Professional Documents
Culture Documents
%ptic nerve
%ptic chiasma
%ptic tract
%ptic radiation
Area 8B
G.2. des%r#be so,e d#a'nost#% test .or <#sual a%u#ty.
+isual acuity/ refers to the resolving power of
the eye.
/An index of visual loss and
blindness.
5a.es use of#
0nellen1s chart
*andolt1s chart
-rating test pattern.
0nellen1s chart
*ine 8 > ;00ft
*ine ; > 800ft
*ine < > B0ft
*ine A > 50ft
*ine 5 > A0ft
*ine @ > <0ft
*ine B > ;5ft
*ine E > ;0ft
,uring the test, subects stand ;0ft from the chart. 2f at a
distance of ;0ft, the subect can read line E, then he has a ;0?;0
vision.
2f at a distance of ;0ft, the subect can read only up to line
5, he has ;0?A0vision, he has 85C visual lose.
2f at a distance of ;0ft, the patient ca read only up to line
;, he has ;0?800 vision and has 50C visual lose.
G.3. -"at are t"e <#sual .#eld de.e%ts #. a les#on o%%urs #n
any art o. t"e <#sual at"way/
A. anterior to the chiasma
!lindness on the same side
:nilateral blindness.
!. at the chiasma
heteronemous hemianopsia
$. optic tract &posterior(
congruent part, both retina
,. 3uadrant defect
partial lesion of the geniculo/calcarine tract J
area 8B, inverted
9. at the lateral geniculate body
visual field defects
pupils sparred
5. D#s%uss t"e .ollow#n' <#sual .un%t#ons and t"e#r
,e%"an#s,s1
5.+. Fun%t#ons related to br#'"tness ?"oto#% I s%oto#%
<#s#on@
5.+.+. 9e%etors #n<ol<ed and t"e#r d#str#but#on
5.+.2. St#,ul# .or re%etor a%t#<at#on
5.+.3. 6#',ents o. re%etors
5.+.G. Me%"an#s,s o. re%etor a%t#<at#on
7hotoreceptor cells have a tip or outer segment
composed of stac.ed layers of membrane, called discs.
)he discs hold the chemical substances that respond to
light.
7hotoreceptors also have an inner segment that
contains the nucleus, mitochondria, and other
organelles, and the synaptic terminal that connects the
photoreceptor to the next neurons in the retina.
)wo pigmented layers#
8.( $horoid
;.( 7igment epithelium
At the bac. of the retina, absorb
light and prevent its reflection
and scattering bac. through the
rods and cones.
)wo types of photoreceptors are called rods and %ones
because of their light/sensitive outer segments.
9ods
Rods are extremely sensitive and
respond to very low levels of
illumination
7hotosensitive, outward/directed
process of a rhodopsin/containing
rod cell in the external granular layer
of the retina
2n the low levels of illumination of
the dar.ened room, vision can only
be supplied by the rods.
)ones
$ones are considerably less
sensitive and respond only when the
light is bright
)he only photoreceptor in the fovea
centralis and become interspersed
with increasing numbers of rods
toward the periphery of the retina
5ade up of < photoreceptors#
Red cones > respond at
long wavelengths
!lue cones > respond at
medium wavelengths
-reen cones > respond at
short wavelengths
7hotoreceptors contain molecules called photopigments,
which absorb light
)here are A uni3ue photopigments in the retina.
%ne found in rods called rhodopsin.
)hree are found in cones#
$yanolabe &!lue cone(
$hlorolabe &-reen cone(
9rythrolabe &Red cone(
Rhodopsin &visual purple(
+itamin A
)he longer the individual stays in a light environment, the
greater the rhodopsin be converted to vit.A.
=rom a light environment L then going to the dar.
environment L the vit.A will reconverted to retinene K
opsin L rhodopsin &this will ta.e A0 minutes(
Dul#%#ty *"eory ?Ma7 S%"ultH@1
0cotopic vision
7hotopic vision
S%oto#% F#s#on
2nvolves vision in a dar. environment with activity of rods
7rocess ta.es about A0 minutes after prolonged exposure
to light due to bleaching of rhodopsin
*ight rays absorbed by rhodopsin in rods
Rhodopsin is activated
0odium influx
,epolarization of rods
6"oto#% <#s#on
2nvolves cones
"hen you are in a dar. environment, and goes out, your
eyelids will close because of dazzle reflex.
7rocess is immediate but not instantaneous due to the
dazzle reflex
Scientific term for human color vision under normal lighting
conditions during the day.
2n the range above <.A cd?m
;
, the human eye uses three
types of cones to sense light in three respective bands of
color.
)he pigments of the cones have maximum absorption
values at wavelengths of about AA5 nm &blue(, 5<5 nm
&green(, and 5B5 nm &red(.
Their sensitivity ranges overlap to provide continuous (but not
linear) vision throughout the visual spectrum.
The maximum efficacy is 683 lumens/ at a wavelength of
!!! nm (yello").
#n the range belo" $.$3% cd/m
&
' the human eye uses scotopic
vision.
#n the intermediate range' mesopic vision combines both types.
5.2. Fun%t#ons related to sa%e or t#,e
5.2.+. F#sual a%u#ty
resolving power of the eye
ability of eye to be able to see obect clearly at certain
distance
index of visual loss and blindness
5a.e use of #
o 0nellen1s chart
o *andolt1s chart
o -rating test pattern
Snellens %"art
0tandard chart when subect is at ;0 feet distance
o *ine 8 M ;00 ft.
o *ine ; M 800 ft.
o *ine < M B0 ft.
o *ine A M 50 ft.
o *ine 5 M A0 ft.
o *ine @ M <0 ft.
o *ine B M ;5 ft.
o *ine E M ;0 ft.
,uring the test, the subect stands ;0 ft. from the chart
2f at a distance of ;0 ft., the subect can read line E he has
;0?;0 vision
2f at a distance of ;0 ft. the subect can read only up to
line 5, he has a ;0?A0 vision, and has 85 C visual loss
2f at a distance of ;0 ft. the subect can read only up to
line ;, he has ;0?800 vision and has 50C visual loss.
5.2.2. For, d#s%r#,#nat#on
)he ability of the visual system to aid in the identification
of an obect in space, out of a total number of
possibilities, based on form alone.
Ability to perceive differences among and positional
aspects of obects.
)he child having a problem in this area is unable to
distinguish between similar geometric shapes such as a
s3uare, a rectangle and a diamond, or similar letters such
as , and n, or words such as "ose, "ouse and "orse
5.2.3. Fl#%0er Fus#on o. Fre=uen%y
9ye is subect to a series of flashing light called the
flic.ers
2nterval between flic.ers is shortened until a point is
reached when the flic.ers are seen as a steady light
0erves as the basis for motion pictures
5.3. D#s%r#,#nat#ons based on wa<elen't"
5.3.+. )olor <#s#on and t"eor#es
2 *H25932S1
A.( Noung/Helmholtz )heory
Assumes that there are O fundamental color
sensations corresponding to <
photochemical pigments in < different .inds of cones.
Assumes that the .ind of cone produced is
genetically determined.
Assumes that color blindness results from defects in
one or more of the
receptors.
$%690# "A+9 *96-)H0# %70260#
!*:9 short $NA6%*A!9
-R996 medium $H*%R%*A!9
R9, long 9RN)HR%*A!9
!.( Hering/Hurvich/Pameson )heory
Asserts that white and yellow are not
compounded colors but are pure
colors.
!*:9 opposing color N9**%"
R9, opposing color -R996
&composite of all colors( "H2)9
opposing color !*A$Q &absence of color(
0tates that each sensation evo.es its partner as a
negative after image
5.3.2. F#s#ble se%tru,
F3S3&(2 S62)*98M
8ltra<#olet below A50 mu
+2%*9) A00 > A50 mu
!*:9 A50 > 500 mu
-R996 500 > 5B5 mu
N9**%" 5B5 > @00 mu
%RA6-9 @00 > @;0 mu
R9, @;0 > B00 mu
3n.rared above B00 mu
$**93&8*2S 5F )5(59
H82
> the RobviousS name of color.
F$(82
> the lightness &tint( or dar.ness &shade( of a
color.
)H95M$
> the strength or wea.ness of a color, using a
5unsell chart.
/ the higher the chroma, the more impure the color.
e.g. high shade of yellow > blac.
tightest tint of yellow > white
5.G. 6er%et#on o. det"
5.G.+. 3nteros#t#on
( near obects conceal far obects by
RinterruptionS.
5.G.2. Mono%ular ,o<e,ent aralla7
( when ; obects are located at different
distances in space and then obects or the
observer moves, a change in perspective
ta.es place from the point of view of the
observer# the distant obect moves slowly, the
nearer obect moves rapidly.
5.G.3. &#no%ular ret#nal d#sar#ty
( the ; eyes are displaced in space by distance
of approximately @5 mm.
( each eye therefore perceives an obect at a
different perspective.
( total retinal retinal images, one in each eye,
are therefore dissimilar, but are perceived
usually as unitary whole.
5.G.G. Stereos%oy
( stereo systems are designed to prevent the
left image to the left eye, and the right image
to the right eye.
/ when presented at the same time to both eyes,
an illusion of depth is
created.
5.G.5. Holo'ra"y
( a variant of stereoscopy.
( records simultaneously multiple views of an
obect in space so that different aspects of the
obect becomes evident as the observer
moves about.
5.5. 5t#%s and re.ra%t#on
5t#%s
Geo,etr#% 5t#%s
study of light as propagated in a homogenous medium
2n a homogenous medium, light is propagated in a
straight line &ray(# incident ray
o 2t continues until it stri.es an obect
o As it stri.es an obect, the obect casts a shadow
o 2f the obect is illuminated by only one point source,
a sharp, well/delineated shadow is produced
o 2f the obect is illuminated by many point sources, a
diffuse shadow is produced, composed of an umbra
&the inner dar.er region( and a penumbra &the outer
partially illuminated region(.
2n the meantime, the ray of light may either be turned
bac. &reflection(4 may pass through and undergo bending
&refraction( or the obect will absorb the incident ray
&absorption(
6"ys#%al 5t#%s
study of light as it propagated in an elastic medium
"ay bac. in 8F0E, )homas Noung has proposed that
when light is transmitted through an elastic medium filled
with particles, it sets the adacent particles into vibration
and so vibratory motion, is transmitted
o )hus light is transmitted as transverse waves
&wavelengths(, and will therefore be described as
wave length &the distance between two successive
wave crests(
*ight wave stri.es an obect with a slit#
o *ight passes through the slit and treat the slit as a
new light source
o 2n successive passing of slits, there will be waves
that tend to overlap creating alternating light and
dar. bands > giving rise to defraction pattern
o 9xample# !eam of white light passes through a slit
with a prism# the white light will be bro.en into its
component wavelengths, creating the visible
spectrum
o Although most of the time, light waves are specified
in terms of wave length, it is best to express light in
terms of fre3uency
o )his is because as light passes through a medium,
the velocity and wave length change proportionally,
but the fre3uency remains the same
o "ave number is the reciprocal of wave length in
centimeters
*ight is generally described in terms of color, and if it
must be described with precision, the radiant energy is
specified in terms of wave length
)he visual sensation .nown as color is caused by light
with a definite wave length
+iolet M A00 > A50 mT
!lue M A50 > 500 mT
-reen M 500 > 5B5 mT
Nellow M 5B5 > @00 mT
%range M @00 > @;0 mT
Red M @;0 > B00 mT
:ltraviolet M <00 > A00 mT
2nfrared M B00 > E00 mT
"hen light entering the eye consists of more than one
wave length, the sensation produced is caused by the
combination of the wave lengths
(3GH*
may be expressed in the forms of#
a. -a<elen't"
length between ; successive crests
length between ; successive troughs
b. $,l#tude
maximum dispersion of a crest or trough from the
e3uilibrium position
%. Fre=uen%y
the number of cycles per second &Hertz(
d. -a<e Nu,ber
the reciprocal of wavelength in centimeters
wavelengths seldom travel alone
exist in two forms#
2n/7hase# crest of one coincides with crest of
another
o 0tri.e the retina at the same time# produce
an illumination e3ual to combination of the
two waves
%ut/7hase# crest of one coincides with trough
of another
o 0tri.e the retina at the same time# tend to
cancel out each other &no sensation is
produced(
(enses
)wo main types of lenses are of value#
+. S"er#%al lenses > those whose surfaces are
segments of spheres
a. )on<e7 lenses ?lus lenses@ > cause rays of
light to converge
b. )on%a<es ?,#nus lenses@ > cause rays of
light to diverge
2. )yl#ndr#%al lenses > possess one meridian &radius(
of curvature
)wo factors determine the focusing power of a lens#
+. )he #nde7 o. re.ra%t#on o. t"e lens
Refraction occurs when light passes from one
medium to another having a different optical
density. )he greater the difference between the
two media, the greater the bending of light.
)hus, the greater the optical density of a lens,
the greater the refraction of light.
2. )he rad#us o. %ur<ature
)he .o%us#n' ower of a lens varies inversely
with the radius of curvature.
)he stren't" o. a lens is measured in terms of
the focal distance
o Fo%al D#stan%e# ability of a lens to refract
light such that light come to a focus a
point after the lens. :sually 800 cm M
principal focus
As the lens bend the rays of light, they come to
a focus at a point called principal focus
)he distance between the lens and the
principal focus is called focal distance. 0uch
focusing power of a lens is called its refractive
power or diopter
o diopter, focusing power
o 0trength of normal human eye# @@.B
diopters
)he nodal point is that part of an optical system
where rays of light pass through without
refraction
9xample#
$ompare ! and $#
! has a lesser radius of
curvature4 $ has a greater lesser radius
of curvature4 both has the same
=ocal distance M 8.<<
Here, in terms of radius of curvature,
lens ! has a stronger focusing power
$ompare A and !#
A has a greater focal distance &8.A<(4 6 has a lesser focal
distance &8.<<(4 both has the same radius of curvature
Here, in terms of focal
distance, lens A has a stronger
focusing power
%verall# lens A has the most powerful focusing power
5t#% Med#a
different portions of eye capable of refraction
*ens M 8.<E@
$ornea &anterior surface( M 8.<B@
A3ueous Humor M 8.<<@
+itreous Humor M 8.<<@
the greatest bending occurs at the anterior
cornea
o %ptical density of air M 8.000< &carry
lightwaves to cornea(
o Anterior surface of cornea > 8.<B@
Here occurs the greatest bending of
light because of the great different
between optical density of air and the
anterior surface of the cornea
=rom the cornea, light travels to
A3ueous Humor &8.<<@( U *ens
&8.<E@(
J. Des%r#be t"e anato,y and role o. t"e ear.
J.+. -"at are t"e 'ross anato,#% arts o. t"e ear
J.2. G#<e t"e blood and ner<e suly o. t"e ear
G95SS $N$*5MA
3. 2:*29N$( 2$9
$. $ur#%le
( has a characteristic shape and collects air vibrations
( consists of a thin plate of elastic cartilage covered by s.in
( possess both intrinsic and extrinsic muscles supplied by
the facial nerve
5t"er stru%ture .ound #n t"e $ur#%le1
Hel#7
$nt#"el#7
)ura o. t"e ant#"el#7
)rus o. t"e ant#"el#7
)on%"a o. t"e aur#%le
)y,ba
)a<#ty
*ra'us
$nt#tra'us
3ntertra'#% not%"
$ur#%ular tuber%le
*r#a'ular .ossa
(obule o. t"e $ur#%le
&. 27ternal aud#toryEa%oust#% ,eatus
( a curve tube that leads from the auricle to the tympanic
membrane.
( it conducts sound waves from the auricle to the tympanic
membrane.
( frame wor. of the outer t"#rd of the meatus is elast#%
%art#la'e and the #nner two;
t"#rds is bone formed by the tympanic plate.
( lined by s.in, its outer third is provided with hairs and
sebaceous and %eru,#nous
'lands &modified sweat glands that secrete
a yellowish/brown wax# the hairs and the
wax ro<#des st#%0y barr#er t"at re<ents
t"e entran%e o. .ore#'n bod#es(.
Sensory ner<e1 auricolotemporal nerve and auricular branch of the
vagus nerve
(y," Dra#na'e1 to the superficial parotid, mastoid, and
superficial cervical lymph nodes.
33. M3DD(2 2$9 ?*AM6$N3) )$F3*A@
( an air/containing cavity in the petrous part of the temporal
bone and is lined with mucous membrane
( it contains the aud#tory oss#%les, whose function is to
transmit the vibrations of the tympanic membrane to the
perilymph of the internal ear.
( is a narrow, obli3ue, slit/li.e cavity whose long axis lies
approximately parallel to the plane of the tympanic
membrane
( it communicates infront through the auditory tube with the
nasopharynx and behind with the mastoid antrum.
( has a roo., .loor, anter#or wall, oster#or wall, lateral
wall, and ,ed#al wall.
( a#r and ,us%les such as tensor ty,an# and staed#us
,us%le also are contain in
the middle ear.
$. -alls
9oo.
( formed by a thin plate of bone the te',en
ty,an#, which is part of the petrous temporal
bone.
it separates the tympanic cavity from the
meninges and the temporal lobe of the brain in
the middle cranial fossa.
Floor
formed by a thin plate of bone, which may be
deficient and may be partly replaced by fibrous
tissue.
it separates the tympanic cavity from the superior
bulb of the internal ugular vein.
$nter#or wall
formed below by a thin plate of bone that
separates the tympanic cavity from the internal
carotid artery.
at the upper part of the anterior wall are the
openings into two canals. )he lower
andlar'eroen#n' / leads to the auditory tube
and the uer and s,aller / is the entrance into
the canal for the tensor tympani muscle.
the thin, bony, septum, which separates the
canals, is prolonged bac.ward on the medial wall,
where it forms a shelf/li.e proection.
6oster#or wall
has in its upper part a large, irregular opening, the
ad#tus to the mastoid antrum.
below this is a small, hallow, conical proection,
the yra,#d, from whose apex immerges the
tendon of the staed#us ,us%le.
(ateral wall
( largely formed by the tympanic membrane
*y,an#% ,e,brane
( is a thin fibrous membrane that is pearly gray.
( is obli3uely placed, facing downward, forward,
and laterally
( is circular and measures about 8cm in diameter.
( circumference is thic.ened and is slotted into a
groove in the bone.
6arts o. t"e *y,an#% ,e,brane1
8,bo / concave laterally, and at the depth
of the concavity is a small depression, the
&produced by the tip of the handle of the
malleus(.
*y,an#% sul%us ?'roo<e@, which forms a
notch is deficient superiorly.
=rom the sides of the notch the anter#or and
oster#or ,alleolar .olds pass to the lateral
process of the malleus.
)he small triangular area of the tympanic
membrane that is bounded by the folds is
slac. and is called ars .la%%#da. )he
remainder of the membrane is tense and is
called ars tensa.
)ympanic membrane is extremely sensitive
to pain and is innervated on its outer surface
by aur#%ulote,oral and aur#%ular bran%"
o. t"e <a'us ner<e.
Med#al wall
formed by lateral wall of the inner ear.
the greater part of the wall shows a rounded
proection, t"e ro,ontory, which results from
the underlying first turn of the cochlea.
.enestra <est#bule lies above and behind the
promontory4 is oval shaped and closed by the
base of the stapes.
on the medial side of the window is the perilymph
of the s%ala <est#bule of the internal ear.
below the posterior end of the promontory lies the
.enestra %o%"lea which is round and closed by
the secondary tympanic membrane. %n the
medial side of this window is the perilymph of the
blind end of the scala tympani.
&. $ud#tory oss#%les
Malleus
( the largest ossicle and possesses a head, a nec.,
a long process or handle, an anterior process,
and a lateral process.
Head
( rounded an articulates posteriorly with the incus
Neck
( constricted part below the head
Handle
( passes downward and bac.ward and is firmly
attached to the medial surface of the tympanic
membrane.
Anterior process
( is a spicule of bone that is connected to the
anterior wall of the tympanic cavity by a ligament.
Lateral process
proects laterally and is attached to the anterior
and posterior malleolar folds of the tympanic
membrane
3n%us
( possesses a large body and two processes &short
and long(.
Body
( rounded and articulates anteriorly with the head of
the malleus.
Long process
( descends behind and parallel to the handle of the
malleus.
( its lower end bends medially and articulates with
the head of the stapes.
Short process
proects bac.ward and is attached to the posterior
wall of the tympanic cavity by a ligament.
Staes
has a head, a nec. and two limbs and a base.
Head
small and articulates with the long process of the
incus.
Neck
narrow and receives the insertion of the stapedius
muscle.
Two limbs
diverge from the nec. and attach to the oval base.
Base
oval shaped, the edge of the base is attached to
the margin of the fenestra vestibule by a ring of
finrous tissue, the angular ligament.
Mus%les o. t"e oss#%les1
+. *ensor ty,an#
5r#'#n1 from the cartilage of the auditory tube and the
bony walls of its own canal
3nsert#on1 the slender muscle passes bac.ward and ends
in a rounded tendon, which
turns laterally around the processus
cohleariformis and is inserted into the
handle of the malleus.
Ner<e suly# a branch from the nerve to the medial
pterygoid muscle, which is a branch
of the mandibular division of the trigeminal
nerve.
$%t#on1 reflexly damps down the vibrations of the
malleus by ma.ing the tympanic
membrane more tense.
2. Staed#us
5r#'#n1 from the internal walls of the hallow pyramid
3nsert#on1 the tendon immerges from the apex of the
pyramid and is inserted into the nec.
of the stapes.
Ner<e suly1 from the facial nerve, which lies behind
the pyramid.
$%t#on1 reflexly damps down the vibrations of the stapes
by pulling on the nec. of that
bone.
). $ud#tory tube
( 9xtends from the anterior wall of the tympanic
cavity downward, forward, and medially to the
nasal pharynx.
( 2ts posterior third is bony, and its anterior thirds is
cartilaginous.
( 2t oins the nasal pharynx by passing over the
upper border of the superior constrictor muscle.
( 2t serves to e3ualize air pressures in the tympanic
cavity and the nasal pharynx.
D. Masto#d antru,
- lies behind the middle ear in the petrous
part of the temporal bone
- it communicates with the middle ear by
the aditus, which may be as l
large as 1cm in diameter.
Anterior wall
- related to the middle ear and contains
the aditus to the mastoid antrum.
Posterior wall
- separates the antrum from the sigmoid
venous sinus and the
cerebellum.
Lateral wall
- 1.5 cm thick and forms the floor of the
suprameatal triangle.
Medial wall
- crelated to the posterior semicircular
canal.
Superior wall
- thin plate of bone, the tegmen tympani,
which is related to the
meninges of the middle cranial fossa and
the temporal lobe of the
brain.
Inferior wall
- perforated with holes, through which the
antrum communicates with
the mastoid air cells.
2. Masto#d a#r %ells
( series of communicating cavities within a process
that is continuous above with the antrum and the
middle ear.
( lined with mucous membrane.
N29F2 S866(A1
*y,an#% ner<e
( arise from the glossopharyngeal nerve, ust below
the ugular foramen
( passes through the floor of the middle ear and
onto the promontory. Here it splits into branches
which form the ty,an#% le7us &supplies the
lining of the middle ear and gives off the lesser
petrousal nerve(.
33. 3NN29 2$9 ?($&A93N*H@
$. &ony labyr#nt"
( consists of three parts#
( &a.( <est#bule &b.( se,#%#r%ular %anals &c.(
%o%"lea
( these are cavities situated in the substance of the
dense bone, and is lined by endosteu, and
contain a clear fluid, the er#ly," which is
suspended in the membranous labyrinth.
Fest#bule
( central part of the bony labyrinth
( lies posterior to the cochlea and anterior to the
semicircular canals
( in its lateral wall are the fenestra vestibule, which
is closed by the base of the stapes and its anular
ligament, and the fenestra cochlea, which is
closed by the secondary tympanic membrane.
( lodge within the vestibule are the sa%%ule and
utr#%le of the membranous labyrinth.
Se,#%#r%ular %anals
( has superior, posterior and lateral parts which
open into the posterior part of the vestibule.
( each canal has a swelling at one end called the
a,ulla.
( the canals open into the vestibule by five orifices,
one of which is common to two of the canals
( lodge within the canals are the semicircular ducts.
)o%"lea
( resembles a snail shell structure.
( it opens into the anterior part of the vestibule.
6arts o. )o%"lea1
Mod#olus / it consists of a central pillar, the, around which a hallow
bony tube ma.es two and one/half spiral turns.
S#ral la,#na / a spiral ledge that winds around the modiolus and
proects into the
interior of the canal and partially divides it.
&as#lar ,e,brane / stretches from the free edge of spiral lamina
to the outer bony wall, thus dividing the cochlear canal
into the
s%ala <est#bule above and the s%ala ty,an# below.
&. Me,branous labyr#nt"
( lodge within the bony labyrinth.
( filled with endolymph and surrounded by
perilymph
( consists of the utricle and saccule, which are lodged in the
bony vestibule4 the three semicircular ducts, which lie within
the bony semicircular canals and the duct of the cochlea,
which lies within the bony cochlea.
8tr#%le
( larger of the two vestibular sacs
( indirectly connected to the saccule and the du%tus
endoly,"at#%us by the du%tus utr#%ulosa%%ular#s.
Sa%%ule
( globular and is connected to the utricle
( the ductus endolymphaticus, after being oined by the ductus
utriculosaccularis , passes on to end in a small blind pouch,
the sa%%us endoly,"at#%us, which lies beneath the dura on
the posterior surface of the the petrous part of the temporal
bone.
Se,#%#r%ular du%ts
( smaller in diameter than the semicircular canals
but has the same configuration.
( )hey arranged at right angles to each other so
that all three planes are represented.
( "henever the head begins or ceases to move, or
whenever a movement of the head accelerates or
decelerates, the endolymph in the semicircular
ducts changes its speed of movement relative to
that of the walls of the semicircular ducts.
( )his change is detected in the sensory receptors
in the ampullae of the semicircular ducts.
Du%t o. %o%"lea
( triangular cross section and is connected to the saccule by the
du%tus reun#ons.
( )he highly specialized epithelium that lies on the basilar
membrane forms the spiral organ of corti and contains the
sensory receptor for hearing.
N29F2 S866(A1
Fest#bulo%o%"lear ner<e
/ on reaching the bottom of the internal acoustic meatus it divides
into#
+. <est#bular ner<e
/ supply the utricle, saccule,and the ampullae of the semicircular
ducts.
/ expanded to form the vestibular ganglion.
2. %o%"lear ner<e
( the sensory ganglion ta.es the form of an elongated
spiral ganglion
( the peripheral branches of this nerve pass from the
ganglion to the spiral organ of corti.
J.3. G#<e an a%%ount as to t"e ,#%ros%o#% aearan%es
o. t"e arts and stru%tures #n t"e1
J.3.+. 5uter ear
J.3.2. M#ddle ear
J.3.3. 3nner ear
M3)95S)563) $662$9$N)2
*"e 2ar ?Fest#bulo%o%"lear aaratus@
/ functions are related to e3uilibrium and hearing.
$onsist of three parts#
27ternal ear/ receives sound waves
M#ddle ear/ sound waves are transmitted from air to bone
and by bone to the internal ear.
3nternal ear/ vibrations are transduced to specific nerve
impulses that pass via the acoustic nerve to the central
nervous system
/contains the vestibular organ which maintains
e3uilibrium.
3. 2:*29N$( 2$9
+. $ur#%le ?#nna@ > consists of an irregularly
shaped plate of elastic cartilage covered by
tightly adherent s.in on all sides.
2. 27ternal aud#tory ,eatus > somewhat
flattened canal extending from the surface into
the temporal bone.
( its internal limit is the tympanic membrane.
( a stratified s3uamous epithelium continuous with the
s.in lines the canal.
( hair follicles, sebaceous glands, and the ceruminous
glands are in the submucosa.
)eru,#nous 'lands
( are coiled, tubular glands that produce the cerumen or ear
waxVa brownish, semi/solid mixture of fats and waxes."a#rs
and %eru,en have probably protective function.
( the wall of the external auditory meatus is supported by
elastic cartilage in its outer third, whereas the temporal bone
provide support for the inner part of the canal.
*y,an#% ,e,brane ?#nner eardru,@
( lies across the deep end of the external auditory meatus.
( external surface is covered with a thin layer of epidermis.
( 2nternal surface is covered with simple cuboidal epithelium
continuous with the lining of the tympanic cavity.
( between the two epithelial coverings is a tough connective
tissue layer composed of collagen and elastic fibers and
fibroblast.
( is a structure that transmits soundwaves to the ossicles of the
middle ear.
33. M3DD(2 2$9 ?*AM6$N3) )$F3*A@
( is an irregular space that lies in the anterior of the temporal
bone between the tympanic membrane and the bony surface
of the internal ear.
( $ommunicates anteriorly with the pharynx via the aud#tory
tube ?2usta%"#an tube@ and posteriorly with the air/filled
cavities of the mastoid process of the temporal bone.
( *ined with simple s3uamous epithelium resting on a thin
lamina propria that is strongly adherent to the subacent
periosteum.
( )he simple epithelium that lines the middle ear is gradually
transformed into ciliated pseudostratified columnar eipithelium
near the auditory tube and in its interior.
( 2n the medial bony wall are two membrane/covered oblong
regions devoid of bone4 these are the o<al and round
w#ndows.
( )he tympanic membrane is connected to the oval window by a
series of three small bones, the auditory ossiclesVthe
malleus, incus and stapesVwhich transmit the mechanical
vibration generated in the tympanic membrane to the internal
ear.
333. 3N*29N$( 2$9
( $omposed of two labyrinths#
+. &ony labyr#nt"
( consists of a series of spaces within the petrous
portion of the temporal bone that house the
membranous labyrinth.
( filled with er#ly," which is similar in ionic
compositions to extracellular fluids elsewhere but
has a very low protein content.
( consists of spaces in the temporal bone.
*"ere #s #rre'ular %entral %a<#ty#
&a.( <est#bule/ houses the saccule and the utricle
&b.( se,#%#r%ular %anals/ encloses the semicircular ducts
&c.( %o%"lea / anterolateral in position4 contains the cochlear
duct
)o%"lea # <5mm in length, ma.es two and a half turns around a
bony core .nown as ,od#olus
Mod#olus1 has spaces containing blood vessels and the cell
bodies and the processes of the acoustic branch of the +222 cranial
nerve &spiral ganglion(.
/ lateral from the modiolus is a thin bone ridge, the
osseous spiral lamina.
5sseous s#ral la,#na1 extends farther across the cochlea in the
basal region than it does in the apex.
2. Me,branous labyr#nt"
( is a continuous epithelium/lined series of cavities of
ectodermal origin.
( it derives from the auditory vesicle that is developed
from the ectoderm of the lateral part of the embryo1s
head.
( contains endolymph which is characterized by its
low sodium and protein content and its high
potassium content
( during the embryonic development, this vesicles
invcaginate into the subacent connective tissue,
loses contact with the cephalic ectoderm, and
moves deeply into the rudiments of the future
temporal bone.
( two &;( specialized regions due to the process
mentioned#
&a.( utr#%le ; origin of the se,#%#r%ular du%ts
&b.( sa%%ule ; origin of %o%"lear du%t
( the epithelial lining becomes specialized to form
such sensory structures#
&a.( the ,a%ula of the utricle and saccule
&b.( the %r#stae of the semicircular ducts
&c.( or'an o. )ort# of the cochlear duct
Sa%%ule and 8tr#%le/ made up of thin sheet of connective
tissue
( lined with simple s3uamous epithelium
( in the wall# one can observe small regions of macula of
differentiated neuroepithelial cells that are innervated by
branches of vestibular nerve
( macula of the saccule lies in its floor4 the macula of the
utricle occupies the lateral wall so the maculae are
perpendicular to one another
( 5acula# consists of thic.ening of the walls and possesses
two types of receptor cells, some supporting cells, and
the afferent and efferent nerve endings
a. receptor cells &hair cells(/ characterized by the
presence of A0/E0 long rigid stereocilia, which are
actually highly specialized microvilli and one cilium
b. 0upporting $ells/ disposed between the hair cells
are columnar in shape, with microvilli in the apical
surface
Se,#%#r%ular Du%ts/ have the same general form as the
corresponding parts of the bony labyrinth.
( )he receptor areas in their a,ullae have an elongated
ridge/li.e form and are called %r#stae a,ullar#s
( #$ristae are structurally similar to maculae, but their
glycoprotein layer is thic.er4 this layer has a conical form
called %uula and is not covered with otoliths
( )he cupula extends across the ampullae, establishing
contact with its opposite wall
(
2ndoly,"at#% Du%t and Sa%
( initially has a simple s3uamous epithelial lining and
gradually changes to tall columnar epithelium which is
composed of two cell types as it nears the endolymphatic
sac. )hese cells are responsible for the absorption of
endolymph and for endocytosis of foreign material and
cellular remnants that may be present in the endolymphs.
)o%"lear Du%t
( /a diverticulum of the saccule, is highly specialized as a
sound receptor
( /about <5 mm long and is surrounded by specialized
perilymphatic spaces
( /divided into < spaces#
a. S%ala <est#bule &above( and
b. S%ala ty,an#/ contain perilymph and are in reality
one long tube, beginning at the oval window and
terminating at the round window. )hey communicate
at the apex of the cochlea via an opening .nown as
the "el#%otre,a
%. S%ala ,ed#a ?)o%"lear du%t@; middle
( /contains endolymph, ends at the apex of
cochlea
H#stolo'#% stru%tures1
a. Fest#bular ?9e#ssners@ Me,brane
( consists of ; layers of s3uamous epithelium,
one derived from the scala media and the other
from the lining of scala vestibule
( cells of both layers are oined by means of
extensive tight unctions that help preserve the
very high ionic gradients across this membrane
b. Str#a Fas%ular#s
( an unusual vascularized epithelium located in
the lateral wall of the cochlear duct
( consists of cells that have many deep infoldings
of their basal plasma membranes where
numerous mitochondria are located
%. 5r'an o. )ort#
( contains special auditory receptors
( contains hair cells that respond to different
sound fre3uencies
( it rests on a thic. layer ground substanceV
basilar membrane
( ; types of hair cells#
o outer "a#r %ells > "/shaped stereocilia
o #nner "a#r %ells > linear stereocilia
o W)he tips of the tallest stereocilia of the
outer hair cells are embedded in the
te%tor#al ,e,brane, a glycoprotein rich
secretion of certain cells of spiral limbus.
d. $ontain a large number of ,#%rotubules that seem to
impart stiffness to these cells. )hey outline a
triangular space between the outer and inner hair
cells; #nner tunnel which is important in sound
transduction.
7. D#s%uss t"e aud#tory and <est#bular at"ways.
7.+. *ra%e se=uent#ally t"e %o,onents o. t"e1
7.+.+. $ud#tory at"way
9e%etor1 %rgan of $orti
X
0pinal -anglion
X
$ochlear nerve
X
,orsal and ventral cochlear nuclei
X
3 a%oust#% str#ae#
+. Dorsal a%oust#% str#a
=rom dorsal cochlear nucleus
7asses over inferior cerebellar peduncle
$rosses at trapezoid body
Ascends and oins contralateral lateral lemniscus
2. 3nter,ed#ate a%oust#% str#a
=rom ventral cochlear nucleus
)a.es course similar to dorsal stria
3. Fentral a%oust#% str#a
=rom ventral cochlear nucleus
7asses anterior to inferior cerebellar pudencle
2psilateral and contralateral superior olivary nuclei
and nucleus of trapezoid body
X
*ateral lemniscus
X
6ucleus of inferior colliculus or directly to medial geniculate body
X
Auditory radiation
X
)ransverse gyrus of Heschl or Area A8
7.+.2. Fest#bular at"way
9e%etor1 $ristae ampularis of semicircular ducts and
5aculae of utricle and sacule
X
7eripheral process of bipolar cells
X
+estibular ganglion
X
+estibular nerve
X
+estibular nuclear complex
X
Ascending and descending fibers arise
X
8.( 0ome fibers go to cerebellum
;.( 0ome fibers go to certain motor cranial nerve nuclei
<.( 0ome fibers descend to cervical segments of spinal
cord
A.( 0ome fibers go to cerebrum via posteromedial ventral
nucleus of thalamus
7.2. -"at are t"e oss#ble ,an#.estat#ons #. a les#on
o%%urs #n any art o. t"e at"way/
A lesion of the right lateral lemniscus, or of the right
anterior transverse temporal gyrus, stops some impulses
from both ears but does not interfere with other impulses
from both ears proecting to the cortex of the left
hemisphere
,eafness in one ear usually signifies damage to the
acoustic &cochlear( nerve, the cochlea, or the sound/
conducting apparatus of the middle ear on that side.
)he hair cells of the cochlea can be damaged bilaterally
by toxic effects of some drugs, notably the
aminoglycosides &antibiotics such as gentamicin and
tobramycin( and salicylates &analgesics such as aspirin(
2nury to the sensory components of the inner ear or to
the fibers of the eighth nerve commonly produces
"ear#n' loss ?sensor#neural dea.ness@ and t#nn#tus
&i.e., ringing or roaring in the ear(
,isease affecting the auditory conducting mechanisms in
the middle ear may also cause hearing loss and tinnitus,
a %ond#t#on ter,ed %ondu%t#<e dea.ness.
Da,a'e to t"e #nner ear or <est#bular ner<e on one
s#de %auses an #,balan%e t"at %an rodu%e nausea,
<ert#'o, ostural #,balan%e, and abnor,al eye
,o<e,ents.
K. D#s%uss t"e "ys#olo'y o. aud#t#on.
K.+. 9e<#ew t"e "ys#%s o. aud#t#on
0ound is the ener'y o. <#bratory ,ot#on. 2t is the ade3uate
stimulus for hearing. 2t originates always at the <#brat#n' sour%e. 2t
must be transmitted from source to ears through air by the
movement of air molecules. )he disturbances of air molecules
ma.e up a sound wave. Sound wa<es consists of regions of
compression, in which air molecules are closed together and
pressure is high alternating with areas of rarefaction, where the
molecules are further apart and the pressure is lower. 2t is by these
disturbances &sound waves( that sound energy is transmitted.
0ounds are classified as either tones or noises. *ones
are regular, periodic vibrations, analyzable, when heard, into
components. No#ses are irregular, random vibrations, cannot be
analyzable when heard, into components.
)ones can be either pure or complex. A pure tone has a
single fixed fre3uency. 9x. )one emitted by a tuning for..
A complex wave form is made up of many fre3uencies of
vibrations. 9x. 0peech
)he wa<elen't"s of sounds are commonly described in
terms of .re=uen%y, expressed in the cycles per second and
designated as Hertz &Hz(, the number of waves passing a given
point in one second. =re3uency multiplied by wavelength e3uals the
<elo%#ty o. sound. 0ounds between 8000 Hz are heard most
.eenly in human ears, but the entire range of fre3uencies audible to
the human beings extends from ;0 to ;0,000Hz. )he fre3uency of
sound is related roughly to #t%". )he faster the vibration is, the
higher the pitch.
)he a,l#tude of the sound is related to its loudness.
0ound intensely levels are measured in power ratios. )he de%#bel
&d!(, 8?80 of the bell, is the ratio unit referring to ust audible to the
sound &threshold value(. )he highest decibel scale &around 8B5 d!(
is given to that produced by the Apollo booster.
5ost tones are complex and cannot be described by a
simple, single sinusoidal curved. )hey appear as complex forms.
See%" has an intensity of about @5d!. )he main
fre3uencies used in speech fall in the range of <00 to <500Hz.
0ounds that exceed 800d! can damage the peripheral auditory
apparatus, and those over 8;0d! can cause pain. As people age,
their ability to hear high fre3uencies decline, a condition called
resby%us#s.
K.2. Des%r#be t"e nor,al routes o. sound %ondu%t#on.
0ound waves enter the external auditory canal
X
"aves stri.e the tympanic membrane causing it to vibrate
X
%ssicular chain is set into motion
X
=luid vibrations or pressure waves travel within the inner ear are
dissipated
X
!asilar membrane vibrates
X
0timulation o hair cells of the organ of $orte
X
0timulation of afferent fibers of cochlear division of $6 +222
K.3. 27la#n t"e ,e%"an#s, #n t"e de<elo,ent o.
aud#tory ner<e otent#al.
)he ,e,brane otent#al of the hair cells is about
;J0,F. "hen the stereocilia are pushed toward the Qinocilium, the
membrane potential is decreased to about /50m+. "hen the bundle
of processes is pushed in the opposite direction, the cell is
hyperpolarized. ,isplacing the process in the directions that are
intermediate between these two directions produces depolarization
or hyper polarization that is proportionate to the degree to which the
direction is toward or away from the Qinocilium. )hus, the hair
process provides a mechanism for generating a change in
membrane potential proportionate to the direction and distance the
hair moves.
A t# l#n0s tie the tip of each stereocilium to the side of its
higher neighbors and at the unction are cations channels in the
higher processes that appear to be mechanically sensitive. "hen
the shorter stereocilia are pushed toward the higher, the open rime
of these channels increase Q
K
the most abundant cations in the
endolymph/ and $a
;K
enter via the channel and produce
depolarization.
)here is still considerable uncertainty about subse3uent
events. However, one hypothesis is that molecular motor in the
higher neighbor next moves the channel toward the base, releasing
tension in the tip lin.. )his causes the channel to close and permits
restoration of the resting state.
,epolarization of hair cells causes them to release
neurotransmitter, probably glutamine, which initiates depolarization
of neighboring afferent neurons.
)he processes of the hair cells proects into the
endolymph whereas the bases bathed in perilymph. )hese
arrangements are necessary for the normal production generator
potentials.
K.G. Des%r#be t"e ,e%"an#s, #n<ol<ed #n
K.G.+. Mas0#n'
"hen two sounds stimuli are presented simultaneously,
the sensation of one stimulus &,as0ed tone( may be suppressed
by the sensation of the other &,as0#n' tone(. )he mas.ed tone
sensation remains obliterated unless it physical intensity is
increased.
5as.ing is greater when the mas.ed tone fre3uency is
close &but not identical( to the mas.ing tone fre3uency.
)he mas.ing effect is almost totally absent when mas.ing
and mas.ed tones are presented to different ears.
5as.ing does disappear immediately on removal of the
mas.ing tone. )he phenomenon of auditory fatigue occurs, where
the threshold for the mas.ed tone drops gradually to its normal
level. )his is temporary deafness following loud auditory sensations.
K.G.2. (o%al#Hat#on
Auditory localizations depend on two ears and their
displacement, each ear giving a somewhat different &unconscious(
sensation of the same sound source.
0ound waves at two ears emanating from the same
source may differ in three ways. )he differences are the cues for
localizations.
8. )he #ntens#ty;d#..eren%e is the amplitude differential
between wave forms at the ears. )he difference may
approach Bd! when the source is @0degrees to the
right front of the median plane4 sound waves at the
right ear are Bd! more intense than those of the left
ear. )he effect is most pronounced for high
fre3uency stimuli whose short wave lengths suffer
amplitude loss when traveling around corners.
;. )he t#,e;d#..eren%e is the period between first
stimulus arrival at one ear and second stimulus
arrival at the other. )he difference ranges from <0/
B00 milliseconds.
<. )he "ase;d#..eren%e is the lag between stimulus
wave form at one ear and the stimulus wave form at
the other. =or sinusoidal waves, the stimulus at one
ear may be at a trough while the stimulus of the
other is at the crest. )he differences is most
important for irregular wave forms &as speech( for
when regular wave forms lag enough, they are again
in phase.
K.G.3. 2%"olo%at#on
9cholocation is an unconscious evaluation of reflected
echoes from obects, enabling the individual to find way through
complicated obects pattern. 2t is well developed in blind individuals.
L. D#s%uss t"e "ys#olo'y o. t"e <est#bular syste,.
Fest#bular Syste,s Fun%t#on1
2t operates reflexly to stabilize vision &permits eye to remain
fixed on a point in space as head moves(
$oordinates balance and motion of eyes, head, trun., and
limbs.
2t provides continual inertial guidance to resist gravity and
avoid falling down during ris.y maneuvers.
L.+. State t"e role layed by t"e <est#bular syste, #n
nor,al ,o<e,ents o. t"e "ead w"en t"e body #s
stat#onary and w"en t"e body #s ,o<#n'.
Fest#bular Syste,s 9ole #n 9otat#onal ?an'ular@ $%%elerat#on
o. t"e Head
)he vestibular system1s role is to .eep the brain always
informed about the head1s movements so that the brain
can performed proper changes in the eye movements
and in the tone of the body1s muscles maintaining
posture.
0emicircular ducts are the receptor organs for angular
acceleration of the head.
Rotational acceleration in the plane of a given
semicircular duct stimulated its crista.
"hen the head begins to move, the fluid within the
duct lags behind because of inertia pushing the
%uula in a direction opposite to the direction of
rotation.
Resulting to stereocilia of hair cells bended,
producing either depolarization or hyperpolarization
o !ending of the stereocilia toward the .inocilium
&same to the direction of the cupula( will
depolarize the hair cells
o !ending of the stereocilia away from the
.inocilium &same to the direction of the cupula(
will hyperpolarize the hair cells
"hen inertia is overcome the fluid follows the
rotation of the duct.
At constant speed of rotation copula swings bac.
into resting position resulting to sterecilia returning to
upright position and the hair cell goes bac. to resting
membrane potential.
"hen rotation stops endolymph pushes the cupula
to the direction of the acceleration, bending the
stereocilia and producing receptor potential again.
$upula returns to midposition in ;5/<0 seconds.
)he ducts are only sensitive to changes in motion
&acceleration(. )hey are insensitive to constant angular
velocity.
)he ducts wor.s in pairs. "henever one is excited
&depolarized(, the other is inhibited &hyperpolarized(.
)he pairs are# horizontal ducts of right and left side4
and anterior vertical duct of one side and posterior
vertical duct of the other side.
)he uni3ue pattern of activity generated by the ducts is
used by the $60 to interpret the speed and direction of
head movement and to ma.e appropriate adustments in
posture and eye position.
Fest#bulo;o%ular 9e.le7 ?F59@
+estibulo/ocular reflex maintains visual fixation on
stationary points while the head rotates.
0table retinal images are provided almost exclusively by
the +%R4 it does not depend on visual feedbac. and is
present in blind individuals
+%R compensation used smooth/pursuit eye movements
which has two following components#
a. Slow )o,onent
0timulation of the vestibular receptors evo.es
eye movement of e3ual magnitude in the
direction opposite to the head.
)his prevents the image from moving off the
fovea4 allows the person to fix his gaze on a
stationary obect even if the head is moving.
9yes can be rotated usually as far as @0Y.
b. Fast or Mu#%0 )o,onent
After the eyes have rotated to its limit, they
rapidly return to the center of the soc.et &or er.
3uic.ly to the opposite side( and then focus the
obect again.
2f the heads continues to rotate, these er.s will
continue to occur.
)his is important to .eep the fovea from being
exhausted.
Fest#bular Syste,s 9ole #n (#near $%%elerat#on
0till the vestibular system provides information regarding
the head1s movements to the $60.
)he maculas of the utricle and saccule are responsible for
detecting linear acceleration and static position of the
head.
)he otoliths are heavier than the endolymph, and during
movement they exhibit inertial delay and tend to sin. and
bend the stereocilia of the hair cells.
0ince the macula o the saccule is oriented vertically in the
sagittal plane, a change in upward or downward
acceleration results in deformation of stererocilia.
At erect position the macula of the utricle lies in the
horizontal plane, so the gelatinous matrix with
otoliths &otoconia( rests directly on the hair cells.
2f the head tilts or accelerates in the horizontal
plane, the inertia of the otoliths causes the
gelatinous matrix to lag behind the movement of the
s.ull and thereby bens the sterecilia of the hair cells.
"hen the stereocilia bend towards the
.inocilium the cell becomes depolarized.
"hen the stereocilia bend away from the
.inocilium the cell becomes hyperpolarized
)he receptor potential influences the activity at the
synapses between the hair cells and the peripheral
processes of the vestibular ganglion cells
)he arrangement of hair cells is oriented in different
directions. 2n any changes of position of the head, some
cells are depolarized and some are hyperpolarized.
)he maculas also discharge tonically in the absence of
head movement because gravity1s pull on the otoliths.
Fest#bular Syste,s 9ole #n t"e Ma#ntenan%e o. 6osture
)he vestibular receptors provide information about the
position and motion of the head.
And together with visual cues from the eyes and
proprioception of the muscles, afferent signals are sent to
the centers in the brainstem.
!rainstem centers also receive signals from the motor
cortex, basal ganglia, and cerebellum.
9fferent pathways converge on the alpha neurons
innervating the s.eletal muscles especially the proximal
extensor muscles Fantigravity muscles(. Activities of
these muscles are adusted in response to displacement
of the body so as to maintain balance.
L.2. Des%r#be adatat#on and "ab#tuat#on.
$datat#on
Adaptation happens when the effects of movement are no
longer disturbing in a prolonged single exposure.
$an occur if the rate of rotation is less than @/B rpm.
Rotations above 80 rpm, longterm adaptation is
impossible
Hab#tuat#on
Refers to being accustomed the effects of repeated
angular rotations or acceleration.
5ay occur in tumblers, divers, and figure s.aters.
L.3. Des%r#be nysta',us and #ts ,e%"an#s,
7ersistent stimulation of hair cells in the ampulla of a
semicircular canal causes the eyes to move slowly to one
side until they reach physical limit and then er. 3uic.ly to
the opposite side.
)hese movements occur repetitively in rapid succession
and produce tremor/li.e oscillations of the eyes .nown as
nysta',us.
6ystagmus is consists of a normal reflex response to
rotation or unilateral &unbalanced( stimulation of one of
the semicircular canals.
!y convention, the movement of nystagmus refers to the
direction of the fast component, although this is opposite
to the movement induced by stimulation from the
semicircular canal.
$linical tests of vestibular function chec.s for nystagmus
on vestibular stimulation
)l#n#%al *est#n' to 2l#%#t Nysta',us
$. 9otat#on test
$an be performed by turning the patient in a
revolving chair with the head tilted forward <0
degrees to bring horizontal canals parallel with the
floor.
After 80 or 8; turns, movement stops abruptly.
5omentum causes the endolymph to reverse
direction and to flow in the direction in which the
head had been turning.
)he induced nystagmus, called ostrotatory
nysta',us, lasts about <0 seconds in
neurologically normal persons.
)he slow component of nystagmus follows the
movement of the endolymph, while the fast
component moves to the opposite.
+estibulo/ocular reflex can be evaluated
3uantitatively in response to physiologic rotation at
various different test fre3uencies.
&. )alor#% or *"er,al *est
)his permits testing of the vestibular system of each
side separately.
:sually the examiner places the patient either in
prone with head tilted forward about <0 degrees or
seated with the head tilted @0 degrees.
)his brings the horizontal semicircular canal into the
vertical plane
)hen the patient1s external auditory canal is irrigated
with either warm or cold water.
)his raises or lowers the temperature of the
endolymph closes on the side of the semicircular
canal closest to the middle ear
$onvection current causes deviation of the
ampullary crest, which stimulates the hair cells and
leads to nystagmus.
"arm water irrigation on the right results to
convection current moves superiorly, similar to
the effects of the head rotating to the right in
the horizontal position. &slow component to the
left, and fast component to the right(
2rrigation with cold water causes current to be
reversed, similar to rotating to the left. &slow
component to the right, and fast component to
the left(
)his test can be recorded graphically by placing
recording electrodes on the patient1s face near
the eyes and using appropriate amplification
and recording e3uipment.
+0. D#s%uss t"e se=uent#al %o,onents o. t"e .ollow#n'1
+0.+. 5l.a%tory at"way
+0.2. *aste at"way
++. D#s%uss t"e "ys#olo'y o. ol.a%t#on and taste.
smell and taste are generally classified as <#s%eral
senses because of their close association w?
gastrointestinal fxn
physiologically, they are related
both taste and smell receptors are %"e,ore%etors
that are stimulated by molecules in solution in mucus in
the nose and saliva in the mouth
5(F$)*35N
receptor# ol.a%tory neuron &bipolar neuron(
odorants
;sense of olfaction
/substance that can stimulate smell
e..e%t#<e odorant
/should be volatile to reach the olfactory mucosa to smell it
/must be able to be in a solution to be dissolved covering the
olfactory cells
6r#,ary 5l.a%tory Sensat#ons
&odor 3ualities(///&natural stimuli w? these odors(
camphoraceous///eucalyptus
mus.y or ambrosaire///mus., amber
floral or fragrant///roses, violets, asmine
pepperminty///peppermint, carbonic acid
ethereal or fruity///pears, apples
pungent or burned///vinegar
putrid///rotten eggs, bed bags
)"ara%ter#st#%s o. an 2..e%t#<e 5dorant
8. volatile
;. water soluble to some degree
<. lipid soluble to some degree
Fa%tors $..e%t#n' 5dor 6er%et#on
8. action potential pattern generated in the different olfactory
neurons
;. attentiveness
<. state of olfactory mucosa
Wif your olfactory is not functioning?not affective so wont be able to
affect odor perception
A. hunger
5. sex
@. smo.ing
27%#tat#on o. 5l.a%tory 9e%etor Neurons
odorant &odorivector(
receptor potential
cortex
$bnor,al#t#es o. 5l.a%t#on
8. Anosmia/absence of sense of smell
;. Hposmia/diminished olfactory sensitivity
<. ,ysosmia/distorted sense of smell
*$S*2
taste
/part of flavor
.la<or
/desirable taste includes an element of pain stimulation &e.g. hot
sauces(
/smell plays an impt. role in the overall sensation produced by food
/texture
/temperature of foods also contribute to the flavor
receptor organ# taste buds
found in the papillae
basal cells
sustentacular cells/type 8J; cells
gustatory cells &that ma.e synaptic connections to sensory
nerve fibers(/type < cells
nerve supply#
8. the chorda tympani branch of the .a%#al ner<e ?)N F33@;
supplies the taste buds on the anterior ;?< of the tongue
;. 'losso"aryn'eal ner<e?)N3:@/supplies taste buds on
the posterior 8?< of the tongue
<. <a'us ner<e?)N:@/supplies a few taste buds in the
larynx and upper esophagus
&as#% *aste ,odal#t#es
8. sweet
;. sour
<. bitter
A. salty
5. umami
/triggered by glutamate and particularly by the monosodium
glutamate &50-(
Wit is used to be thpight that the surface of the tongue had special
areas for each of these sensations, but it is now clear that all are
sensed from all parts of the tongue and adacent structures
Wit is now become clear that the afferent nerves to the nucleus
tractus solitaruis contain fibers from all types of taste buds, w?o any
clear localization of types
Me%"an#s, by wE% %"e,#%als %ause an #n%rease release o.
neurotrans,#tter .ro, taste re%etor %ells
8. direct passage of ions through ion channels
/channels are open all the time
ex. salt, sour &acid(
;. bloc.age of ionic channels
ex. acid, bitter via bitter 8 receptor
<. opening of ionic channels
ex. umami/50-
A. activation of ;
nd
messenger systems through ligand
interactions w? membrane
/calcium is released from intracellular
ex. sugar, bitter &3uinine( via bitter receptor(
blends,tastes as one
Wsour, salt, cold
Wsweet, bitter, warm
$bnor,al#t#es o. Gustat#on ?taste@
8. Ageusia/absence of sense of taste
;. Hypogeusia/diminished taste sensitivity
<. ,ysgeusia/disturbed sense of taste
S#'nal *ransdu%t#on
sapid? taste/producing substances
dissolve in saliva