Vestibular Function Flashcards

1
Q

what are the 3 major functions of the vestibular system

A

subjective awareness of body position/movement
postural tone and equilibrium
stabilization of eyes in space during head movements

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2
Q

what are the otolith organs

A

utricle saccule

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3
Q

what are the semicircular canals

A

anterior, posterior, horizontal

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4
Q

what do otolith organs contain

A

a macule which contains hair cells

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5
Q

what are teh senosry receptor cells in the vestibular system

A

hair cells

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6
Q

what happens if stereocilia are bent towards kinocilium

A

cell depolarizes adn releases additional neurotransmitter

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7
Q

what happens if stereocilia are bent away from kinocilium

A

hyperpolarizes adn decreass neurotransmitter release

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8
Q

how is the macula of utricle oriented

A

parallel to ground

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9
Q

how is macula of saccule oriented

A

vertical to ground when head is upright

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10
Q

how are hair cells in the ampulla/cupula stimulated

A

by angular acceleration

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11
Q

how do semicircualr canals respond to head turning

A

horizontal canal receptors on one side increase their firing rate and receptors on the other side decrease firing

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12
Q

vestibulo-ocular reflex

A

response to head terns

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13
Q

if head is tilted to one side how do the eyes rotate

A

in opposite direction

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14
Q

what is the function of VOR

A

help maintain visual field in horizontal plane

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15
Q

what is the slow conjugate movement of the eyes that compensates for head turns driven by

A

vestibular system

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16
Q

what direction is slow eye movement

A

away from head turn

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17
Q

what direction is fast eye movement

A

towards head turn

18
Q

rotatory nystagmus

A

slow phase of nystagmus - opposite direction of head turn

19
Q

fast phase nystagmus

A

moves eyes back to midline, in direction of head turn

20
Q

post-rotatory nystagmus

A

occurs after a person stops turning

21
Q

caloric test for vestibular function

A

water test

22
Q

cold water

A

fast phase to opposite ear

23
Q

warm water

A

fast phase towards same ear

24
Q

what happens if you do a carloric test in an unconcious pt

A

they do not have the fast phase

25
what does doll'eye maneuver test
brainstem function in an uncouscious pt
26
what do you see in the doll's eye maneuber
slow phase nystagmus
27
benign paroxysmal positional vertigo
not caused by intra-crainial neoplasm, but by free floating aprticles
28
how long does vertigo last in BPPV
40 seconds or less
29
is there hearing loss in BPPV
no
30
what causes meniere syndrome
imbalance between production and reabsorption of endolymph
31
what are the symptoms of meniere syndrome
sensation of ear fullness tinnitus severe acute vertigo
32
where are the vestibular nuclei located
rostral medulla and caudal pons
33
where do the vestibular nuclei project
MLF Laterl vestibulospinal tract medial vestibulospinal tract high centers
34
what happens to projection that goes to MLF
vestibulo-ocular reflexes
35
what happens to projection that goes to lateral vestibulospinal tract
control o fmotor neurons o flimb and trunk for maintence of balance and posture
36
what happens to projection that goes to medial vestibulospinal tract
control neck muscles/head position
37
what happens to projection that goes to higher centers
conscious awareness of body orientation and motion
38
what do utricle and saccula measure
linear acceleration
39
what happens if your head is tiled back
hair cells bent toward kinocilia - increased firing rate
40
what happens if you tild head forward
decreased firing rate
41
what type of firing rate do otolith organs have
tonic
42
vertigo
feeling that the world is spinning around or that your head/body are spinning