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29 Cards in this Set

  • Front
  • Back
What are the functions of the vestibular system?
1)maintain posture
2) head stabilization and gaze
3) perception of movement
Function of semicircular canals?
detect rotational acceleration
Function of utricle and saccule?
linear acceleration/static head position relative to gravitation axis
What is the difference between vestibular hair cells and auditory hair cells?
vestibular hair cells have a baseline firing rate and a kinocilium
What are teh otolith organ?
CaCO3 cyrstals which shift relative to sensory epithelium and cause shearing between olitic membrane and macula
What is the microorganization of the otolith organ?
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macula - hair cells 
sensory epithelium - supporting cells around hair cells 
otolith membrane
striola - axis of mirror symmetry within each maccula
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macula - hair cells
sensory epithelium - supporting cells around hair cells
otolith membrane
striola - axis of mirror symmetry within each maccula
What happens during tilt?
tilt along one axis of striola excite cells on that side and inhibt eclls on the other side
What is the difference between head tilt and linear acceleration?
head tilt - sustained
linear acceleration - no head tilt and transient
What is the utricle for?
Horizontal plane
What is the saccule for?
verticle plane
What determines whether you get depolarization or hyperpolarization in response to angular acceleration in the semicircular canals?
endolymph flow and cupula displacement
What is the caloric test?
irrigate ear with cold water and slow movement will occur towards irrigated ear and fast movement away from it
What happens when the cerebral hemispheres are not intact but brain stem is in tact?
saccadic movements (fast movemetns) are no longer made but there is slow movement of eye towards irrigated side
What happens with caloric test if ther is a brain stem lesion?
vesitibular response is abolished or altered
What is the vestibulooccular reflex?
produce eye movements that counter head movements allowing gaze to remian fixed
What is oscillopsia?
bouncing vision that occurs with loss of vestibulooccular reflex
What is the reflex to maintain posture?
vestibulocervical reflex
What is reflex to maintian muscle tone?
vestibulospinal reflex
What is the difference between depolarization and hyperpolarization in nerve impulses?
depolarization - increased impulse frequency
hyperpolarization - decreased impulse frequency
What happens when you rotate to the left?
slow eye movement to right
rapid eye movement to left
What is nystagmus>?
rapid repeat eye movement
What is postrotational nystagmus?
stop after rotation to left
right side is stimulated
nystagmus to right (opposite side)
What happens when you rotate your head to the right?
right semicircular horizontal canal is stimulated and increases firing, left horizontal canal is decreased firign
What is the rule with slow and fast movements in the caloric test?
COWS
cold oppsite warm same
cold - fast to opposite side, slow to same side
warm - fast to same side, slow to opposite side
What is the pathway of the vestibuloocular reflex?
1) scarpas ganglion
2)medial vestibular nucleus
3) inhibit ipsilateral abdunces, stimulate contralateral abducens in pons
What is the vestibulospinal reflex?
uses medial fasicullus, and medial vestibulospinal tract
What is ocular reflex in patient whose brainstem is intact?
cold to same side (slow)
warm to oppsoite side (slow)
What is the ocular reflex in medial longitudinal fasiculus where fibers cross?
eye that is irrigated does the right reflex but other eye does not
What happens in low brainstem lesion?
no response