The Vestibular System



The Vestibular System



To coordinate posture and locomotion, the brain needs to know not only what movement it intends to command, but also the orientation of the body and what movement the body is actually performing. Chapter 8 describes the muscle spindle, an important source of information for the brain about body position and movement. Another important source of information is the vestibular system. This bilateral receptor system is located in the inner ear and informs the brain about the position and motion of the head.


The vestibular system provides the organism with its sense of equilibrium or balance. It supplies information about the body’s orientation or tilt with respect to gravity and about acceleration of the body through space. It does this by detecting (1) static tilt of the head (e.g., the head is held stationary at 5 degrees from vertical), (2) linear acceleration of the head (e.g., the head accelerates in a straight line as an organism begins to run or as your elevator begins to rise), and (3) rotary acceleration of the head (e.g., the head accelerates in a circular fashion as an organism begins to turn its head toward a target or as someone begins to spin you in an office chair). This information is used most often to make automatic, unconscious postural adjustments to keep the organism from falling over as a result of self-imposed or environmentally imposed changes in body orientation. The vestibular system also helps to keep the eyes fixated on a relevant target in the face of such changes in body orientation.


The vestibular system is a common site of pathological lesions. In most veterinary species, lesions of the vestibular system cause a syndrome characterized by head tilt, compulsive rotary movements such as circling or rolling, and spontaneous nystagmus, which is an oscillating movement of the eyes.


To understand how such clinical signs arise and the importance of the vestibular system to the physiology of movement, you need to study its anatomy and function first.




The Vestibular System Is a Bilateral Receptor System Located In the Inner Ear


The inner ear, or labyrinth, is made up of two parts: the bony labyrinth and the membranous labyrinth. The bony labyrinth is a system of caverns and tunnels through the petrous temporal bone of the skull. The bony labyrinth houses the receptor organs of the vestibular system as well as the receptor organ for hearing, the cochlea (Figure 11-1) (see Chapter 17). These receptor organs are part of the membranous labyrinth, which consists of thin membranes of epithelium and lies within the bony labyrinth. This epithelial membrane is specialized at some locations to become the sensory receptor cells that form the vestibular and auditory receptor organs. The membranous labyrinth is filled with a fluid called endolymph and is separated from the bony labyrinth by a fluid called perilymph. The vestibular portion of the membranous labyrinth consists of two major sets of structures: (1) three semicircular ducts, located at approximately right angles to each other, and (2) a pair of saclike structures called the utricle and saccule, sometimes called the otolith organs. As discussed later, each major set of structures is respectively involved in transducing a different major class of vestibular stimulus.




Specialized Regions of the Vestibular System Contain Receptors


Each vestibular structure of the membranous labyrinth has a region of epithelial lining that has become specialized into a set of secondary receptor cells (see Chapter 7) called hair cells (Figure 11-2). These hair cells form the basis of a sensory receptor organ within each vestibular structure. Each hair cell has several cilia at its apex that are arranged in order according to size. At its base the hair cell synapses with a sensory neuron that carries action potentials to the brainstem. The cell bodies of these sensory neurons are located in Scarpa’s ganglia, and their axons collectively form the vestibular portion of the vestibulocochlear nerve (cranial nerve VIII). The cilia from all the hair cells within any one vestibular structure project into a gelatinous mass; displacement of this gelatinous mass in a given direction causes all the hair cell cilia to bend in that direction.



At rest, when the cilia are not deflected, the sensory neurons that synapse with the vestibular hair cells transmit action potentials spontaneously at about 100 per second (Figure 11-3). When the hair cell cilia are bent in a direction toward the largest cilium, the hair cells depolarize, the release of transmitter from the hair cells onto the sensory neurons increases, and the action potential frequency of the neurons increases. When the cilia are bent in the opposite direction, toward the smaller cilia, hair cell membranes hyperpolarize, transmitter release decreases, and the action potential frequency of sensory neurons decreases. Therefore, displacement of the hair cell cilia in either of these directions can be detected by the brain as an increase or a decrease from the resting action potential frequency. Deflections in other directions are much less effective. How the brain uses this information to detect the direction of head movement is described later.




The Semicircular Ducts Detect Rotary Acceleration and Deceleration of the Head


Three membranous semicircular ducts are located within corresponding semicircular canals of each bony labyrinth (Figure 11-4). They are positioned at approximately right angles to each other, and both ends of each fluid-filled duct terminate in the utricle. Each semicircular duct has an enlargement at one end, called the ampulla, near its junction with the utricle. The ampulla contains a hair cell receptor organ called the crista ampullaris (see Figure 11-2). This is a ridge of hair cells that, at their base, synapse on sensory neurons projecting to the central nervous system (CNS) and whose cilia are embedded in an overlying gelatinous mass. This mass, called the cupula, attaches to the roof of the ampulla (Figure 11-5). All hair cells of a given crista ampullaris are oriented in the same direction with respect to their cilia. Together, the hair cell ridge and overlying cupula span the diameter of the ampulla.




The semicircular ducts, together with the ampullae and its contents, are involved in transducing rotary acceleration and deceleration of the head. When the head begins to accelerate in a rotary fashion, the semicircular duct and its receptor organ rotate with the head, but the endolymph’s acceleration lags behind because of inertia. This relative difference in the rate of acceleration of the semicircular duct and its enclosed endolymph causes the crista ampullaris to “crash into” the slower-moving endolymph. This results in a displacement of the gelatinous cupula in the direction opposite that of head rotation with a corresponding bending of the hair cells. This in turn changes the firing rate of the sensory neurons projecting to the CNS. The opposite happens with deceleration because the semicircular duct and crista ampullaris slow immediately along with the head while inertia continues to carry the endolymph forward. Stimulation of the crista ampullaris occurs on rotary acceleration or deceleration of the head, not during constant rotational velocity. During the latter, the movement of the endolymph will eventually catch up with the movement of the semicircular ducts and the hair cells will no longer be bent.


Semicircular ducts located on opposite sides of the head, but in approximately the same plane (co-planar), work as a pair to provide the brain with information about the direction and nature of head movement. For instance, a clockwise rotary acceleration of the head would cause bending of the directionally sensitive hair cell cilia in each member of a co-planar pair of semicircular ducts on opposite sides of the head. However, the sensory axons leaving the crista ampullaris from the duct on one side of the head would carry an increased action potential frequency, whereas those from the duct of the other side would carry a decreased action potential frequency. The brain interprets such reciprocal changes in sensory action potential frequency as resulting from clockwise or counterclockwise acceleration or deceleration in a given plane of movement. In reality, rotary acceleration/deceleration in any given plane usually affects all three sets of paired semicircular ducts, but each pair to different degrees. In this way, the bilateral system of six semicircular ducts detects the direction of both rotary acceleration and deceleration of the head and activates or inhibits particular CNS structures to produce the appropriate reflex response.

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Jul 18, 2016 | Posted by in PHARMACOLOGY, TOXICOLOGY & THERAPEUTICS | Comments Off on The Vestibular System

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