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2- vistibular
na
94
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Graduate
02/23/2010

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Term
vestibular system consist of:
Definition
1: membranous labyrinth and sensory housed in a bony labyrinth
2: Cranial nerve VIII and it's cell bodies (scarpa's ganglia)
3: vestibular nuclei( on the floor of the 4th ventricle)
4: ascending and descending tracts
Term
3 roles of the vestibular system
Definition
1: eye position-
during movements to stabilize image on the retina

2: Appendicular and axial muscle tone
for control of postural support and balance (vestibulo-spinal reflex)

3: Kinesthesia/proprioception
provide concious awareness of spatial orientation
Term
membranous labyrinth
Definition
a series of tubes made of fine membranes that contain the peripheral sensory receptors of the the vestibular system
(hair cells)
Term
The membranous labyrinth contains a fluid called_______
Definition
endolymph
Term
the membranous labyrinth is separated from the bone cavity by ___________
Definition
perilymph
Term
receptors of the vestibular apparatus are located within specific sites within the membranous labrinth.
A total of 5 sites on each side of the body
Definition
3 in the semicircular canals
2 in the vestibule (saccule and utricle)
Term
Semicircular canals
Definition
3 canals arranged at right angles to each other.
together they perform the dynamic function of detecting angular velocity of the head in all planes.
Term
Horizontal canal
horizontal when?
Activated when?
Definition
Head is flexed forward to 30 degrees
Activated with rotation around the body axis
Term
Anterior and Posterior canals
activated when?
work how?
Definition
Activated with rotation in frontal and sagittal planes
Work together on opposite sides of body
Term
Semicircular canals are especially important for _________
Definition
stabilizing the eyes during head movement
Term
Cristae are innervated by ________
Definition
peripheral vestibular nerve fibers
Term
Cupula
Definition
a gelatinous material
Term
Hair cells in the otolithic organs protrude upwards into the __________
Definition
cupula
Term
movement of cupula and hair cells is caused by _________
Definition
inertia
Term
Mechanical deflection of hair cells either _________ or _________ the vestibular nerve.
Definition
depolarize
or
hyperpolarize
Term
__________ of hair cell bend effects polarization
Definition
direction
Term
Steriocilium toward kinocilum causes __________ of vestibular nerve
Definition
depolarization
Term
Stereocilium away from kinocilium ___________ the vestibular nerve
Definition
hyperpolarizes
Term
2 types of hair cells
Definition
kinocilium
stereocilium
Term
an increase or decrease in the firing of the tonically active nerve signals the ____________ of rotation
Definition
direction
Term
Rotation around the body axis to the left causes:
left horizontal canal to _________
right horizontal canal to _________
Definition
Left: depolarize
Right: hyperpolarize
Term
Receptors in the semicircular canals are ________ adapting
Definition
rapidly
Term
Why are semicircular canals rapidly adapting?
Definition
Because the cupula has a spring=like action that restores it to its resting position
Term
The semicircular canals have a low threshold, therefore?
Definition
they are highly sensitive receptors and respond to very small angular changes
Term
Semicircular receptors responses are _______
Definition
graded
Term
Since semicircular cells responses are graded, an increase in velocity, increases _________
Definition
the number of hair cells that are activated
Term
The Otolithic organs are located:
Definition
between semicrcular canals + chochlear duct
Term
Otolithic organs are?
Definition
2 large chambers
Utricle
Saccule
Term
Otolithic organs detect:
Definition
Linear acceleration and deceleration of the head
Static position of the head in gravity
Term
the job of the Otolithic organs are to:
Definition
maintain the head upright in space
modulate postural muscle tone relative to the position of the head
Term
Both ends of the _____________ are continuous with the utricle.
Definition
semicircular canals
Term
The utricle and saccule are filled with _________
Definition
endolymph
Term
Endolymph is produced in the _____________
Definition
cochlear duct
Term
Endolymph is drained by the ____________ into the _____________ of the ___________
Definition
Endophymph is drained by the endolymphatic duct into the venous sinuses of the dura mater
Term
the Macula is?
Definition
The sensory organ on the wall of the utricle and saccule
Term
Macula is covered with __________ and embedded with ___________
Definition
Macula is covered with A GELATINOUS LAYER and embedded with CRYSTALS OF CALCIUM CARBONATE- OTOLITHS (OTOCONIA).
Term
Otoliths(ottoconia) do what?
Definition
give more mass to the gelatinous, giving it more inertia
Term
When the head is positioned upright, the macula in the:
utricle is in the _____________
saccule is in the _____________
Definition
When the head is positioned upright, the macula in the:
utricle is in the HORIZONTAL PLANE
saccule is in the VERTICAL PLANE
Term
Macula receptors are _________ adapting
Definition
Macula receptors are NON adapting
Term
Macula receptors are non adapting because?
Definition
Utricle and Saccule are sensitive to static head tilt in multiple planes, therefore must always be active, and non adapting
Term
BPPV
Definition
benign Paroxysmal positional vertigo
when utricle otoconia break loose and float into semicircular canals (usually posterior canal)
Term
the vestibular portion of the 8th cranial nerve is a _________ nerve
Definition
the vestibular portion of the 8th cranial nerve is a BIPOLAR nerve
Term
the cell bodies of the Vestibular nerve forms _____________
Definition
the cell bodies of the Vestibular nerve forms SCARPA'S GANGLIA
Term
After the vestibular nerve leaves scarpa's ganglia it join's with _____________
Definition
After the vestibular nerve leaves scarpa's ganglia it join's with COCHLEAR NERVE FIBERS.
Term
After the vestibular nerve joins with the cochlear nerve it travels into the ______________
Definition
After the vestibular nerve joins with the cochlear nerve it travels into the INTERNAL AUDITORY CANAL
Term
After the vestibular nerve joins with the ________ it travels into the _____________ with the ____________
Definition
After the vestibular nerve joins with the COCHLEAR NERVE it travels into the INTERNAL AUDITORY CANAL with the FACIAL NERVE
Term
After the vestibular nerve travels in the internal auditory canal with the facial nerve it passes through the ___________ and opens into the __________
Definition
After the vestibular nerve travels in the internal auditory canal with the facial nerve it passes through the TEMPORAL BONE and opens into the POSTERIOR FOSSA
Term
the vestibular nerve enters the brainstem at the ________________
Definition
the vestibular nerve enters the brainstem at the pontomedullary junction
Term
Primary vestibular afferents synapse on _____________ in the ____________ of the ___________ and in the ___________
Definition
Primary vestibular afferents synapse on SECOND ORDER NEURONS in the VESTIBULAR NUCLEI of the BRAINSTEM and in the CEREBELLUM
Term
The vestibular nuclei form a ____________ shaped complex located in ______ sides of the _________ in the floor of the _____________
Definition
The vestibular nuclei form a DIAMOND shaped complex located in BOTH sides of the BRAINSTEM in the floor of the 4TH VENTRICLE
Term
the vestibular nuclei is surrounded by what laterally?
Definition
inferior cerbellar peduncle
Term
the vestibular nuclei is surrounded by what medially?
Definition
pontine reticular formation
Term
the vestibular nuclei is surrounded by what rostrally?
Definition
middle cerebellar peduncle
Term
the vestibular nuclei is surrounded by what ventrally?
Definition
Trigeminal nerve nucleus and spinal tract
Term
the 4 main divisions of the vestibular nuclei
Definition
SVN
LVN
MVN
DVN
Term
adjacent to the MVN is the ____________ which shares in maintaining ___________ in the ____________
Definition
adjacent to the MVN is the NUCLEUS PERPOSITUS HYPOGLOSSI which shares in maintaining GAZE POSITION in the HORIZONTAL PLANE
Term
in the rostral midbrain the ______________ contributes to gaze holding in the ____________
Definition
in the rostral midbrain the INTERSTITIAL NUCLEUS OF CAJAL contributes to gaze holding in the VERTICAL PLANE
Term
Areas that support the vestibular nuclei in the task of controlling eye movements are:
Definition
NUCLEUS PREPOSITUS HYPOGLOSSI
INTERSTITIAL NUCLEUS OF CAJAL
Term
Each nucleus recieves input from both the ______________ and the ___________ except for the ___________ which receives the majority of it's vestibular input from the _________
Definition
Each nucleus receives input from both the SEMICIRCULAR CANALS and the OTOLITHS except for the LVN which receives the majority of it's vestibular input from the UTRICLE
Term
Fibers from: _(1)_, _(2)_, _(3)_, _(4)_, _(5)_
terminate in all 4 vestibular nuclei
Definition
Cerbellar flocculaus
nodulus
fastigial nucleus
vermis
uvula
Term
afferents to the vestibular nuclui from the ____, _____, and ______ are relayed through the cerebellum and help modulate
_(1)_ reflex, _(2)_ reflex, and _(3)_ reflex
Definition
afferents to the vestibular nuclui from the EYES, NECK, and LIMBS are relayed through the cerebellum and help modulate:
VESTIBULO-OCULAR reflex, VESTIBULOCOLLIC reflex, and VESTIBULOSPINAL reflex
Term
Ascending projections to the __________ in the ____ and ______ via the _________________ and runs in the floor of the _____________
Definition
Ascending projections to the OCULAR MOTOR NUCLEI in the PONS and MIDBRAIN via the MLF (MEDIAL LONGITUDINAL FASCICULUS) and runs in the floor of the 4TH VENTRICLE
Term
projections descend in:
_(1)_, _(2)_ ipsilaterally, and _(3)_ contralaterally
Definition
projections descend in:
MLF, LVST (LATERAL VESTIBULO SPINAL TRACT) ipsilaterally, and MVST (MEDIAL VESTIBULO SPINAL TRACT) contralaterally
Term
vestibular nuclei sends extensive input to:
_(1)_, _(2)_, _(3)_, _(4)_
Definition
vestibular nuclei sends extensive input to:
FASTIGAL NUCLEI, FLOCCULONODULAR LOBE, UVULA CEREBELLUM, VERMIC
Term
Function of the ascending VTC?
Definition
involves the vestibular system and perception of self in space
Term
Ascending VTC travels in the __________ adjacent to _(1)_ and the _(2)_
Definition
Ascending VTC travels in the RETICULAR FORMATION adjacent to MLF and the LATERAL LEMNISCUS
Term
Secondary fibers of the Ascending VTC travel from the ____ and the ____ and terminate in the ____________ near the ____________
Definition
Secondary fibers of the Ascending VTC travel from the LVN and the SVN and terminate in the CHIEF (MAIN SENSORY NUCLEUS OF THE THALAMUS near the MEDIAL GENICULATE NUCLEUS
Term
Thalamocortical projections to areas of _______ of the ___________ produce subjective _________ of _______ and ____________
Definition
Thalamocortical projections to areas of ASSOCIOATION of the PARIETAL LOBE produce subjective SENSATION of ROTATION and BODY DISPLACEMENT
Term
The peripheral vestibular endorgan is supplies by the _______________ which often is a branch of the ____________ but occasionally branches directly off the _____________
Definition
The peripheral vestibular endorgan is supplies by the LABRYINTHINE ARTERY which often is a branch of the AICA (ANT-INF CEREBELLAR ARTERY) but occasionally branches directly off the BASILAR ARTERY
Term
The labyrinthine artery has no _________ _______ and is highly susceptible to _________, which results in _______ ______ and sudden onset of ________
Definition
The labyrinthine artery has no ANASTOMOTIC NETWORK and is highly susceptible to ISCHEMIA, which results in HEARING LOSS and sudden onset of VERTIGO
Term
The area of the brain containing the vestibular nuclei is supplied by the ______ (inferior aspects) and the ______ (superior aspects)
Definition
The area of the brain containing the vestibular nuclei is supplied by the PICA (inferior aspects) and the AICA (superior aspects)
Term
the purpose of the VOR (vestibulo-ocular reflex) is to maintain _______ ______ during ________ motion
Definition
the purpose of the VOR (vestibulo-ocular reflex) is to maintain STABLE VISION during HEAD motion
Term
With VOR, when the head is turned to the left, the left vestibular nerve _______ firing and the right ________ firing
Definition
With VOR, when the head is turned to the left, the left vestibular nerve INCREASES firing and the right DECREASES firing
Term
Changes in firing rates with VOR influence discharge from the ______, then sends signals via the ______ to activate the _____ _____ _____ and ____ _____ _____
Definition
Changes in firing rates with VOR influence discharge from the MVN, then sends signals via the MLF to activate the RIGHT ABDUCENS NUCLEUS and LEFT OCULOMOTOR NUCLEUS
Term
With VOR, if the head is turned to the left, inhibitory impulses are sent to nuclei that control the ________ muscles and result in a _________ _______ eye movement towards the _______ called ___________
Definition
With VOR, If head is turned to the left, inhibitory impulses are sent to nuclei that control the ANTAGONISTIC muscles and result in a LATERAL COMPESNATORY eye movement towards the RIGHT called NYSTAGMUS
Term
Nystagmus is characterized by a ____ phase _____ from midline and a _____ phase as the eyes rebound towards the midline
Definition
Nystagmus is characterized by a SLOW phase AWAY from midline and a FAST phase as the eyes rebound towards the midline
Term
The direction of the nystagmus is named by the ________ of the ______
Definition
The direction of the nystagmus is named by the DIRECTION of the FAST PHASE
Term
eye movements are ________ to the plane of the canal that has been stimulated
Definition
eye movements are PARALLEL to the plane of the canal that has been stimulated
Term
Nystagmus is a normal response to ______ ____ ______
Definition
Nystagmus is a normal response to ROTARY HEAD VELOCITY
Term
SVN
major input
Definition
semicircular canals
cerbellum
contraleteral vestibular nuclei
Term
SVN
major output
Definition
MLF to oculomotor nuclei
cerbellum
dorsal pontine RF
adjacent RF
thalamus
Term
SVN
function
Definition
maintain eye position during head movement
arousal
conscious awareness of spatial orientation
Term
LVN
(Deiter's)
major input
Definition
cerbellum
utricle and saccule
semicircular canals (minimal)
Term
LVN
(deiter's)
Major output
Definition
Ipsilateral LVST
thalamus
Term
LVN
(deiter's)
function
Definition
facilitates antigravity limb tone through vestibulospinalreflexes

spacial orientation
Term
MVN
major input
Definition
Semicircular canals (1* horizontal)
utricle + saccule
Cerbellum
Contralateral vestibular nuclei
reticular formation
Term
MVN
major output
Definition
Ipsilateral vestibulo spinal tract
MLF to oculomotor nuclei
cerbellum
adjacent RF
Term
MVN
function
Definition
coordination of eye, head and neck movements

gaze holding in horizontal plane

head control and stability- head
turning and righting
Term
DVN
major input
Definition
utricle +saccule
cerebellum
Term
DVN
major output
Definition
Cerbellum
RF
Contralateral vestibular nuclei
Term
DVN
function
Definition
integrates vestibular signals from 2 sides with signals from cerebellum and RF
Term
Nucleus Y
major input
Definition
Uticle + Saccule
Term
Nucleus Y
major output
Definition
RF
contralteral vestibular nuclei
Term
Nucleus Y
function
Definition
integrates vestibular signals from 2 sides with signals from cerebellum and RF
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