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10 Cards in this Set

  • Front
  • Back

Endolymph production

Stria vascularis (pumps -> Δ [ion]) in cochlea


-> resorbed via endolymph duct -> sac -> sigmoid sinus

Vestibular hair cells: mechanoelectrical transduction

Endolymph: +80mV; Hair cell: -45mV; Δ: -125mV


+/- Movement: hairs (stereocilia) -> kinocilium


=> pulls tip links => K channels open


=> K flow: endolymph -> hair cell => depolarizes => VGCC's in base open -> Ca influx ->


-- NT release


-- Ca-gated K channels open


=> K flow -> perilymph => repolarization

Adaptation & Tuning of Vestibular Hair Cells

Tip filament - linked to motor protein - linked to Actin filaments (in core of adjacent stereocilium)


- ↓ IC [Ca] => motor protein moves upwards


=> prolonged inaction -> ↑ sensitivity


(new baseline; steady NT release)

Receptive organs

Cristae


- w/in ampulla of semicircular ducts


- all hair cells in 1 direction




Maculae


- w/in saccule & utricle


- small patches of hair cells w/ varying complex, curved 3D orientation, striola down the middle

Macula

- hair cells attached to the wall embedded in gel


w/ calcium carbonate crystals (otoliths)


-> ↑ density => response to gravity


- hair cells depolarized based on location (striola)


- detects linear acceleration / position

Cristae

- hair cells protruding into a gelatinous mass (cupula) w/o crystals


-> ↓ density -> does not deflect due to gravity


- currents w/in endolymph -> deflect cupula


=> hair cells bend (all simultaneously) -> activate


- detect angular acceleration w/in the plane


- complementary canals fire in opposite manner

Innervation

Maculae & cristae -> vestibular (Scarpa's) ganglion -> CN VIII -> internal acoustic meatus -> (interconnected:)


-- vestibular trigone (medulla/pons): vestibular nuclei (cristae -> L, M, S)


-- flocculonodular lobe (vestibulocerebellum)


-> MLF (medial longitudinal fasciculus)


->> CN III, CN IV nuclei (vestibulo-ocular reflex, VOR)


-> M & L VST (vestibulospinal tracts) (vestibular righting reflex)


-> thalamus (VP nucleus complex) -> vestibular cortex (vertigo)

Vestibular complex input

= vestibular nuclei




<- vestibular n., part of CN VIII


<- vestibulocerebellum: flocculus & fastigial nucleus (Δ VOR gain, vestibular response adaptation)


<- spinal cord (proprioception)

Vestibulo-ocular reflex (VOR)

= eye movement compensating for horizontal head rotation




CN VIII -> medial vestibular nucleus


-> oculomotor nucleus -> medial rectus m.


-> abducens nucleus -> lateral rectus m.

Nystagmus

= rapid jerk movement counter to VOR once fixed object is out of sight


- also occurs when semicircular canals are being stimulated while the head is not in motion




- pathology: occurs when one inner ear / vestibular nerve is damaged -> input imbalance