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TSM 54
The vestibular system
16
Medical
Undergraduate 2
12/28/2012

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Term
What is the vestibular system comprised of?
Definition
The vestibule and semicircular canals.
Term
Which nerve are the vestibular and auditory nerves part of?
Definition
CN VIII
Term
What are the otolith organs and which part of the system are they part of?
Definition
Utricle and saccule. The vestibule.
Term
What are the roles of the utricle and saccule?
Definition
1) Detect changes in head angle
2) Detect changes in linear acceleration.
Term
How are the maculae positioned in the saccule and utricle?
Definition
Sacule: vertical
Utricle: horizontal
Term
Where do the kinocilia point in the maculae?
Definition
Sacule: away from the reversal line
Utricle: towards the reversal line
Term
What is the role of the semicircular canals?
Definition
They detect rotaional acceleration.
Term
How many semicircular canals are there?
Definition
3. A superior, posterior and lateral.
Term
Where are the hair cells in the semicircular canals?
Definition
Embedded in the gelatinoous cupola in the ampulla.
Term
What is special about the vestibular axons to the semicircular canals?
Definition
They are spontaeneously active and can signal both excitation and inhibition.
Term
Describe the nerve pathway from the otolith organs.
Definition
Otolith organs- Lateral vestibular nucleus (via CN VIII)- Projections via vestibulospinal tract to control legs and maintain posture and to the cerebellum.
Term
Describe the nerve pathway from the semicircular canals.
Definition
Semicircular canals- Medial vestibular nucleus- Motor neurons of head and neck & extraocular motor neurons (CNs III, IV and VI) & via thalamus to cortex.
Term
What causes motion sickness?
Definition
Vestibular system and vision give conflicting signals.
Term
What does the vestibulo-ocular reflex do?
Definition
Stabilises eyes to keep them pointing in the same direction despite head movements (doesn't require vision).
Term
What is the function of the endolymphatic duct and what can its blackage cause?
Definition
It connects the membraneous labyrinth with the endolymphatic space and allows endolymph to be absorbed into the CSF to regulate pressure. Meniere's disease.
Term
What are some of the symptoms of Meniere's disease?
Definition
1) Intermittent rotatory vertigo (sensation of spinning)
2) Nausea, sweating or vomiting.
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