Vestibular Flashcards

(26 cards)

1
Q

What three systems enable balance?

A

vestibular, proprioceptive, and visual

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2
Q

Where is the vestibular system located?

A

In petrous portion of temporal bone lateral to the internal acoustic meatus

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3
Q

Three divisions of vestibular system

A

1) semicircular canals (ant, post, horizontal)
2) Utricle (connects 3 canals)
3) saccule (continuous with cochlea)

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4
Q

What are the 2 otolithic membranes

A

1) utricle = good for horizontal acceleration sensing (and gravity)
2) saccule = good for vertical sensing

The two are split by vestibular nerve

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5
Q

Name for the gelatinous covering of hair cells in semicircular canal

A

cupola

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6
Q

Name of the swelling in which the hair cells of the semicircular canals are located

A

ampulla

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7
Q

What does a greater difference perceived (by the cortex) velocity difference mean?

A

faster velocity of endolymph

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8
Q
hair cell (kinocilium) planes:
the HORIZONTAL canals are oriented \_\_\_\_\_\_\_ the utricle
A

towards

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9
Q

the ANTERIOR and POSTERIOR canals are oriented ________ the utricle

A

away from

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10
Q

Anterior canal on the right is paired with the ___________ on the LEFT

A

posterior canal

and vice versa

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11
Q

Depolarization

A

Increased impulse frequency, excitation, increased action potentials in the vestibular nerve (CN8)

stereocilia bends TOWARDS kinocilium

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12
Q

Hyperpolarization

A

Decreased impulse frequency, inhibition, decreased action potentials

stereocilia bends AWAY from kinocilium

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13
Q

What is the function of the utricle?

A

detects upright position and head tilt; considered primary gravity sensor (also detects horizontal linear acceleration

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14
Q

What is the function of the saccule?

A

detects general orientation and vertical linear acceleration

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15
Q

Which is the primary gravity sensor?

A

utricle

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16
Q

What is the route of hearing to the CNS?

A

hair cell –> bipolar cell (APs) –> vestibular ganglion –> CN8 –> vestibular nuclei

17
Q

What are the two divisions of the vestibular ganglion?

A

1) Superior (utricle, ant. saccule, horizontal and ant. SCC)
2) Interior (post. sacculr and post. SCC)

*remember that inferior does the two posterior S’s (saccule and semicircular canals) and superior does the rest

18
Q

What are the 4 divisions of the vesibular nuclei?

A

1) Lateral (utricle and saccule) - does posture and vestibulo-ocular reflexes
2) Medial and Superior (SCC and some fibers from utricle) - does vestibulo-ocular reflexes and coordinates eye and neck
3) Inferior (all areas) - projects to cerebellum and coordinates balance with voluntary movements (spinal nuc)

19
Q

What do the ascending fibers of the MLF control?

A

eye movements

20
Q

What do the descending fibers of the MLF control?

A

head and neck movements

21
Q

What part of the cerebellum does the vestibular system communicate with?

A

flocculonodular system

Direct input from SCC and otolithic organs
Indirect input from vesibular nuclei, lat. geniculate, sup. colliculus, pontine nuclei

22
Q

What does the cerebellum project back to?

A

vestibular nuclei (controls movement)

23
Q

Main points of the lateral vestibulospinal tract

A

1) Uncrossed projection
2) Entire length of cord
3) maintains balance by acting on limbs

24
Q

Main points of medial vestibulospinal tract

A

1) Bilateral projection
2) Cervical spinal cord only
3) maintains head erect (neck muscles)

25
Function of vestibulo-ocular reflex
stabilizes image on retina during rotation of head and faster than visual tracking ATTENUATES OVER TIME
26
What is nystagmus?
rhythmic back and forth movement of eyes (dancing of eyes) tested for by ear levage (Cold Opposite Warm Same COWS) fast phase directed towards where you put water ex: inject hot in right ear, fast phase directed right, slow phase directed left