Vestibular Endorgan of the Frog After the Space Flight and Postural Alteration of the Neurectomized Frog – Its Morphological and Functional Resilience1

1993 ◽  
Vol 3 (3) ◽  
pp. 253-258
Author(s):  
Mamoru Suzuki ◽  
Yasuo Harada ◽  
Tooru Sekitani

The vestibular organ of frogs returned from space were observed by SEM. Morphology of the sensory epithelia was normal, including ultrastructure, such as tip links and side links. The frogs’ behavior and vestibular morphology after various types of vestibular neurectomy were studied. Vestibular neurectomy resulted in tilting posture toward that side. This tilting gradually decreased to zero and the nerve regenerated. When the same nerve was cut again after postoral recovery, the tilting angle was smaller and recovery period was shorter than after the first neurectomy. When the bilateral nerves were cut and neural regeneration was inhibited on one side, tilting slowly developed toward that side. These results show that frogs’ postural change is modified by both central compensation and peripheral vestibular function.

2018 ◽  
Vol 23 (5) ◽  
pp. 298-308 ◽  
Author(s):  
Dominique Vibert ◽  
John H.J. Allum ◽  
Martin Kompis ◽  
Simona Wiedmer ◽  
Christof Stieger ◽  
...  

The aim of this study was to investigate changes in balance control for stance and gait tasks in patients 2 years before and after vestibular neurectomy (VN) performed to alleviate intractable Meniere’s disease. Amplitudes of trunk sway in roll and pitch directions were measured for stance and gait tasks in 19 patients using gyroscopes mounted at the lower-back. Measurements before VN and 2 years later were compared to those of healthy age-matched controls (HC). We also examined if changes in trunk sway amplitudes were correlated with patients’ subjective assessment of disability using the AAO-HNS scale. For patients with low AAO-HNS scores 0–2 (n = 14), trunk roll and pitch sway velocities, standing eyes closed on foam, increased 2 years post VN compared to HC values (p < 0.01). Trunk sway amplitudes remained at levels of HC for simple gait tasks, but task durations were longer and therefore gait slower. For complex gait tasks (stairs), balance control remained impaired at 2 years. In patients with AAO-HNS high scores level 6 (n = 5), balance control remained abnormal, compared to HC, 2 years postoperatively for all stance, several simple and all complex gait tasks. Trunk sway in the pitch and roll directions for stance tasks was correlated with clinical (AAO-HNS) scores (p ≤ 0.05). These results indicate that VN leads to chronic balance problems for stance and complex gait tasks. The problems are greater for patients with high compared to low AAO-HNS scores, thereby explaining the different symptoms reported by these patients. The lack of balance recovery in VN patients to levels of HCs after 2 years contrasts with the 3 months average recovery period for acute vestibular neuritis patients and is indicative of the effects of neurectomy on central compensation processes.


1973 ◽  
Vol 59 (2) ◽  
pp. 491-521
Author(s):  
CHRISTOPHER PLATT

1. Flatfish metamorphose from a larval form that swims upright like a standard fish to an adult that lies on one side, with both eyes on the upper side, having rotated posture 90° relative to gravity and the former normal posture. Adult Citharichthys stigmaeus and Hypsopsetta guttulata were used in behavioural and physiological experiments to determine whether the postural change is a peripheral or central phenomenon. 2. Cleared and sectioned specimens verify that the otolith organs, unlike the eyes, do not rotate within the skull, and so do not maintain the normal vertebrate orientation with respect to gravity. 3. Ocular compensation to lateral tilt shows that tactile cues, vision, and the semicircular canals are inadequate to produce tilt responses, but elimination of otolith function abolishes tilt responses. The major postural role of the otolith organs is not lost. 4. Selective removal of otoliths demonstrates that the flatfish utriculus has only a minor role in tilt responses, and that the sacculus-lagena is required, unlike the situation in other vertebrates. The details of the ocular compensation responses are similar to those of standard fishes. Each sacculus lies at an angle of up to 45° when in the normal position, but unilateral loss does not change the phase of the response curve, indicating that the null response is set for a non-zero value of gravitational shear, unlike the null at zero shear to the utriculus in other vertebrates. 5. Hysteresis effects suggest a differential sensitivity between tilts near the normal and the upside-down null positions. The narrowness of the effect argues against mechanical restrictions. Possibly the vertical utriculus is useful only near the normal, as an accessory organ, like the vertical lagena in other vertebrates. 6. Neural units recorded from both eighth nerve and medulla show the expected activity properties of regular and irregular rate, tonic and phasic responses to tilt, directional dependence and ‘multi-valuedness’, as in other vertebrates. No novel response types are found, nor any distinctive ‘into-level‘ types described for some vertebrates. Vibration sensitivity is associated with irregular rate, and exclusively vibration-sensitive units are apparent only in the utriculus. The shift in functional relations of the otolith organs relative to gravity is not apparently compensated for by any major change in peripheral afferent gravistatic unit properties. 7. An increasing distinction between the null at normal and the null upside-down shown by limited data on ocular compensation in three year-classes of flatfish. A central change in vestibular function is suggested that might be dependent on experience, as is gradual compensation to a vestibular lesion. 8. Since peripheral changes are not responsible for the postural change, alternative central mechanisms are proposed, including central weighting of input, recognition of a complex input pattern, and plasticity of connexions, all of which have received some supporting evidence from these results.


2019 ◽  
Vol 128 (6_suppl) ◽  
pp. 125S-133S ◽  
Author(s):  
Terry J. Prins ◽  
Johnny J. Saldate ◽  
Gerald S. Berke ◽  
Larry F. Hoffman

Objectives: Early in his career, David Lim recognized the scientific impact of genetically anomalous mice exhibiting otoconia agenesis as models of drastically compromised vestibular function. While these studies focused on the mutant pallid mouse, contemporary genetic tools have produced other models with engineered functional modifications. Lim and colleagues foresaw the need to analyze vestibular epithelia from pallid mice to verify the absence of downstream consequences that might be secondary to the altered load represented by otoconial agenesis. More generally, however, such comparisons also contribute to an understanding of the susceptibility of labyrinthine sensory epithelia to more widespread cellular changes associated with what may appear as isolated modifications. Methods: Our laboratory utilizes a model of vestibular hypofunction produced through genetic alteration, the otoferlin-null mouse, which has been shown to exhibit severely compromised stimulus-evoked neurotransmitter release in type I hair cells of the utricular striola. The present study, reminiscent of early investigations of Lim and colleagues that explored the utility of a genetically altered mouse to explore its utility as a model of vestibular hypofunction, endeavored to compare the expression of the hair cell marker oncomodulin in vestibular epithelia from wild-type and otoferlin-null mice. Results: We found that levels of oncomodulin expression were much greater in type I than type II hair cells, though were similar across the 3 genotypes examined (ie, including heterozygotes). Conclusion: These findings support the notion that modifications resulting in a specific component of vestibular hypofunction are not accompanied by widespread morphologic and cellular changes in the vestibular sensory epithelia.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Tyler T. Hickman ◽  
Ken Hashimoto ◽  
Leslie D. Liberman ◽  
M. Charles Liberman

AbstractOverexposure to intense noise can destroy the synapses between auditory nerve fibers and their hair cell targets without destroying the hair cells themselves. In adult mice, this synaptopathy is immediate and largely irreversible, whereas, in guinea pigs, counts of immunostained synaptic puncta can recover with increasing post-exposure survival. Here, we asked whether this recovery simply reflects changes in synaptic immunostaining, or whether there is actual retraction and extension of neurites and/or synaptogenesis. Analysis of the numbers, sizes and spatial distribution of pre- and post-synaptic markers on cochlear inner hair cells, in guinea pigs surviving from 1 day to 6 months after a synaptopathic exposure, shows dramatic synaptic re-organization during the recovery period in which synapse counts recover from 16 to 91% of normal in the most affected regions. Synaptic puncta move all over the hair cell membrane during recovery, translocating far from their normal positions at the basolateral pole, and auditory-nerve terminals extend towards the hair cell’s apical end to re-establish contact with them. These observations provide stronger evidence for spontaneous neural regeneration in a mature mammalian cochlea than can be inferred from synaptic counts alone.


2005 ◽  
Vol 114 (10) ◽  
pp. 786-791 ◽  
Author(s):  
Tadashi Kitahara ◽  
Noriaki Takeda ◽  
Suetaka Nishiike ◽  
Shin-Ichi Okumura ◽  
Takeshi Kubo

Objectives: We sought to elucidate the clinical problems and otopathology of patients with sudden deafness with vertigo (SDV). Methods: In 24 patients with SDV who had significant canal paresis (CP) at their first visit to our hospital between 1997 and 2001, we examined pure tone audiograms, caloric tests, and several questionnaires twice, at the first visit within 5 days after the onset and around 2 years after steroid therapy. Results: These examinations revealed that improvements of auditory and vestibular function in patients with SDV tended to be correlated with one another. Sixteen of the 24 patients (66.7%) still had CP. This rate in SDV was significantly worse than that reported previously for vestibular neuritis (VN). On the other hand, patients with SDV with long-lasting CP had a faster reduction of head-shaking afternystagmus and of handicaps in their everyday life due to dizziness than did patients with VN and CP. Conclusions: These findings suggest that SDV may deteriorate the inner ear function more severely but accelerate the central vestibular compensation more effectively than VN after the lesion. It is well known that vestibular neurectomy causes much more severe motion-induced dizziness after surgery than does labyrinthectomy. Taken together, these findings suggest different regions of damage in SDV (mainly the labyrinth, as in labyrinthectomy) and VN (mainly the ganglion, as in vestibular neurectomy).


2017 ◽  
Vol 21 (02) ◽  
pp. 184-190 ◽  
Author(s):  
Alfredo Alarcón ◽  
Lourdes Hidalgo ◽  
Rodrigo Arévalo ◽  
Marite Diaz

Introduction Labyrinthectomy and vestibular neurectomy are considered the surgical procedures with the highest possibility of controlling medically untreatable incapacitating vertigo. Ironically, after 100 years of the introduction of both transmastoid labyrinthectomy and vestibular neurectomy, the choice of which procedure to use rests primarily on the evaluation of the hearing and of the surgical morbidity. Objective To review surgical labyrinthectomy and vestibular neurectomy for the treatment of incapacitating vestibular disorders. Data Sources PubMed, MD consult and Ovid-SP databases. Data Synthesis In this review we describe and compare surgical labyrinthectomy and vestibular neurectomy. A contrast between surgical and chemical labyrinthectomy is also examined. Proper candidate selection, success in vertigo control and complication rates are discussed on the basis of a literature review. Conclusions Vestibular nerve section and labyrinthectomy achieve high and comparable rates of vertigo control. Even though vestibular neurectomy is considered a hearing sparing surgery, since it is an intradural procedure, it carries a greater risk of complications than transmastoid labyrinthectomy. Furthermore, since many patients whose hearing is preserved with vestibular nerve section may ultimately lose that hearing, the long-term value of hearing preservation is not well established. Although the combination of both procedures, in the form of a translabyrinthine vestibular nerve section, is the most certain way to ablate vestibular function for patients with no useful hearing and disabling vertigo, some advocate for transmastoid labyrinthectomy alone, considering that avoiding opening the subarachnoid space minimizes the possible intracranial complications. Chemical labyrinthectomy may be considered a safer alternative, but the risks of hearing loss when hearing preservation is desired are also high.


1999 ◽  
Vol 9 (2) ◽  
pp. 135-144 ◽  
Author(s):  
J.H.J. Allum ◽  
T. Ledin

The centrally controlled compensation for a reduced horizontal vestibulo-ocular reflex (VOR) gain caused by a unilateral afferent deficit is usually studied following a selective surgical procedure which completely lesions the vestibular nerve or blocks the horizontal semicircular canal. The more common, unilateral, vestibular deficit encountered clinically, is a partial loss of peripheral vestibular function, following which peripheral recovery and/or central compensation may occur. We investigated changes of the VOR gain in response to a sudden, idiopathic, unilateral vestibular deficit in 64 subjects by examining the responses to low-frequency, whole-body, rotations about an earth vertical axis with different accelerations (5, 20 and 40 deg / sec 2 ) during in- and out-patient visits separated by 4 months in an attempt to identify changes brought about by peripheral recovery and by central compensation processes. Peripheral function was assumed to be measured by the response to caloric irrigation. It improved some 30% between the two visits. VOR responses for rotations towards the deficit side also improved between the two visits. Most improvement occurred for 20 deg / sec 2 accelerations. However, the correlation coefficient between rotation and caloric responses was always less than 0.6. Unlike caloric responses which improved over time, responses for rotations to the intact side did not change between the visits. For this reason, the majority of observed VOR rotation responses were nearly symmetrical at the time of the second visit, despite being below normal levels. These findings suggest that both peripheral recovery and central compensation processes help restore symmetrical VOR function for head rotations after a partial unilateral vestibular deficit. However the improvement of VOR response symmetry, particularly to slow ( < 40 deg / sec 2 ) accelerations, is largely independent of the recovery of peripheral sensitivity.


2004 ◽  
Vol 14 (4) ◽  
pp. 347-351 ◽  
Author(s):  
Krister Brantberg ◽  
Tiit Mathiesen

Sound and skull-tap induced vestibular evoked myogenic potentials (VEMP) were studied in a 43-year-old man following inferior vestibular neurectomy. Surgery was performed because of a small acoustic neuroma. Postoperative caloric testing suggested sparing of superior vestibular nerve function on the operated side. In response to sound stimulation there were no VEMP on the operated side, irrespective of whether sounds were presented by air- or bone-conduction. This suggests sound-induced VEMP to be critically dependent on inferior vestibular nerve function and this is in agreement with present knowledge. However, VEMP were obtained in response to forehead skull taps, i.e. positive-negative VEMP not only on the healthy side but also on the operated side. This suggests remnant vestibular function on the operated side of importance for forehead skull tap VEMP, because with complete unilateral vestibular loss there are no (positive-negative) VEMP on the lesioned side. Thus, forehead skull-tap VEMP depend, at least partly, on the superior vestibular nerve function.


1993 ◽  
Vol 109 (1) ◽  
pp. 101-107 ◽  
Author(s):  
Andreas BÖhmer ◽  
Ugo Fisch

The effects of bilateral vestibular neurectomy on equilibrium and vestibular function were clinically evaluated in two patients more than 15 years after surgery. Both patients had bilateral Ménière's disease and their vertiginous spells were permanently resolved after the second vestibular neurectomy. Symptoms of disequilibrium were absent in one patient and mild in the other. Reflexive horizontal eye movements on whole body rotation in darkness were absent on low angular accelerations (2°/s2), but could be elicited with angular accelerations of 20°/s2 or higher. Extravestlbular cues generating these eye movements seemed to be unlikely because a “control” patient with complete peripheral vestibular ablation after bilateral subtotal petrosectomy did not present reflexive eye movements under the same stimulus paradigms. An incomplete deafferentiation of the vestibular end organ (rather than regeneration of vestibular nerve fibers) and a consecutive Impairment of the central velocity storage mechanism may explain the good functional outcome in our bilateral neurectomized patients.


2017 ◽  
Vol 6 (4) ◽  
pp. 47-54
Author(s):  
Iwona Makowska

Acute vestibular syndrome is a syndrome of clinical symptoms associated with sudden damage to the periphery of the vestibular organ. The most important element in the treatment of patients with vestibular syndrome is motor rehabilitation, which is beneficial for central compensatory processes. The aim of the study was to compare the effectiveness of two methods of rehabilitation (training habituation versus sensory conflicts) in patients after vestibular neuronitis and vestibular neurectomy. The material includes the results of the overall balance of the Sensory Organization Test and subjective assessment of the severity of dizziness before and after rehabilitation performed by various methods. Twenty subjects after vestibular neuritis (Group I) and 20 patients after vestibular neurectomy (Group II) were included in the study. In group I, the patients were admitted to the Otolaryngology Clinic Medical University of Warsaw Emergency Room with the diagnosis of vestibular neuritis. In group II, patients had vestibular neurectomy due to Meniere disease with strong untreated vertigo. Both types of rehabilitation lead to a significant improvement in the overall balance of the Sensory Organization Test and subjective assessment of the severity of vertigo irrespective of the extent of injury in the vestibular organ. Better results were obtained in the group after vestibular neuritis treated with sensory conflicts.


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