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At least 91 records · Page 5Linked to original sources

Role of cerebellar nodulus and uvula on the vestibular quick phase spatial constancy.

We investigated the orientation of quick phases (QPs) of vestibularly-induced eye movements in rabbits in response to "off-vertical" sinusoidal vestibular stimulation. We also examined the possible role of the cerebellar nodulus and ventral uvula in controlling QP spatial orientation and modification. During "off-vertical" vestibular stimulation QPs remained aligned with the earth's horizontal plane, while the slow phases (SPs) were aligned with the plane of vestibular stimulation. This suggests that QPs are coded in gravito-inertial coordinates and SPs in head coordinates. When rabbits were oscillated in the light (20 degrees peak-to-peak; 0.2 Hz) about an "off-vertical" axis for 2 h, the QPs changed their trajectory, abandoning the earth's horizontal plane to approach the plane of the stimulus. By contrast, in the absence of conjunctive optokinetic stimulation, QPs remained fixed in the earth's horizontal plane even after 2 h of "off-vertical" stimulation. The conjunctive combination of optokinetic and vestibular stimulation caused QPs to change their plane of rotation. After lesion of the nodulus-uvula the ability of rabbits to reorient QPs during conjoint vestibular-optokinetic stimulation was maintained. We conclude that the space orientation and adaptation of QPs do not require cerebellar control.

Adaptation, Physiological↗

Elongated uvula with a pleomorphic adenoma: a rare cause of obstructive sleep apnea syndrome.

The authors encountered a case of elongated uvula with a pleomorphic adenoma originating from the minor salivary gland, causing frequent upper airway obstruction. A 75-year-old woman had obstructive sleep apnea syndrome brought about by the swallowing impact of the pendulous tumor into the hypopharyngeal and supralaryngeal spaces. Although there are some case reports about tumors originating from the uvula, this is the first reported to cause obstructive sleep apnea syndrome.

Adenoma, Pleomorphic↗

Strangulation of the uvula by hair wrapping.

A 13-month-old male presented with a hair wrapped around his uvula. The entwined hair subsequently caused autoamputation of the distal uvula. Although a non-accidental etiology has been suggested for some cases of hair strangulation of appendages, this case indicates accidental strangulation of body parts is possible.

Amputation, Traumatic↗

Carcinoma of the soft palate and uvula.

Carcinoma of the soft palate and uvula is a rare form of oropharyngeal neoplasm with incidence ranging from 5% to 12% of all oropharyngeal carcinomas. The lesions are more commonly found in men in the sixth and seventh decade of life. Because of the high incidence of potential velopharyngeal incompetence, surgical resections are usually reserved for the lesions confined to the uvula, where larger lesions are treated with radiation therapy.

Female↗

Prevalence of cleft uvula among 2,732 Danes.

A total of 2,732 patients at the Royal Dental College, Copenhagen, were studied for occurrence of cleft uvula. The prevalence was 1.13%, and the ratio of partial to total clefts was 30:1. From a comparison with results of previous studies, it is concluded that the prevalence of cleft uvula in the Danish population appears to be in the same range as in other white populations which have been studied.

Adolescent↗

Cleft uvula: a microform of facial clefts and its genetic basis.

Prevalence estimates of cleft uvula (CU) in two Amerindian populations (and sib analyses in one) were obtained and compared with estimates from other racial groups. The data and their analyses support the contention that CU is a microform of facial clefts. The relative and parallel frequencies of facial and uvula clefts in different races and the sib analyses are most consistent with a quasicontinuous polygenic basis for facial clefts and their microforms.

Black People↗

Uvula-nodulus and gravity direction (a study on vertical optokinetic-oculomotor functions).

Some characteristics of vertical optokinetic nystagmus and after-nystagmus, in particular, its up/down gain asymmetry, are known to be influenced by gravity direction, which is basically perceived by otolith organs. However, how such an information of gravity direction is processed within the central nervous system is not well understood, even though the role of cerebellar uvula and nodulus in vertical eye movements has been identified for some time. Accordingly, in this study, vertical optokinetic nystagmus and after-nystagmus were studied in squirrel monkeys both in the upright and side-lateral positions (different gravity direction to the head), before and after uvulonodulectomy. When the optokinetic stimulus was given, the slow phase eye velocity of optokinetic nystagmus was significantly higher in the side-lateral position than that obtained in the upright position. This difference disappeared after uvulonodulectomy. When the initial slow phase eye velocity of optokinetic after-nystagmus was compared, the one obtained in the side-lateral position was significantly higher than that acquired in the upright position. This difference also disappeared after the uvulonodular ablation. Thus, in this study of vertical optokinetic nystagmus and after-nystagmus, the role of uvula and nodulus in relaying the information of gravity direction was confirmed.

Animals↗

A depressant area in the lateral nodulus-uvula of the cerebellum for renal sympathetic nerve activity and systemic blood pressure in the rabbit.

Electric stimulation at the nodulus and uvula of the cerebellum with a train of 5-10 pulses caused a marked depression of the renal sympathetic nerve activity. The effective sites were located in a small lateral region extending through the dorsal nodulus and encroaching the ventral uvula, at 2.9-3.7 mm lateral to the midline. The depression occurred predominantly contralaterally. Stimulation at this region with pulse trains lasting for several seconds caused a transient reduction of systemic blood pressure.

Action Potentials↗

The ventral uvula of the mouse cerebellum: a neural target of ethanol and vestibular stimuli.

The present study demonstrates that mice exposed to vertical translation stimulation exhibit a distinct parasagittal pattern of Fos-immunoreactive (Fos-IR) granule cells in the ventral uvula of the cerebellum. This pattern is identical to one produced by acute ethanol treatment. In contrast, yaw stimulation produces an entirely different pattern in this same region of the cerebellum. Similar results are obtained in the light or in total darkness. These results suggest an anatomical and functional organization within the granule cells of the ventral uvula that may be a common neural substrate for some effects of ethanol and particular vestibular stimuli.

Animals↗

Antiphasic Purkinje cell responses in mouse uvula-nodulus are sensitive to static roll-tilt and topographically organized.

Two vestibular pathways converge at the uvula-nodulus to modulate the discharge of Purkinje cell complex and simple spikes (CSs and SSs). In the mouse, vestibular primary afferent mossy fibers originate from each of the end organs of the ipsilateral labyrinth and terminate in the granule cell layers of folia 9c-10. Vestibular climbing fiber projections originate from the contralateral beta-nucleus and dorsomedial cell column (dmcc) and terminate directly on Purkinje cells. CSs and SSs could be regulated independently or they could be co-dependent. Here we examine how the discharges of CSs and SSs are modulated by sinusoidal and static roll-tilt in the uvula-nodulus of mice anesthetized with either chloralose-urethane or ketamine-xylazine. All vestibularly-driven CSs and SSs were sensitive to static roll-tilt. None were sensitive to horizontal vestibular stimulation. CSs were modulated in phase with ipsilateral roll-tilt. SSs were modulated out of phase. Spontaneous discharges of CSs were followed by a pause in SSs. Phase leads of CSs and SSs with respect to sinusoidal roll-tilt were advanced by ketamine-xylazine anesthesia relative to chloralose-urethane anesthesia by approximately 45 degrees. The antiphasic modulation of CSs and SSs was independent of anesthetic. Chloralose-urethane, but not ketamine-xylazine, induced spontaneous oscillations of CSs and SSs in 16% of Purkinje cells. Optimal planes of CSs in folia 9c-10 Purkinje cells were organized topographically into sagittal zones whose widths were approximately 400 microm. Purkinje cells with optimal planes in the posterior quadrant of the ipsilateral hemi-field were located in a medial zone. Purkinje cells with optimal planes in the anterior quadrant of the ipsilateral hemi-field were located in a lateral zone. The CS-associated pause in SSs establishes a vector-specific SS output. The amplitude of SS modulation may depend on parallel fiber-mediated signals to Purkinje cells as well as on the state of cerebellar interneurons.

Action Potentials↗

Control of spatial orientation of the angular vestibulo-ocular reflex by the nodulus and uvula of the vestibulocerebellum.

Eye velocity produced by the angular vestibulo-ocular reflex (aVOR) tends to align with the summed vector of gravity and other linear accelerations [gravito-inertial acceleration (GIA)]. Defined as "spatial orientation of the aVOR," we propose that it is controlled by the nodulus and uvula of the vestibulocerebellum. Here, electrical stimulation, injections of the GABAA agonist, muscimol, and single-cell recordings were utilized to investigate this spatial orientation. Stimulation, injection, and recording sites in the nodulus were determined in vivo by MRI and verified in histological sections. MRI proved to be a sensitive, reliable way to localize electrode placements. Electrical stimulation at sites in the nodulus and sublobule d of the uvula produced nystagmus whose slow-phase eye-velocity vectors were either head centric or spatially invariant. When head centric, the eye velocity vector remained within +/- 45 degrees of the vector obtained with the animal upright, regardless of head position with respect to gravity. When spatially oriented, the vector remained relatively constant in space in one on-side position, with respect to the vector determined with the animal upright. A majority of induced movements from the nodulus were spatially oriented. Spatially oriented movements were generally followed by after-nystagmus, which had the characteristics of optokinetic after-nystagmus (OKAN), including orientation to the GIA. After muscimol injections, horizontal-to-vertical cross-coupling was lost or reduced during OKAN in tilted positions. This supports the hypothesis that the nodulus mediates yaw-to-vertical or roll cross-coupling. The injections also shortened the yaw-axis time constant and produced contralateral horizontal spontaneous nystagmus, whose velocity varied as a function of head position with regard to gravity. Nodulus units were tested with static head tilt, sinusoidal oscillation around a spatial horizontal axis with the head in different orientations relative to the pitching plane, and off-vertical axis rotation (OVAR). The direction of the response vectors of the otolith-recipient units in the nodulus, determined from static and/or dynamic head tilts, were confirmed by OVAR. These vector directions lay close to the planes of the vertical canals in 7/10 units; many units also had convergent input from the vertical canals. It is postulated that the orientation properties of the aVOR result from a transfer of otolith input regarding head tilt along canal planes to canal-related zones of the nodulus. In turn, Purkinje cells in these zones project to vestibular nuclei neurons to control eye velocity around axes normal to these same canal planes.

Animals↗

The nodulus and uvula: source of cerebellar control of spatial orientation of the angular vestibulo-ocular reflex.

The nodulus and rostral-ventral uvula of the vestibulo-cerebellum play a critical role in orienting eye velocity of the slow component of the angular vestibulo-ocular reflex (aVOR) to gravito-inertial acceleration (GIA). This is done by altering the time constants of "velocity storage" in the vestibular system and by generating "cross-coupled" eye velocities that shift the eye velocity vector from along the body yaw axis to the yaw axis in a spatial frame. In this report, we show that eye velocity generated through the aVOR by constant velocity centrifugation in the monkey orients to the GIA in space, regardless of the position of the head with respect to the axis of rotation. We also show that, after removal of the nodulus and rostral-ventral uvula, the spatial orientation of eye velocity to the GIA is lost and that eye velocity is then purely driven by the semicircular canals in a body frame of reference. These findings are further confirmation that these regions of the vestibulo-cerebellum control spatial orientation of the aVOR.

Animals↗

Dynamic modification of the vestibulo-ocular reflex by the nodulus and uvula.

The time constant of the decay of slow-phase eye velocity of postrotatory nystagmus or optokinetic after-nystagmus is reduced during exposure to a stationary visual surround (visual suppression). It is also reduced after tilting the head (tilt suppression). A "dump" mechanism in the vestibulo-ocular reflex has been proposed to rapidly discharge activity from the central vestibular system during both types of suppression. Monkeys lost this mechanism after lesions of the nodulus and uvula. They also lost the ability to habituate the time constant of nystagmus on repeated exposure to optokinetic and vestibular stimuli. Periodic alternating nystagmus, which is believed to represent an instability in the vestibulo-ocular reflex, was observed in two of three monkeys. These data indicate that the nodulus and uvula play an important role in suppressing, habituating, and stabilizing the vestibulo-ocular reflex.

Animals↗

The cerebellar nodulus and ventral uvula control the torsional vestibulo-ocular reflex.

1. The vestibulo-ocular reflex (VOR) was investigated in rhesus monkeys before and after surgical ablation of the cerebellar nodulus and ventral uvula. The lesion resulted in an alteration of the torsional VOR: compensatory eye movements were poor in the low frequency range and the time constant was reduced to values comparable to those of primary semicircular canal afferents. In addition, animals permanently lost their ability to generate torsional optokinetic nystagmus (OKN). 2. The effects of the lesion on the torsional VOR differed from those observed in the horizontal and vertical vestibulo-ocular systems. While the vertical VOR and OKN were unaltered, the horizontal VOR and OKN were characterized by increased time constants and smaller phase leads during low frequency head oscillations. 3. These results suggest that the cerebellar nodulus and/or ventral uvula exert a distinct and specific dynamic control on the torsional vestibulo-ocular and optokinetic reflexes. Such specific effects on the torsional system could reflect a functional segregation of the vestibulo-cerebellum in terms of the controls of torsional versus horizontal and vertical slow phase eye movements.

Afferent Pathways↗

Lesion of the nodulus and ventral uvula abolish steady-state off-vertical axis otolith response.

1. During rotations that dynamically activate utricular and saccular primary afferents, the otolith system centrally detects the velocity and direction of rotation of the head in space. This property is experimentally manifested as a steady-state compensatory nystagmus during constant velocity off-vertical axis rotations. The computational, physiological, and anatomic details of this response remain presently unknown. Here we report that surgical inactivation of the cerebellar nodulus and ventral uvula abolished the ability of the otolith system to generate steady-state nystagmus during constant velocity rotation and to improve the dynamics of the vestibuloocular reflex (VOR) during low-frequency sinusoidal oscillations about off-vertical axes in rhesus monkeys. These results suggest that the cerebellar nodulus and/or ventral uvula comprise part of the neural substrate that is involved in these computations.

Animals↗

A crypto-lymphatic unit at the uvula of the monkey Macaca fascicularis. A light- and electron-microscopic study.

A crypto-lymphatic unit was observed at the left lateral aspect of the uvula of a mature female monkey, Macaca fascicularis. A light- and transmission electron-microscopic investigation revealed that the lumen of the crypt was filled with bacteria, desquamated epithelial cells, lymphocytes and neutrophils. The non-keratinized stratified squamous epithelium of the crypt was fragmented and showed heavy mononuclear cell infiltration and surface discontinuities, exposing lymphoid cells to foreign material. The lymphatic parenchyma consisted of organized lymphatic tissue including germinal centres. The resident cell population included lymphocytes of varying size, blastforming B- and T-lymphocytes and two types of reticular cells resembling the fibroblastic reticulum cell and the follicular dendritic cell, respectively. Occasionally granulocytes were encountered. At its base and laterally the crypto-lymphatic unit was ensheathed by a thin connective tissue capsule. Three other monkeys of the same species failed to reveal similar structures at the same site.

Animals↗