«e®x¨t²Î

VESTIBULAR DISORDERS & OTONEUROLOGICAL EXAMINATION

I. Introduction

 

 

 

 

1. Anatomy

 

Bony Labyrinth Model - Vestibule

³o¬qµøÀW¡A‘u©ú¤HÅé¸Ñ­å¾Ç¦b²ö¼w´µ¦«¤j±M¾Ç¥Í¾Ç²ß§Ú­Ì¸Ñ­å¼Ò«¬¡C

 

Bony Labyrinth Model - Semicircular Canals

³o¬qµøÀW¡A‘u©ú¤HÅé¸Ñ­å¾Ç¦b²ö¼w´µ¦«¤j±M¾Ç¥Í¾Ç²ß§Ú­Ì¸Ñ­å¼Ò«¬¡C

 

 

Bony Labyrinth Model - Cochlea

³o¬qµøÀW¡A‘u©ú¤HÅé¸Ñ­å¾Ç¦b²ö¼w´µ¦«¤j±M¾Ç¥Í¾Ç²ß§Ú­Ì¸Ñ­å¼Ò«¬

 

1) Classification of peripheral & central vestibular systems:

peripheral vestibular: Vestibule & semicircular canals & first sensory neuron
Central vestibular: Rhombencephalic neuclei,their axon & central projection

2) Two sensory vestibular receptors:Crista & macula

(1)Semicircular canals: Crista ampull Îris (covered by the cupuLa----a gelatinous mass)

(2)Utricle & scaccule: Macula (covered by otolithic membrane-¡X¡X small prisms of calcium carboaate)
¡X¡XThe macui1a sacculi is hook-snaped and lies in a vertical plane, and macula utiriculi is irregular
oval-shaped and lies in a horizontal plane.

(3)Hair cells of vestibular receptors:

³o¬qµøÀW¤¶²Ð¤F¦p¦ó¤ò²Ó­M¤u§@¡A¥H‘u©ú§Ú­ÌÅ¥¨ìªºÁn­µ¡C³o¬qµøÀW¬O±q¡G°ò¥»²Ó­M¥Íª«¾Ç¡A²Ä 3 ª©

Type I hair cell: Shaped Greek wine bottles is correspond to the internal hair cells of the organ of Corti.
lype II hair cell: Shaped cylindrical is correspond to the 93,hair cells of the organ of Corti.

(4) Types of cilia of the hair cells: Each hair cell has kinocilium that located on edge of hair cell
(thicker than streocilium) and many streocilia.

a. In the crista ampullaris or lateral aeicircular canaj. the kinociliuz is close to utricle,
but in the posterior and superior semicircular canals it located distant to utricle.

b, In the macula utricle the kinocilia all tend to point toward a line running across
the macula's approximate center, called the lines. alba. In the saccle,
the kinocilia point away from the linea alba.

2.Membranous labyrinth

A.Cochear duct ( scala media )
b.Saccule
c.Utricle
d.Semicircular canals
e.Endolymphatic duct and sac

3.Acoustic nerve

a.Cochlear segment.
b.Vestibular segment.


 

Cochlea Model

 

3)Blood circulation of inner ear:

Basilar A.¡÷ Ant. inf. cerebellar A.(80%)