Vestibular projections to hypothalamic supraoptic and paraventricular nuclei

The effects of electrical stimulation of the eighth nerve and caloric stimulation of the labyrinth were tested on the spontaneous or evoked electrical activity of single neurons located in the hypothalamic supraoptic (SON) and paraventricular (PVN) nuclei. It was found that these neurons responded to both kinds of stimulation. In particular, the neurons of the SON showed a predominant response pattern characterized by a sequence of excitation-inhibition, whereas the neurons of the PVN showed different patterns of response with various combinations of inhibition and excitation sequences. The latencies of these neuronal responses to the electrically induced eight nerve volleys were compatible only with a polysynaptic connection. The possible pathways involved in this vestibulo-hypothalamic relation as well as their functional role are discussed.

Drilling the posterior wall of the petrous pyramid: a microneurosurgical anatomical study

Posterior approaches to the petroclival area requiring extensive drilling of the posterior pyramidal wall have been described in the last 10 years. If hearing is to be preserved, damage to the inner-ear structures must be avoided; however, the fine points of this pyramidal drilling technique have never been reported in detail. A microneurosurgical anatomical study was undertaken in 15 cadavers to determine the relationships between bone landmarks and labyrinthine structures that could be used to give some practical drilling guidelines. Drilling of the posterior pyramidal wall is facilitated on identification of the intersection of the petrous ridge with the most anterior portion of the bone ledge covering the sigmoid sinus (petrosigmoid intersection), the bony operculum of the endolymphatic sac, and the petrous ridge. Drilling may proceed rather safely at a minimum depth of 2.5 mm in an area 0.9 cm anterior and 1 cm inferior to the petrosigmoid intersection and petrous ridge, respectively. From there, identification of the vestibular aqueduct, genu, and horizontal portion is necessary to safely open the posterior wall of the internal auditory canal. The vestibular aqueduct represents the lateral and superior limits of drilling. The bone between these areas may then be safely drilled to a depth of at least 2.5 mm. A microneurosurgical dissection of the posterior pyramidal wall conducted in cadaveric material according to these guidelines did not violate any inner-ear structures.

Structure of avian tectorial, otolithic, and cupular membranes

Any explanation of cochlear and vestibular micro-mechanics must include the contributions of the tectorial (TM), otholithic (OM), and cupular (CM) membranes. However, unresolved questions about the microarchitectures of these membranes and the types and number of attachments to their underlying sensory areas have hampered the development of micro-mechanical models of transduction. These membranes are notoriously difficult to preserve because they undergo severe shrinkage during fixation and embedding. We have empirically developed fixation procedures that reduce shrinkage and thereby preserve the microarchitectures. As a result, we can realistically depict the spatial relations and attachments of tectorial, otolithic, and cupular membranes to their respective sensory areas.

Will man need the vestibular system in generations to come? A slightly heretical review

Some people are of the opinion, that man's evolution reached a plateau when he became self-aware. Thus, the argument goes, he was enabled to reflect on what happened to him and what he did to his environment. Subsequent to that man would think ahead to the consequences of his actions and thereby actively shape his future to ensure optimal survival of his species. And this state of course no longer could be called evolution in the classical sense. Need one comment on the vanity of the hope for such a state? Let us assume then, that the evolution of man has not ended, but will continue and that man has barely a clue, yet, as to the direction it may lead.

Zebrafish inner ear sensory surfaces are similar to those in goldfish

The inner ear of the zebrafish (Brachydanio rerio) is very similar to that of the goldfish in its structural details, including the distribution and orientation of mechanosensory hair cell populations. Both species have been used in studying different aspects of the acoustic startle response. These structural similarities suggest that the zebrafish is a valid representative model for understanding peripheral hearing specializations in otophysan fishes.

Development of the vestibular and auditory system of the northern native cat, Dasyurus hallucatus

The developing vestibular and auditory system of the native cat Dasyurus hallucatus was examined from birth to day 55 postpartum to determine when the six sensory regions had an adult structure. The utricle, a sensory epithelium with an overlying discrete population of otoliths, was present in the newborn native cat. The saccule, which has a similar structure to the utricle, and the three crista ampullaris of the semicircular canals, were present by day 21 postpartum. The organ of Corti was formed by day 50 and the external ear duct was patent by day 55 postpartum. Hair is first seen on the native cat by day 45 when the young first leave the pouch. They are left in the nest and travel on the back of the lactating mother until about day 80. The eyes open on approximately day 75. Thus, the native cat has fully functional visual, auditory, and vestibular systems when the juvenile leaves the nest.

Effects of Ginkgo biloba extract (EGb 761) on the guinea pig vestibular system

Previous studies have demonstrated that the administration of Ginkgo biloba extract (EGb 761) improves the compensation of the vestibular syndrome induced by transection of the VIIIth nerve. To investigate the mechanisms at play, the vestibular nuclei of alert guinea pigs were perfused with EGb 761. This perfusion always induced a stereotyped reversible postural syndrome that was the mirror image of the syndrome provoked by the unilateral lesion of the otolithical receptors. This result supports the hypothesis that EGb 761 has a direct excitatory effect on the lateral vestibular nuclei (LVN) neurons. In a second step, we quantified the horizontal vestibuloocular reflex (HVOR) of the normal guinea pig following IP injection of EGb 761. In normal guinea pig, IP administration of EGb 761 led to a reversible, dose-dependent decrease of the HVOR gain without affecting the phase of the reflex. These data help to explain the therapeutic effects of EGb 761 during vestibular syndromes and strongly suggest an impact at the neuronal level.

The efferent control of the organs of balance and equilibrium in the toadfish, Opsanus tau

All vertebrates are endowed with a vestibular efferent system (EVS) consisting of somata within the central nervous system with long axons exiting the brain to innervate the labyrinth. Behaviorally relevant stimuli related to feeding and/or aggressive behaviors and conditions leading to enhanced attentional states or alerting activate the EVS. Increased EVS activity modifies the resting rate and response dynamics to motion of vestibular afferents. This modification is nonuniform across the fiber spectrum of the semicircular canals, for example, affecting the more-sensitive, low-spontaneous-activity cells more profoundly than their less-sensitive counterparts. The cellular bases for EVS effects are excitatory axoaxonic synapses upon primary afferents and axosomatic inhibitory synapses upon hair cells.

Periductal vessels of the endolymphatic duct

Light microscope was used to examine the rich vascular plexus surrounding the human endolymphatic duct, both in the periductal loose connective tissue and in the bony channels surrounding the bony vestibular aqueduct. We also performed computer-aided three-dimensional reconstruction on one serially sectioned region of the endolymphatic duct. We found an anastomotic and looping network of vessels residing in the loose connective tissue close to the epithelium of the endolymphatic duct. This network often received a vascular contribution from the vessels in the periaqueductal bony channels. These findings were verified by light microscopic examination of 50 temporal bone specimens. Concurrent with this finding, histologic examination also showed different characteristic features of the vascular system of the endolymphatic duct-proximal sac areas and of the more distal parts of the endolymphatic sac. These features include the arrangement, quantity, and contents of the periaqueductal bony channels, as well as the organization of the bone containing these periductal bony channels. Findings from this study help the understanding of the anatomy of the human endolymphatic duct. In addition, they support and supplement earlier observations of the structure of the endolymphatic duct. We suggest the possible existence of a periductal vasculature system, similar in pattern to that in the endolymphatic sac, but specialized to work with the duct to aid its function.

Cell and molecular anatomy of nicotinic acetylcholine receptor subunits and calcitonin gene-related peptide in the rat vestibular system

In this report we demonstrate the pattern of calcitonin gene-related peptide (CGRP) mRNA and immunoreactivity in the central and peripheral vestibular system of the rat, using a CGRP cRNA probe and a polyclonal CGRP antiserum. We present evidence that somata in all regions of efferent vestibular neurons contain CGRP based on the correspondence between in situ hybridization (mRNA) and immunohistochemistry (mRNA translation product). CGRP immunohistochemistry (CGRPi) and in situ hybridization confirm that CGRPi axons and terminals present in the vestibular neuroepithelium are efferent in origin. Immunoelectron microscopy revealed an extensive innervation of the afferent vestibular pathway by CGRPi terminals that was not limited to the primary afferent chalice, as previously reported by Tanaka et al. (Brain Res 1989;504:31-5). An efferent neuromodulatory role of CGRP can be inferred from the distribution of terminals found on the primary afferent fibers, and type I and type II hair cells. In addition, we present evidence that nicotinic acetylcholine receptor (nAChR) subunit mRNA is expressed by primary afferent cell bodies. On the basis of these data, a hypothetical molecular mechanism of vestibular efferent modulation of the primary afferent pathway is proposed.

Localization of substance P-like immunoreactivity in guinea pig vestibular endorgans and the vestibular ganglion

The immunocytochemical distribution of substance P (SP) in guinea pig vestibular endorgans and the vestibular ganglion was investigated. Two kinds of SP-immunoreactive fibers were distinguished. Most were thick, and found around or beneath sensory hair cells. These SP-immunoreactive fibers were distributed predominantly on the slope of the crista and the peripheral region of the macula. By electron microscopy, we confirmed this type of SP-like immunoreactivity to be restricted within primary afferent neurons. Some vestibular ganglion cells also showed SP-like immunoreactivity, suggesting that SP is present in some primary afferent neurons, and is involved in afferent neurotransmission. The characteristic distribution of SP may indicate functional differences within each endorgan. The other group of immunoreactive nerve fibers, varicous thin fibers, could be found in the stroma of vestibular endorgans, nerve trunk, vestibular ganglion, and along blood vessels of the vestibular ganglion. These fibers may have a different origin, and have an influence on blood flow and certain other functions.

Morphophysiology of synaptic transmission between type I hair cells and vestibular primary afferents. An intracellular study employing horseradish peroxidase in the lizard, Calotes versicolor

Intracellular records with glass microelectrodes filled with horseradish peroxidase (HRP) were taken from primary afferents of the horizontal semicircular canal in the lizard, Calotes versicolor. A coefficient of variation (CV) of the interspike intervals of spontaneous action potentials (APs) was calculated and correlated with the terminal morphologies of afferents within the canal crista. Irregular fibers with CV greater than 0.4 always correlated with a nerve chalice or calyx afferent terminal expansion surrounding one or more type I hair cells; more regular fibers with CV less than 0.4 always correlated with a dimorphic or bouton only terminal expansion of afferents. Afferents with a CV greater than 0.4 demonstrated miniature excitatory postsynaptic potentials (mEPSPs) that summated to initiate APs. APs were blocked by tetrodotoxin and mEPSP frequency was modulated by caloric stimulation. Cobalt application reversibly blocked mEPSPs. Electron microscopic examination of physiologically studied afferents with CV greater than 0.4 revealed synaptic profiles consisting of typical synaptic bodies and synaptic vesicles in the type I hair cell presynaptic to the nerve chalice. Examples of the interspike baseline in regular and irregular afferents suggest differential modes of impulse initiation in these two fiber types.

[Computer-aided three-dimensional reconstruction of the human vestibular aqueduct and the parvestibular canaliculus]

The vestibular aqueduct (VA) and paravestibular canaliculus (PVC) were reconstructed using a computer-aided three-dimensional reconstruction system (SERSERS) from five series of the serial, histopathological sections of the human temporal bones without alignment markers. In order to align the serial sections, more than ten sectional tissue structure images on a section such as the cochlea, VA, PVC, semicircular canals, ossicles and facial canal were compared with those on the consecutive section and the position was determined where the deviation of each sectional image pair would be the minimum in every direction. Repeating this procedure throughout the series of the sections, we could perform the overall alignment of the sections. As the standard viewing axis of reconstruction, we used the modiolus and constructed a triplet of images; posteromedial view image viewing from posterior surface side of the pyramis parallel to the modiolus, superior view image viewing from anterior surface side of the pyramis perpendicularly to the modiolus, anteromedial view image viewing from the internal carotid artery side perpendicularly to the modiolus. The triplet images of the cochlea, VA and PVC presented us their three-dimensional configuration and the spatial relationship among them. Superior view showed that the angle between the plane of the proximal portion of the VA and that of the basal turn of cochlea varied in a wide range from 53 degrees to 68 degrees. Anteromedial view showed that the angle between the plane of the distal portion of the VA and that of the posterior semicircular canal also varied in a wide range from 22 degrees to 49 degrees.(ABSTRACT TRUNCATED AT 250 WORDS)

[Neuroanatomical study of the efferent vestibular system. II. Distribution of the somas in the brain stem. A morphological and quantitative study]

EVNs are studied in the chinchilla by means of HRP tract tracer. Morphological and quantitative analysis have been made noting that the contralateral groups outnumber the ipsilateral ones. Group I has the biggest number of somas. Round somas predominate over oval and polygonal shapes. In relation with size 10-15 microns, somas predominate.

The vestibular apparatus of the opossum (Didelphis virginiana) prior to and immediately after birth

The vestibular apparatus of the opossum was examined shortly before and immediately after birth. A band of about 20 sensory cells was observed within the forming utricle by 24 h prior to birth. Stereocilia projecting from the apices of the sensory cells appeared intimately associated with a well-defined population of overlying otoliths. These morphological observations suggest that a functional utricle may be present at the time of birth and together with other senses (tactile, olfaction) may aid the newborn of this species in its migration from the birth canal to the pouch.

A simplified anatomical approach to thin section, high resolution CT of the ear and facial nerve

The pathological processes involving the ear require, for their accurate interpretation, a thorough but nevertheless working anatomical approach. An understanding of this complex, three dimensional anatomy of the ear, including the facial nerve, is the key to accurate diagnosis. This article reflects a simplified anatomical approach and demonstrates that computerised tomography is an admirable substitute for routine pluri-directional tomographic evaluation of the ear.

Three-dimensional anatomy of the human endolymphatic sac

Computerized and graphic three-dimensional reconstruction of a human endolymphatic duct and sac (ES) showed the ES to be a fusiform and flattened structure with marked tubularity, especially in the extraosseous region. The specimen was 18.2 mm long. It measured 60 X 200 microns at the isthmus portion of the endolymphatic duct and 200 X 7000 microns at the broadest part of the ES. The volume of the endolymphatic duct was 0.03 mm3 and of the ES, 1.85 mm3. The extraosseous ES volume represented more than two thirds of the total ES volume.

The vascular anatomy of the vestibular labyrinth in man

1. A survey of the literature on the vascular anatomy of the vestibular labyrinth in Man is presented, and the methods of investigation used to visualize the vessels are evaluated. A generally correct picture of the subject is provided by the various studies published since Siebenmann's monograph. There are, however, some conflicting points as well as some lack of data with regard to the course and relationships of the large vessels and the capillary areas of the cristae and maculae. 2. This study presents a systematic description of the vascular anatomy of the vestibular labyrinth in Man, from the main arterial and venous stems to the capillary areas, with particular attention to the relationships between the vessels and the osseous walls, neural, and membranous structures. The vessels were visualized by a composite method including the selective injection of the internal auditory artery with coloured silicone or India ink; the counterstaining of the labyrinth with osmic acid; the cutting of the petrous bone in 1-mm thick, serial sections that were cleared with methylsalicylate. The sections were studied by stereomicroscopy, using mainly reflected light. Photos and drawings were made to illustrate the findings. New names were introduced for vessels hitherto unnamed, and some traditional names were modified in order to give a more precise and descriptive terminology. 3. The description followed the two main arteries, the capillary areas and the three main veins. The vestibular labyrinth is supplied by the superior vestibular artery and by the inferior vestibular artery which is a branch of the vestibulo-cochlear artery. The superior vestibular artery runs along the anterior aspect of the vestibule from the utricular nerve up to the cristae of the superior and lateral canals. It supplies the macula of the utricle, the cristae and ampullar crures of the superior and lateral canals. The inferior vestibular artery runs mainly along the medial wall of the vestibule. It supplies the last tract of the scala media and the vestibular caecum with a peculiar pattern which appears to be an adaptation of the common cochlear arrangement to the different spatial condition. It also supplies the macula of the saccule, the crista and ampullar crus of the posterior canal as well as the simple crures of the three canals. The vascular arrangement of the maculae and cristae has a similar three-layered architecture.(ABSTRACT TRUNCATED AT 400 WORDS)

Neuroanatomy and physiology of the vestibular system relevant to dysequilibrium in the elderly

Vestibular disorders will often be seen in the company of nonvestibular disorders, rendering the care of the affected patient a multidisciplinary challenge. It is the particular role of the otolaryngologist to provide expertise on the diagnosis and management of vestibular system dysfunction.

Survival of the vestibular nerve after labyrinthectomy in the cat

Temporal bone studies in cat, monkey, and man demonstrate that the cell bodies of the primary vestibular neurons located in Scarpa's ganglion persist after labyrinthectomy. However, it is not known whether the centrally directed axon process of deafferented vestibular neurons survive or degenerate after labyrinthectomy. If the central axon were to persist, then the primary vestibular neuron could influence vestibular compensation or produce symptoms of vestibular dysfunction. In the present study the temporal bones and brain stem of four cats were prepared for light microscopic examination with hematoxylin-eosin, silver, and trichrome connective tissue stains. Cell counts within Scarpa's ganglion were performed. After labyrinthectomy, many intact axons were demonstrated in the brain stem, a finding that correlated with survival of neurons in Scarpa's ganglion. This study provides anatomic evidence that primary vestibular neurons that survive labyrinthectomy may retain their central axon processes. The persistence of this neural pathway and data from behavioral studies in the cat suggest that vestibular neurons may affect vestibular compensation after labyrinthectomy. Deafferented vestibular neurons may play a role in human vestibular compensation and dysfunction.

Histologic and statistical studies on hyalin bodies in the human endolymphatic sac

Hyalin bodies are amorphous, eosinophilic masses that protrude from the subepithelial connective tissue into the lumen of the endolymphatic sac. In this study, hyalin bodies were analyzed in two groups of temporal bones: normal bones and bones with cochlear otosclerosis. The results revealed that bones with cochlear otosclerosis had significantly more and larger hyalin bodies that did normal bones. In addition, the hyalin bodies in cochlear otosclerosis were denser and associated with more edema and loose connective tissue in the surrounding areas. Foamy macrophages, concentric calcific structures, and bony ingrowth were frequent features of the hyalin bodies in the cochlear otosclerosis. Our current hypothesis is that these hyalin bodies are repository of membranous cellular debris phagocytized by the macrophages. If this is true, the hyalin bodies may further support the proposed resorptive and phagocytic functions of the endolymphatic sac and the enzymatic concept in cochlear otosclerosis.

[Hormone receptors in the inner ear]

Vasopressin binding sites could be clearly demonstrated in the cochlea. Membrane staining was mainly limited to the apical and ciliar membranes of the cochlear and vestibular hair cells, and hence to membranes in which adenylate cyclase activity could not be demonstrated. In addition to V2-vasopressin receptors that mediate hormonal signals by adenylate cyclase activation and cAMP release, in V1-vasopressin-receptors extracellular vasopressin signal is mediated by the breakdown of inositol phosphates and the release of inositol-triphosphates and diacylglycerol. Inositol triphosphates were found to be responsible for the intracellular mobilization of calcium. The localization of vasopressin binding sites at the hair cell membranes, therefore, suggests that vasopressin contributes to the breakdown and release of phospholipid messenger molecules and is thus probably involved in cochlear and vestibular signal transduction.

The inner ear of the common rhea (Rhea americana L.)

The morphology of the inner ear in rheas was examined by light and electron microscopy. The shape is typically bird-like with very long semicircular canals. The anterior and posterior cristae have small septa cruciata. The vestibular sensory epithelia contain two main types of hair cell innervation; bouton-innervated hair cells and calyceal hair cells characterized by a surrounding nerve calyx. The utricular macula has a single zone of calyceal hair cells, while all other previously examined birds, except the mute swan, have 2 zones. The height of the tallest sensory hairs of the cristae is 20-30 microns. In the utricular and lagenar macula, the hairs are 5-7 microns in the striola and 10-20 microns in the main parts of the sense organs. Along the edges of the maculae the longest hairs may reach 20-30 microns. The number of stereovilli on mature vestibular hair cells is 40-60. The sensory hairs of the hearing organ, the basilar papilla, are generally shorter but more numerous than the vestibular sensory hairs. In the proximal end, the tallest of the 175-200 stereovilli are 2.8-3.7 microns; in the distal end of the papilla, the number of stereovilli decrease to 65-100, and their height increases gradually to 7.3-8.7 microns. The neural sensory hairs are generally taller than those of the abneural side.