vs body)

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4
Q

what structure senses gravity

A

the maculae on the utricle or saccule- macula are covered with otoconia/otoliths (calcium crystals) which are very sticky so they stick. They can fall off and accumulate in lowest part of ear, becoming bigger. Once the clump becomes too big it becomes benign paroxysmal vertigo.

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5
Q

motions sensed by utricle

A

– Horizontal orientation – Side to side tilt or front to back rocking – Forward acceleration in a car

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6
Q

motions sensed by saccule

A

– Vertical orientation – Elevator sensations, bouncing – Falling sensations

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7
Q

what happens when you lie down in the maculae

A

role reversal- utricle detects verticle orientation, saccule detects horizontal

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8
Q

structure of maculae

A

otoliths on surface, then sensory hair cells and supporting cells, then nerve fibers, then temporal bone

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9
Q

What is the ampulla

A

a dilation near the semi circular canals that has endolymph inside it, but the crista with the cupula on top blocks that fluid flow and detects movement

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10
Q

motion sensed by cupula

A

acceleration, deceleration, does not sense continued motion

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11
Q

how do we distinguish right hand from left hand turn

A

the semicircular canals are positioned at a 45 degree angle and mirror each other btw the two ears (so the ampulla is always at the top. At rest, there is equal firing from the right and left ear. When you turn to the right, the fluid in the canal moves towards the ampulla on the right, and away from the ampulla on the left. so the right semicircular canal “turns on” and increases electrical signals while the left “turns off” and decreases electrical signals

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12
Q

vestibular nerve anatomy

A

superior branch innervates anterior and horizontal semicircular canals, utricle and small part of saccule. Inferior division innervates posterior semicircular canal and saccule

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13
Q

vestibulo-ocular reflex

A

neuron from hair cell (with cell body in scarpas ganglion) synapses at vestibular nucleus, secondary neuron synapses with oculomotor nucleus, then goes to the eye to control eye movements. This is a 3 nerve reflex, shortest reflex in body. This keeps eyes steady during head movement.

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14
Q

vestibulo-colic reflex

A

keeps head stable and level with bodily movement. Controlled by motor neurons in the upper spinal cord. Damage to this pathway causes the head to fall off to one side.

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15
Q

vestibulo spinal refelx

A

automatic righting reflexes to prevent falls during head and body motion. Keeps person stable and upright when sitting and standing. Controlled by motor neurons in lower spinal cord.

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