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At least 307 records · Page 17Linked to original sources

Computer-aided three-dimensional reconstruction and measurement of semicircular canals and their cristae in man.

We studied the spatial relations of the semicircular canals (SCCs) and their cristae, by computer-aided three-dimensional reconstruction, a graphic method we developed. The angles between pairs of SCCs, between pairs of SCC cristae, and between a SCC and its crista were measured using histology sections of a normal temporal bone from a 14-year-old female. Angles between pairs of SCCs and pairs of cristae deviated 11.3 to 18.2 degrees and 4.8 to 18.0 degrees, respectively, from right angles and the long axis of each crista deviated 25.0 to 30.4 degrees from the line perpendicular to the plane of the corresponding SCC; thus none of these structures lies at a right angle to another. We believe these new anatomical findings will help in the clinical evaluation of SCC function.

Adolescent↗

[Temperature dependence of electrical potentials in the frog semicircular canal].

The temperature dependence of conversion processes in the sensory organ of frog semicircular canals has been tested in the range 0-28 degrees C by recording the ampullar (Adc) and nerve (Ndc) slow potentials as well as the afferent discharge of impulses (Nfr) in the VIII nerve fibres. The results have shown that Adc is scarcely affected by temperature changes (Q10 less than 2) thus suggesting that stimulus conversion in labyrinthine cells does not imply chemical processes but mainly potassium conductance changes at their apical membrane. By converse, postsynaptic potentials and propagated spikes are markedly reduced at low temperatures (Q10 2.8 and 7 respectively) and only slightly increased between 20 and 28 degrees C. These observations are interpreted by considering the chemical nature of the processes which are involved. The temperature dependence in labyrinthine receptor activation is discussed in the view of its physiological meaning.

Animals↗

Arrangement of vestibular nerve fibers in the semicircular canal crista of the chinchilla.

The topographic arrangement of vestibular nerve fibers innervating semicircular canal cristae of the chinchilla was studied using computer-aided video-microscopy and three-dimensional reconstruction. At the level 20 microns proximal to the base of the crista, bundles consisting of 30-50 nerve fibers each were identified. Nerve fibers in bundles were classified into seven categories depending on the diameter. We confirmed that large nerve fibers were more frequently found in the central bundles and small nerve fibers were more frequently found in the peripheral bundles. The central bundle might function as a physiological unit coding various types of head movements, whereas the peripheral bundle might contribute more to the detection of slow and long-lasting movements giving rise to tonus and posture changes. The canalicular nerve may code rotational acceleration of the head via function- and locus-specific nerve fiber bundles.

Animals↗

Differential effect of ischemia on spontaneous and sinusoidal-evoked activity in semicircular canal afferents in the bullfrog.

Spontaneous and sinusoidal-evoked nerve activity in semicircular canal afferent fibers of the bullfrog was evaluated prior to and following the production of ischemia of the labyrinthine arterial supply by mechanical occlusion of the vestibular artery. Neuronal spontaneous firing rates were observed to diminish by up to 100% within 10 min following the onset of ischemia. In most neurons there was a substantial increase in firing rate during the first few minutes. The sensitivity of the fibers to natural stimulation as determined by the gain in their responses to sinusoidal motion also diminished by as much as 75% over the same period. No detectable changes in the membrane potentials of the neurons were observed. The changes in excitability were closely correlated with the changes in spontaneous firing rate, but not all the neurons whose responses changed showed changes in spontaneous activity. Likewise, the relative magnitude of change varied from neuron to neuron.

Action Potentials↗

What is the true incidence of horizontal semicircular canal benign paroxysmal positional vertigo?

OBJECTIVE: To assess the correct incidence of horizontal semicircular canal (H-SCC) benign paroxysmal positional vertigo (BPPV). STUDY DESIGN: Retrospective assessment of patients with BPPV. METHODS: All patients with BPPV were included and the rates of involvement of posterior, horizontal, and anterior SCCs were determined. RESULTS: One hundred sixty-nine patients with the diagnosis of BPPV were evaluated. One hundred forty-four patients (85.2%) were found to have posterior SCC (P-SCC) involvement, and there were 20 patients (11.8%) with horizontal SCC (H-SCC) and 2 patients (1.2%) with anterior SCC (A-SCC) involvement. Three patients (1.8%) had simultaneous H-SCC and P-SCC BPPV ipsilaterally. Geotropic nystagmus was seen in 17 out of 23 patients (73.9%) in roll test, and ageotropic nystagmus was seen in the remaining 6 patients (26.1%). CONCLUSION: H-SCC constitutes 13.6% of all BPPV cases. H-SCC BPPV with geotropic nystagmus is more common. H-SCC BPPV can coexist with ipsilateral P-SCC BPPV. However, in some cases of H-SCC BPPV, Dix-Hallpike maneuver can cause vertigo and horizontal nystagmus. This may be confused with P-SCC BPPV. Therefore, the roll test must be performed in all cases in addition to Dix-Hallpike maneuver and both ears must be evaluated with respect to all SCCs for BPPV. EBM RATING: C-4.

Adult↗

UTP binding and phosphoinositidase C activation in ampulla from frog semicircular canal.

Pyrimidine nucleotide-sensitive phosphoinositidase C activity (PLC), previously identified in frog semicircular canal ampulla, was pharmacologically characterized. Binding of [(3)H]UTP and abilities of unlabeled nucleotide analogs to inhibit binding and to stimulate PLC in myo-[(3)H]inositol-loaded ampullas were determined. Specific [(3)H]UTP binding was competitively inhibited by UTP [apparent dissociation binding constant = 0.8 microM; Hill coefficient = 0.7]. Scatchard analysis revealed a minor class of high-affinity binding sites [45 fmol UTP bound/microgram protein; dissociation constant (K(D1)) = 0.4 microM] and a major class of moderate-affinity binding sites (365 fmol UTP bound/microgram protein; K(D2) = 10 microM). The stereospecificity pattern for UTP analog recognition was UMP > UDP >/= ADP = UTP = dTTP > adenosine 5'-O-(3-thiotriphosphate) = ATP = CTP = 2'-and 3'-O-4-(benzoylbenzoyl)-ATP (Bz-ATP) >/= AMP >/= 2-methylthio-ATP = alpha,beta-methylene-ATP > uridine = diadenosine tetraphosphate (Ap(4)A); cAMP and adenosine were inactive. Antagonist recognition pattern was DIDS = pyridoxal-phosphate-6-azophenyl-2',4'-disulfonic acid (PPADS) = reactive blue 2 > suramin. The rank order of potencies for agonist-induced PLC activation was UDP >/= UTP >/= Ap(4)A >/= UMP = Bz-ATP; uridine was inactive. UTP-stimulated PLC activity was inhibited by DIDS = reactive blue 2 = PPADS > suramin. These results suggest that the population of [(3)H]UTP-labeled binding sites is heterogeneous, with a low number of high-affinity UTP receptors whose function(s) need to be determined and a large number of moderate-affinity receptors triggering PLC activation.

4,4'-Diisothiocyanostilbene-2,2'-Disulfonic Acid↗

Operative management of superior semicircular canal dehiscence.

OBJECTIVE: To assess the outcomes of patients undergoing surgical management of superior semicircular canal dehiscence (SSCD). STUDY DESIGN: Retrospective review. METHODS: The medical records of all patients undergoing surgical treatment for SSCD at our institution between 2000 and 2004 were reviewed. RESULTS: Eleven patients underwent unilateral operative management via a middle fossa approach. Ten patients were treated successfully by canal plugging and one unsuccessfully by canal re-roofing. Plugging of SSCD provided resolution of sound- and pressure-induced nystagmus, autophony, and conductive hearing loss (HL). One patient experienced a mild high-frequency sensorineural HL and two patients experienced both a mild high-frequency sensorineural HL and a reduction in vestibular function. Two additional patients underwent exploration for SSCD but were found to have a thin layer of bone overlying the canal. CONCLUSIONS: Plugging of the SSCD, while efficacious in alleviating the symptoms of the disease, may cause loss of labyrinthine function beyond the superior canal.

Adult↗

The expression domain of two related homeobox genes defines a compartment in the chicken inner ear that may be involved in semicircular canal formation.

Homeobox-containing genes encode a class of proteins that control patterning in developing systems, in some cases by acting as selector genes that define compartment identity. In an effort to demonstrate a similar role for such genes during ear development in the chicken, we present a detailed expression study of two related homeobox-containing genes, SOHo-1 and GH6, using in situ hybridization. At otocyst stages the two genes define a broad lateral domain of expression, which may represent a developmental compartment. Three-dimensional computer reconstructions of SOHo-1 expression at these and later stages revealed that the lateral domain becomes progressively restricted to the three semicircular canals. Thus, SOHo-1 and GH6 are among a small group of markers for a specific structural component of the inner ear. The gene expression domain initially includes the sensory regions of the semicircular canals, known as the cristae ampullaris, but none of the other four sensory organs which were recognizable by BMP4 expression during early morphogenesis (stages 19-24). Significantly, two of the sensory organs (the superior and posterior cristae) were found at the limits, or boundaries, of the SOHo-1/GH6 expression domain, suggesting that compartment boundaries may be involved in specifying sensory organ location as well as identity. Maintained expression at the boundaries may aid in specifying the location of canal outgrowth. These concepts are presented as a formal model which emphasizes that patterning information could be provided at the boundaries of gene expression domains in the inner ear.

Animals↗

Incapacitating hypersensitivity to one's own body sounds due to a dehiscence of bone overlying the superior semicircular canal. A case report.

We present a case study of a 49-year-old patient with an 8-year history of hypersensitivity to sound produced by intrinsic but not extrinsic sources. Findings that indicated an organic problem were: a supranormal bone conduction threshold of -25 to -15 dB HL from 0.25 to 1 kHz with an air-bone gap of 15 to 45 dB HL, a lower threshold and larger amplitude for vestibular-evoked myogenic potentials, eye movement reactions to sound and trunk pitch sway in response to sound. Results of immitance audiometry and otoacoustic emission testing were within normal limits and indicative of intact middle ear conductance. A high-resolution CT scan of the temporal bone demonstrated a dehiscence of bone overlying the superior semicircular canal. These findings support previous research indicating that auditory energy reaches the cochleo-vestibular receptor systems more easily via transmission through cerebrospinal fluid than through bone. Therefore, a dehiscence of the bone overlying the superior semicircular canal may lead to hypersensitivity to intrinsic sound. We recommend that similar findings in other patients be followed up with an evaluation of middle ear function and the temporal bone with high-resolution CT scan.

Bone Conduction↗

Postsynaptic inhibition of oculomotor neurons involved in vestibulo-ocular reflexes arising from semicircular canals of rabbits.

In anesthetized albino rabbits, electric stimulation of vestibular nerve branches innervating semicircular canals produced not only reflex contraction in certain extraocular muscles, but also a transient relaxation in others. From relaxing muscles was recorded a slow muscle potential that reflected depression of spontaneous spike discharges in muscle fibers. When recorded monophasically, spontaneous spikes of muscle fibers were superposed to form a direct current potential, and depression of the spikes resulted in a transient reduction of this direct current potential, i.e., the slow muscle potential. The slow muscle potential was correlated to the postsynaptic inhibition induced in oculomotor neurons through the vestibulo-ocular reflex are for the following reasons; its latency was compatible with that of the IPSP's recorded from oculomotor neurons; it was removed by severing axons of the inhibitory second-order vestibular neurons; it was blocked by intravenous injection of picrotoxin as were the IPSP's in oculomotor neurons. By recording slow muscle potentials, a specific canal-muscle relationship for the vestibulo-ocular reflex inhibition of oculomotor neurons was shown to be complementary to that obtained for the vestibulo-ocular reflex excitation.

Action Potentials↗

Semicircular canal afferents similarly encode active and passive head-on-body rotations: implications for the role of vestibular efference.

The vestibular receptors in the labyrinth receive innervation from centrifugally projecting efferent fibers. The influence of these efferents on information processing by vestibular afferents in primates has not been determined. One commonly held notion is that efferent activation during large-amplitude, active head movements would result in an increase in the resting discharge rate and in a reduction of the rotational sensitivity of afferents. Such an effect would increase the dynamic range of afferents involved in the encoding of head movements. To test this hypothesis, we recorded from afferents innervating the semicircular canals in alert macaques during passive head-on-body rotations and during active head movements that included gaze shifts and gaze pursuit. Extracellular, single-unit recordings were obtained from 24 afferent fibers innervating the horizontal, superior, and posterior canals. Based on the normalized coefficient of variation of the interspike interval for these units, our sample contained six regularly discharging, six intermediate, and 12 irregularly discharging afferents. Responses were analyzed using a least squares regression to determine the bias discharge rate of each unit and sensitivity to head velocity and acceleration. We found no difference in bias discharge rate or rotational sensitivity of the afferent responses for the different stimulus conditions tested. Our results indicate that semicircular canal afferents encode information about head rotation similarly for self generated and passively applied head-on-body movements.

Action Potentials↗

Reticular potentials evoked by electrical stimulation of individual semicircular canals.

Responses of pontine reticular formation neurons following single shock electrical stimulation of single semicircular canals were recorded with tungsten microelectrodes in 40 curarized guinea-pigs. The field and unitary potentials obtained from 62 reticular sites, exhibited latency values ranging from 0.3 to 2.5 msec. The early latencies (0.3-0.5 msec) have been interpreted as responses mediated by primary vestibular fibres projecting directly to the reticular substance.

Animals↗

Posterior semicircular canal occlusion in the normal hearing ear.

This report outlines our experience with posterior semicircular canal occlusion, a new operative procedure for intractable benign paroxysmal positional vertigo (BPPV). We postulate that the resulting solid canal "plug" prevents endolymph movement within the posterior canal, which effectively fixes the cupula. This selectively abolishes the receptivity of the posterior canal to both angular acceleration and gravity without influencing the other inner ear receptors. We previously reported the success of this procedure in two patients with BPPV and a co-existing profound sensorineural hearing loss in the affected ear. Since that report, a slightly modified technique has been used to occlude six more posterior canals--five in normal hearing ears. While our follow-up times range from only 3 to 18 months, all eight patients continue to be relieved of their BPPV. Temporary mixed hearing losses occurred in three of the five ears with normal preoperative hearing. Hearing in all five patients ultimately returned to the preoperative state. We believe this procedure is a simpler and safer alternative to singular neurectomy for the treatment of intractable benign paroxysmal positional vertigo.

Aged↗

Effects of cromakalim (BRL 34915) on resting and evoked activity in frog semicircular canals.

The effects of endolymphatic administration of cromakalim and glibenclamide were tested in isolated semicircular canals of the frog. The actions of the drugs were evaluated by recording: (1) the transepithelial potential between the endolymphatic and the perilymphatic sides of the crista ampullaris; (2) the slow nerve potential from the ampullar nerve; (3) the action potential discharge in afferent ampullar nerve fibres; and (4) the perilympathatic potassium concentration in the fluid bathing the outer surface of the crista ampullaris. The above mentioned parameters were recorded both at rest and during mechanical stimulation of the sensory organ. The results demonstrated that the endolymphatic administration of cromakalim (10(-4) M) produced an increase in both ampullar receptor resting activity and in perilymphatic K+ resting levels. By contrast all the parameters related to the mechanically evoked responses were practically unaffected. Glibenclamide (10(-4) M) proved able to cancel or to prevent cromakalim effects. These data suggest that the membrane of the hair cells is endowed with K+ channels regulated by internal ATP whose activation is mainly involved in the processes sustaining ampullar receptors' resting firing rate.

Adenosine Triphosphate↗

Convergence of the anterior semicircular canal and otolith afferents on cat single vestibular neurons.

The convergence between the anterior semicircular canal (AC) and utricular (UT) inputs, as well as the convergence between the AC and saccular (SAC) inputs in single vestibular neurons of decerebrated cats were investigated. Postsynaptic potentials were recorded intracellularly after selective stimulation of each pair of vestibular nerves AC/UT or AC/SAC. Neurons were recorded from the central parts of the vestibular nuclei, where the otolith afferents mainly terminate. Of a total of 105 neurons that were activated after stimulation of the AC and UT nerves, 42 received convergent inputs. Thirty-eight of these neurons received excitatory inputs from both afferents. Convergent neurons were further classified into vestibulospinal (n=28) and vestibulooculospinal (n=6) neurons by antidromic activation from the border between the C1 and C2 spinal cord and the oculomotor or trochlear nucleus. Eight neurons that were not antidromically activated from either site were classified as vestibular neurons. Forty three percent of the convergent vestibulospinal neurons and most of the convergent vestibulooculospinal neurons projected to the spinal cord through the medial vestibulospinal tract. The remaining vestibulospinal and vestibulooculospinal neurons descended through the ipsilateral lateral vestibulospinal tract. Of a total of 118 neurons that were activated after stimulation of the AC and/or SAC nerves, 51 received convergent inputs (27 vestibulospinal, 4 vestibulooculospinal, 5 vestibuloocular and 15 vestibular neurons). Forty-two of the convergent neurons received excitatory inputs from both afferents. Thirty seven percent of the convergent vestibulospinal neurons and all of the convergent vestibulooculospinal neurons projected to the spinal cord through the medial vestibulospinal tract. The remaining vestibulospinal and vestibulooculospinal neurons descended through the ipsilateral lateral vestibulospinal tract.

Afferent Pathways↗