Flashcards in Vestibular Anatomy Deck (53)
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1
Signs and Symptoms of Vestibular Dysfunction
Dizziness
Blurry Vision
Nystagmus
Tinnitus
Vertigo
Hearing loss
Loss of balance & possible falls
Broad-based stance (to accommodate for imbalance)
Sweating, nausea, and vomiting (due to ANS involvement)
2
What are the two main reflexes of the vestibular system?
VOR: Vestibulo-ocular Reflex
VSR: Vestibulo-spinal Reflex
3
What are head movements detected by?
cupula
4
Vestibulo Ocular Reflex
Stabilizes eye in space
Necessary to see while head is in motion
5
Components of VOR:
angular and linear VOR
6
Vestibulo-Spinal Reflex
Stabilizes body
Helps maintain desired orientation to environment
7
Cervical Reflexes
cervicoocular reflex
cervicocollic reflex
cervicospinal reflex
8
Cervicoocular Reflex (COR)
Weak reflex
Does not play direct role in gaze stability
May help VOR to compensate
Proprioceptors and somatosensory receptors
-C1-C2 dorsal nerve roots
9
Cervicocollic Reflex (CCR)
Provides head stability
Contraction of stretched muscles to align head
10
Cervicospinal Reflex (CSR)
acts in conjuction with the VSR
-provides postural stability through limb activation
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Three axes of rotation:
roll
pitch
yaw
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Three axes of translation
AP
lateral
vertical
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Pitch:
up and down
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Yaw
head movement side to side in horizontal plane (shaking head no)
15
Roll
lateral side bending
16
What do semicircular canals detect?
angular rate
17
What do otoliths (saccule and utricle) detect?
linear acceleration
18
Functions of peripheral vestibular system:
Stabilization of visual images on the fovea of the retina during head movement to allow clear vision
Maintain postural stability especially during movement of the head
Provide information used for spatial orientation
19
Peripheral vestibular components:
Semicircular canals (SCC)
Utricle
Saccule
CN VIII: Vestibulocochlear nerve
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Orientation of semicircular canals:
Anterior/superior
Lateral/horizontal
Posterior/inferior
21
What are the components of the labyrinth?
bony
membranous
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Bony labyrinth:
3 semicircular canals
cochlea
vesitbule
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What is the bony labyrinth filled with?
perilymphatic fluid (similar to cerebral spinal fluid)
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What is the membranous labyrinth?
suspended within the bony section and contains membranous portions of the canals and utricle and saccule
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What is the membranous labyrinth filled with?
endolymphatic fluid (similar to intracellular fluid)
26
Ampulla:
contain the cupula (hair cells) which convert displacement into neuro firing thru bending of hair cells
27
What does ampulla detect?
linear/angular motion
28
Otolith Organ
(Utricle and Saccule): contain calcium carbonate crystals called otoconia
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What does otolith organ detect?
gravity and acceleration
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