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Vestibular Anatomy
Anatomy
104
Medical
Graduate
04/05/2016

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Term
Vesitbular system: organ of (2)
Definition
equiblirum
balance
Term
Vesitbular system: reports _____ and _______ of ______ and ______
Definition
reports MOTION and POSITION of HEAD and BODY
Term
Vesitbular system: role in relation to head and body
Definition
maintains head upright on body
Term
Vesitbular system: helps us maintain what
Definition
balance
Term
Vesitbular system: influences what
Definition
how we percieve space
Term
Vesitbular system: type of sense
Definition
unconscious
Term
Vesitbular system: role in reflex and movement
Definition
postural reflex
eye movement
Term
Equilbirum: A person is standing on a platform. THe platform moves. What information does the person need to maintain his postural stability? List in order of importance?
Definition
Proprioception
Vestibular
Vision
Term
Vestibular system: is guided by what
Definition
inertia
Term
Vestibular system: what are the 2 motions it detects
Definition
angular acceleration
liniear acceleration
Term
Vestibular system: structure(s) involved in detecting angular acceleration (shaking/nodding head)
Definition
semicircular canals
Term
Vestibular system: structures(s) involved in detect linear acceleration (motion along a line, elevator going up/down)
Definition
utricle
saccule
Term
What are the otolith organs
Definition
utricle
saccule
pair on each side
Term
Otolith organs: organ responsible for horizontal motion
Definition

utricle

horizontal motion (side to side, forward backward, car movement)

Term
Otolith organs: organ responsbile for vertical motion
Definition
saccule (up/down, elevator)
Term
Otolith organs: when does the utricle fire
Definition
only during acceleration/deceleration
once there is constant speed it is at equilibrium
Term
Otolith organs: contain this common structure
Definition
macula
Term
Otolith organs: what do macula contain
Definition
hair cells
Term
Maculae of Utricle and Saccule: the sheet of hair cells have cilia which are embedded in what
Definition
gelationous mass
Term
Maculae of Utricle and Saccule: the gelatnious mass that the cilia are embedeed into has what embdedded into it
Definition
crystals called otoconia
Term
Maculae of Utricle and Saccule: what provide inertia
Definition
otoconia
Term
Maculae of Utricle and Saccule: when you move to one side, what drags the hair cels
Definition
otoconia gel mass
Term
Vestibular hair cells: 1 _____ and many _____
Definition
1 kinocilium and many stereocilia
Term
Vestibular hair cells: when are the hairs depolarized
Definition
when stereocilia are bent toward kinocilium
Term
Vestibular hair cells: when are hair cells hyperpolarized
Definition
when stereocilia are bent away from kinocilium
Term
Activation of Hair cells: movement of mass otolith membrane is relative to what
Definition
endolymph
Term
Activation of Hair cells: movement of mass otolith membrane relative to the endolymph leads to what
Definition
bending of hair cells which opens K+ channels
Term
Activation of Hair cells: movment of mass otolith membrane relative to the endolymph leads to bending of hair cells and opening of K+ channels which leads to what
Definition
depolarization
Term
Activation of Hair cells: if you tilt your head back and sustain the position, which way are the otoconia moving
Definition
backward
Term
Activation of Hair cells: if you tilt your head foward and sustain it which way are the otoconia moving?
Definition
forward
Term
Activation of Hair cells: if you experience acceleration, which way will the otoconia move
Definition
backward (initiation of motion, heads get pulled backwards than returns to normal)
Term
Activation of Hair cells: if you experience deceleration which way will the otoconia move
Definition
forward (as you brake in a car, your head moves forward and then returns to neutral)
Term
Activation of Hair cells: otoconia move with what
Definition
the head
Term
Semicircular canals: how many do we have TOTAL
Definition
6. 3 per side
Term
Semicircular canals: how are they arranged
Definition
in parallel planes (x, y, z) complimentary to one another
Term
Semicircular canals: detect what
Definition
angular acceleration
Term
Semicircular canals: superior canal detects what
Definition
nodding motion (yes)
Term
Semicircular canals: posterior canal detects what
Definition
head tilt to left and right
Term
Semicircular canals: horizontal canal detects what
Definition
shake head "no"
Term
Semicircular canals: ampulla: what is it
Definition
small swelling at the base of the semicircular canals, houses the crista, contains hairs cells
Term
Semicircular canals: ampulla: what is a crista
Definition
elevated ridge of tissue inside ampulla of membranous semicircular canals
Term
Semicircular canals: ampulla: what is the cupula
Definition
gelatnious mass in which stereocilia are embedded
Term
Semicircular canals: ampulla: where is the cupula attached
Definition
to the roof of the ampulla
Term
Semicircular canals: ampulla: hair cells are covered with what
Definition
cupula
Term
cupula stimulation: if you turn your head to the left which way is the endolymph flowing in each horizontal semicircular canal
Definition
will flow right/clockwise
(head is turning counter clockwise, endolymph goes opposite)
Term
cupula stimulation: if you turn your head to the left which way is the direction of bending of the cupula and hairs of receptor hair cells
Definition
same as the endolymph, counterclockwise/to the right
opposite of head motion
Term
cupula stimulation: if you turn your head to the left which side is stimulated? inhibited?
Definition
left is excited
right is inhibited/hyperpolarized
Term
cupula stimulation: if you turn your head to the left, why is the left horizontal semicircular canal excited
Definition
stereocilia push against kinocilia
Term
cupula stimulation: if you turn your head to the left, why is the right semicircular canal inhibited/hyperpoarlized
Definition
stereocilia pull away from kinocilia
Term
cupula stimulation: if there is a disagreement between which semicircular is firing during rotaiton what happens
Definition
vertigo and nausea
Term
what is vertigo
Definition
room spinning sensation
Term
If you turn your head which semicircular canal has an increased firing
Definition
the side that you are turning to
Term
When does the horizontal semicircular canal fire
Definition
beginning and end of head motion
Term
Vestibular primary afferent: the peripheral process of this innervates the hair cells
Definition
scarpa's ganglion
Term
Vestibular primary afferent: the central process of this structure form CN VIII
Definition
scarpa's ganglion
Term
Vestibular primary afferent: CN VIII enters what structure
Definition
the brainstem
Term
Vestibular primary afferent: CN VIII enteres the brainstem and termiantes in what
Definition
4 main vestibular nuclei
Term
Vestibular primary afferent: 4 main vestibular nuclei
Definition
Lateral (Deiters)
Medial
Inferior
Superior
Term
Vestibular primary afferent: some afferent fibers also terminte directly where onto what structure
Definition
cerebellum on the flocculonodular lobe
Term
Vestibular nuclei complex: occupy a large area where in the brainstem
Definition
lateral part of brainstem just below floor of 4th ventricle
Term
Vestibular nuclei complex: the vestibular appartus is of importance in maintaing what
Definition
equilibrium and orientation in space
Term
Vestibular nuclei complex: difference between the vestibular nuclei
Definition
have specific connections and functional characteristics
Term
Information from the vestibular apparatus ultimately influences what
Definition
the motor system
Term
info from the vestibular apparatus ultimately influence the motor system by means of connections between the vestibular nuclei and what 4 main areas
Definition
cerebellum
spinal cord
reticular formation
ocular mm nuclei
Term
Spinal cord: important descending pathway into the spinal cord
Definition
vestibulospinal tract
Term
Spinal cord: vestibulospinal tract has what 2 parts
Definition
lateral and medial
Term
Spinal cord: lateral vestibulospinal tract origin
Definition
lateral vestibular nuclei
Term
Spinal cord: role of lateral vestibulospinal tract
Definition
maintain posture-excite extensor mm
Term
Spinal cord: medial vestibulospinal tract also travels with what other tract
Definition
MLF
Term
Spinal cord: role of the medial vestibulospinal tract
Definition
reflexive neck control
Term
Spinal cord: Vestibulospinal tract? Crossed or uncrossed? Ipsi or bilateral
Definition
Uncrossed, Ipsilateral.
Term
Cerebellum: connection from the cerebellum terminates on what
Definition
lateral vestibular nucleus
Term
Cerebellum: the connection from the cerebellum terminates on the lateral vestibular nucelus which in turn projects to what
Definition
the spinal cord
Term
Cerebellum: role of the connection between the cerebellum and lateral vestibular nucleus
Definition
regulation of mm tone
Term
Cerebellum: cerebellar lesion usually results in what type of tone
Definition
low tone
Term
Reticular formation: type of connection between the vestibular nuclei complex and the adjacent reticular formation
Definition
reciprocal connections
Term
Reticular formation: reticular formation has a descending tract into the SC called what
Definition
reticulospinal tract
Term
Reticular formation: has descending tract to the SC which is an alternate route for what
Definition
to affect SC ventral horn cells (motor neurons)
Term
Reticular formation: role in equilibrium/balance
Definition
mediate nausae and vomiting
Term
Ocular mm nuclei: connection to what CN by way of MLF
Definition
III, IV, VI
Term
Ocular mm nuclei: are connected to CN III, IV, VI by way of what
Definition
MLF
Term
Ocular mm nuclei: what is Vestibular Ocular Reflex (VOR)
Definition
conjugate eye movmenet in response to vestibular stimulation
Term
Ocular mm nuclei: involve what vestibular nuclei
Definition
lateral, medial, superior
Term
Medial Longitudinal Fasciculus: spawns between what parts
Definition
upper part of the brainstem to cervical SC
Term
Medial Longitudinal Fasciculus: related to what neural structures (4)
Definition
oculomotor centers
vestibular nuclei
motor nuclei of CN XI (spinal accessory)
motor neurons of the cervical cord
Term
Medial Longitudinal Fasciculus: fibers from this structure arise from where
Definition
vestibular nuclei
Term
cortex connections are responsible for what:
Definition
perception of body orientation in extrapersonal space
Term
cortex connections are responsible for perception of body orientation in extrapersonal space via what pathways
Definition
thalamocortical pathways
Term
Vestibular Nuclei Connections summary
Definition
connections are widespread
Term
What do we use our vesitbular system for with all of its connections
Definition
regular posture
coordinate eye and head movements
Term
Receptors for balance (3)
Definition
vestibular
visual
somatic
Term
the vestibular receptors feed into what structures
Definition
cerebellum
vestibular nuclear complex
Term
the visual receptors and somatic receptors feed into what structures
Definition
cerebellum
vestibular nuclear complex
reticular nuclei
Term
after the receptors feed into the cerebellum, vestibular nuclear complex, or reticular nuclei, what happens next?
Definition
information is fed from one structure ot the other or moves into central nervous processing
Term
From the vestibular nuclear complex, what happens PROXIMALLY as a result of central nervous system processing
Definition
Oculomotor control (CN nuclei III, IV, VI)
eye movements
Term
From the vestibular nuclear complex, what happens DISTALLY as a result of central nervous system processing
Definition
spinal motor control
CN nuclei XI
Vestibulospinal tracts
neck movements
Term
Vestibular Ocular Reflex (VOR): role with head movement
Definition
gaze stabilization
maintains visual fixation while the head moves
Term
Vestibular Ocular Reflex (VOR): mechanisms for what
Definition
producing eye movements that counter head movements
Term
Vestibular Ocular Reflex (VOR): role of semicircular canals
Definition
exert direct control over the eye mm
head turns L, eyes move R
Term
Vestibular Ocular Reflex (VOR): faster than what
Definition
visual tracking
Term
Central projections of the vestibular system particpate in 3 major classes of reflexes: what are they?
Definition
helping to maintain equilibrium and gaze during movement
maintaing posture
maintain mm tone
Term
what structure has a preference for alcohol?
Definition
cupulla
Term
central vestibular connection (good test question)
Definition
some afferent fibres go directly to the cerebellum
Term
pt population that may prsent with vestibular symptoms and incontinence
Definition
pt's with hydrocephalus
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