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At least 631 records · Page 35Linked to original sources

Tapping the head activates the vestibular system: a new use for the clinical reflex hammer.

We investigated the use of skull taps with a modified clinical reflex hammer as a method of vestibular activation. Using recently described EMG techniques to measure vestibulocollic reflexes in response to clicks, we were able to show analogous short-latency potentials to taps. The earliest responses were invariably absent on the side of a previous vestibular nerve section but were preserved in profound sensorineural or conductive hearing loss. We propose that the taps activated the vestibular apparatus directly by a bone-conducted vibration wave.

Acoustic Stimulation↗

Suppression of neural fate and control of inner ear morphogenesis by Tbx1.

Inner ear sensory organs and VIIIth cranial ganglion neurons of the auditory/vestibular pathway derive from an ectodermal placode that invaginates to form an otocyst. We show that in the mouse otocyst epithelium, Tbx1 suppresses neurogenin 1-mediated neural fate determination and is required for induction or proper patterning of gene expression related to sensory organ morphogenesis (Otx1 and Bmp4, respectively). Tbx1 loss-of-function causes dysregulation of neural competence in otocyst regions linked to the formation of either mechanosensory or structural sensory organ epithelia. Subsequently, VIIIth ganglion rudiment form is duplicated posteriorly, while the inner ear is hypoplastic and shows neither a vestibular apparatus nor a coiled cochlear duct. We propose that Tbx1 acts in the manner of a selector gene to control neural and sensory organ fate specification in the otocyst.

Animals↗

The development of semicircular canals in the inner ear: role of FGFs in sensory cristae.

In the vertebrate inner ear, the ability to detect angular head movements lies in the three semicircular canals and their sensory tissues, the cristae. The molecular mechanisms underlying the formation of the three canals are largely unknown. Malformations of this vestibular apparatus found in zebrafish and mice usually involve both canals and cristae. Although there are examples of mutants with only defective canals, few mutants have normal canals without some prior sensory tissue specification, suggesting that the sensory tissues, cristae, might induce the formation of their non-sensory components, the semicircular canals. We fate-mapped the vertical canal pouch in chicken that gives rise to the anterior and posterior canals, using a fluorescent, lipophilic dye (DiI), and identified a canal genesis zone adjacent to each prospective crista that corresponds to the Bone morphogenetic protein 2 (Bmp2)-positive domain in the canal pouch. Using retroviruses or beads to increase Fibroblast Growth Factors (FGFs) for gain-of-function and beads soaked with the FGF inhibitor SU5402 for loss-of-function experiments, we show that FGFs in the crista promote canal development by upregulating Bmp2. We postulate that FGFs in the cristae induce a canal genesis zone by inducing/upregulating Bmp2 expression. Ectopic FGF treatments convert some of the cells in the canal pouch from the prospective common crus to a canal-like fate. Thus, we provide the first molecular evidence whereby sensory organs direct the development of the associated non-sensory components, the semicircular canals, in vertebrate inner ears.

Animals↗

Model for demonstrating the canalith repositioning procedure.

Benign positional vertigo is a common condition which may be easily treated with the canalith repositioning procedure. This procedure may be difficult for patients to understand and for medical staff to learn. This paper describes a model of the vestibular apparatus which may be used to demonstrate the procedure.

Head Protective Devices↗

Outcome of sudden deafness with and without vertigo.

The outcome of unilateral sudden deafness with and without vertigo was evaluated according to the severity of the initial hearing loss, the shape of the audiogram, and other variables. The subjects for this investigation were 1313 patients who had presented to the authors' university hospital from 1972 to 1990 within 2 weeks of the onset of hearing loss. Thirty percent of the patients had accompanying vertigo. Vertigo occurred frequently in patients with severe hearing loss in the high-tone frequencies. Hearing recovery of high-tone frequencies was worse in patients with vertigo than in those without vertigo even when the initial hearing loss was the same. It is hypothesized that these results can be explained by anatomical factors; the cochlear basal turn being more proximal to the vestibular apparatus than the upper turn.

Adolescent↗

Inner ear morphology in Down's syndrome.

A comparative study was made on four pairs of temporal bones from patients with Down's syndrome (trisomy 21) and 15 pairs of temporal bones from other infants of the same age range. Spiral reconstructions showed chochlear length to be slightly shorter in temporal bones from patients with Down's syndrome than that in the controls. Based upon these dimensional measurements, a developmental anomaly of the vestibular apparatus was found.

Cochlea↗

Evidence for a vestibular input contributing to dynamic head stabilization in man.

Horizontal head movements in response to unpredictable horizontal oscillations of the trunk were studied in 6 patients lacking vestibular function and in 6 normal subjects. In order to obtain compensatory (i.e. stabilizing with respect to earth) head movements, all subjects were required to look at an earth-fixed target, using their eyes and head. The turning points (maxima and minima) were determined from head and trunk position records. It was found that normal subjects reversed the direction of head movements in advance of trunk movements (mean lead = 82 ms) whereas the patients reversed head direction after the trunk (mean lag = 169 ms). The coherence function between head and trunk movements, measured with a spectral analyser in an additional labyrinthineless patient, was considerably lower than in normal controls. It is concluded that patients lacking vestibular function have impaired stabilization of the head in space, which can be taken as indirect evidence of the existence of active dynamic vestibulo-collic reflex (VCR) mechanisms in normal man. The lead found in normal subjects, notwithstanding the unpredictability of the stimuli, may reflect the detection of early acceleration signals by the vestibular apparatus to organize compensatory head movements.

Adult↗

Aminoglycoside ototoxicity: influence of dosage regimen on drug uptake and correlation between membrane binding and some clinical features.

The influence of dosage regimen on gentamicin uptake by the inner ear tissues was investigated by radioimmunoassay in rat given single i.m. 10 or 100 mg/kg injection or i.v. 1.5 or 15 micrograms/min constant infusion. Results show that, for a given dose, discontinuous administration yields markedly lower tissue concentration than continuous administration and, thus, carries less ototoxic risk. Using 125I-labelled gentamicin as a radioligand correlation between membrane binding and clinical features was also studied in homogenates of organ of Corti and vestibular maculae of guinea-pig. Results show that: (i) as compared by Kd values, gentamicin exhibits a four-fold greater affinity for vestibule (Kd = 3 X 10(-7) M) than for cochlea (Kd = 1.2 X 10(-6) M). This explains the predilection of this antibiotic to affect the vestibular apparatus; (ii) the typical baso-lateral progression of ototoxic degeneration cannot be accounted for by a preferential uptake of the drug between base and apex.

Animals↗

Positional nystagmus.

Positional nystagmus (PN) appears in certain positions of the head. The peripheral type of PN is a paroxysmal nystagmus which appears after a latent period and which has both adaptation and fatigability. Positional vertigo of the peripheral type can sometimes be related to middle ear affections or head trauma, causing detachment of otoconia in the vestibular apparatus. The condition can also be correlated to disturbed blood circulation, ageing, vascular loops and Borreliosis. PN of the central type is direction changing and does not have a latent period or adaptation and fatigability. Etiological factors are drugs, posterior fossa tumours, vascular disturbance and multiple sclerosis.

Central Nervous System Diseases↗

Possible role of Ca ions in the vestibular system.

The Ca++ messenger system is nearly universally present in the control of cell functions by extracellular messengers. It elicits different kinds of responses: either brief, as in neurotransmission and in skeletal muscle contraction, or sustained, as in smooth muscle contraction and in the regulation of transepithelial transport systems. In this latter function the Ca++ messenger system interacts with other cellular modulation systems such as cAMP production and arachidonic acid cascade. In the vestibular apparatus, the Ca++ messenger system is involved in the transduction processes in that it controls both the release of neurotransmitter at the basal pole of the hair cell and the electrical resonance of the cell. It also figures in the contractile properties of cochlear outer hair cells. The Ca++ messenger system as well as adenylate cyclase and prostaglandins may play an important role in the modulation of endolymph secretion.

Animals↗

The suspensory ligament of the endolymphatic duct in the rat. An ultrastructural study.

Following optimized fixation and specimen handling, the endolymphatic duct was investigated by transmission and scanning electron microscopy. Tubular microfibrils, 10-12 nm thick and of indefinite length, occupied the subepithelial compartment abundantly and seemed to insert into the basal lamina of the epithelial cells of the duct and to merge with the bony wall of vestibular aqueduct thus forming a suspensory ligament of the endolymphatic duct. This ligament is suggested to protect the endolymphtaic duct from collapsing and to play a role in the mechanical protection of the vestibular apparatus from sudden increases in intracranial pressure. The capillaries and the aqueductal vein were located in intimate relationship to the epithelial cells. Both types of vessels were provided with fenestrations of the endothelial cells, supporting the proposal that the endolymphatic duct may be involved in the resorption of endolymph.

Animals↗