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Possible implication of an efferent neuropathy in vestibular upset

Published online by Cambridge University Press:  29 June 2007

C. A. J. Prescott*
Affiliation:
Specialist in Otolaryngology, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.
*
Dr. C. A. J. Prescott, F.R.C.S., Department of Otolaryngology, Medical School, Observatory, 7925, Cape Town, South Africa.

Summary

This essay examines two possible mechanisms whereby a neuropathy affecting the efferent vestibular innervation may cause incoordination of vestibular afferent input to the Vestibular Integrating Centres: firstly, by loss of the normal fine control of afferent impulses; secondly, by a disruption of the sodium-potassium pump mechanism that maintains the ionic stability of the inner ear fluids.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 1986

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References

Bumm, P., Berg, M. and Tiedtke, M. (1980) Clinical examination of submandibular saliva in facial paralysis. Archives of Oto-Laryngology, 226: 269278.Google Scholar
Fernández, C. and Fredrickson, J. M. (1964) Experimental cerebellar lesions and their effect on vestibular function. Acta Oto-Laryngologica, Supplement 192: 5262.CrossRefGoogle Scholar
Flock, A. (1974) Mechanisms of excitation and inhibition in Type II hair cells. Brain, Behaviour and Evolution 10: 119120.CrossRefGoogle ScholarPubMed
Helms, K. and Steinbach, E. (1975) A contribution to the pathological anatomy of Menière's Disease. Archives of Oto-Laryngology, 210: 357.CrossRefGoogle Scholar
Morgenstein, K. M. and Seung, H. I. (1971) Vestibular Neuronitis. Laryngoscope, 81: 131139.CrossRefGoogle ScholarPubMed
Palva, T., Hortling, L., Ylikoski, J. and Collan, Y. (1978) Viral culture and electron microscopy of ganglion cells in Menière's Disease and Bell's Palsy. Acta Oto-Laryngologica, 86: 269275.CrossRefGoogle ScholarPubMed
Pfaltz, C. R. and Kammath, R. (1971) The problem of central compensation of peripheral vestibular dysfunctions. Acta Oto-Laryngologica, 71: 266272.CrossRefGoogle ScholarPubMed
Proctor, L., Lindsay, J., Perlman, H. and Matz, G. (1979) Acute vestibular paralysis in Herpes Zoster Oticus. Annals of Otology, Rhinology and Laryngology, 88: 303310.CrossRefGoogle ScholarPubMed
Rossi, G. and Cortesina, G. (1965) The “Efferent Cochlea and Vestibular System” in Lupus Cuniculus L. Acta Anatomica, 60: 362381.Google Scholar
Vosteen, K. H. (1976) Formation of inner ear lymphs. Permability of the inner ear membranes. Archives of OtoLaryngology, 212: 219239.Google Scholar
Warr, W. B. (1975) Olivo-cochlea and vestibular efferent neurones of the feline brain stem: their location, morphology and number determined by retrograde axonal transport and acetylcholinesterase histochemistry. Journal of Comparative Neurology, 161: 159181.CrossRefGoogle ScholarPubMed
Ylikoski, J., Palva, T. and Virtanen, I. (1977) The morphology of the vestibular nerve in a patient with normal vestibular function and in patients with Menière's Disease. Archives of Oto-Laryngology, 215: 4554.CrossRefGoogle Scholar