33 Vestibular System

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When we tilt our head to the side, or look up and down, that movement information is conveyed to our brain using the vestibular system. The vestibular system is a sort of three-dimensional compass that can detect head movement, and that information helps us figure out how our head is oriented and how to balance ourselves in changing conditions. The vestibular system is made up of two structures that are intimately tied in with the anatomical features of the inner ear.

Adjacent to the cochlea within the inner ear is a structure called the vestibular labyrinth made up of the otolith organs (saccule and utricle) and the semicircular canals.

Otolith Organs

Next to the cochlea and within the vestibular labyrinth are two membranous sacs, the saccule and the utricle. Collectively, these structures are called the otolith organs and are responsible for determining gravity through the tilt of the head and linear acceleration. These structures are centrally located within the vestibular labyrinth.

Due to their differences in structure, the two otolith organs have slightly different functions. The saccule is more sensitive to vertical movements, like when you are standing in a moving elevator. The utricle is more responsive to horizontal movements, such as when driving.

Image of the structures of the inner ear. Details in caption and text.
Figure 33.1 Structures of the inner ear. The semicircular canals and otolith organs (utricle and saccule) are part of the vestibular labyrinth that functions in balance. The cochlea is also located within the inner ear and has auditory system function.

Similar to the other inner ear structure, the cochlea, the structures of the vestibular labyrinth also contain hair cells. The hair cells located within the otolith organs are biologically similar to the hair cells in the cochlea. These hair cells have stereocilia that extend into a gelatinous cap that contains otoconia, which are small crystals of calcium carbonate. The otolith organs are important in sensing gravity. Tilting the head causes the otoconia to move (due to gravity), which will push the hair cell stereocilia and cause them to bend.

Image of the otolith hair cells under no tilt and tilt conditions. Details in caption and text.
Figure 33.2. Otolith organ hair cells. Within the otolith organs (the saccule and the utricle) there are hair cells that have stereocilia that extend into a gelatinous cap. Over the gelatinous cap are otoconia (calcium carbonate crystals). When the head is tilted, the movement of the otoconia mechanically bends to stereocilia. The hair cells of the otolith organs send their signals to Scarpa’s ganglion axons that transmit vestibular information into the central nervous system. ‘Otolith organ hair cells’ by Valerie Hedges is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The tallest stereocilium (singular of stereocilia) is called the kinocilium. Similar to the function of hair cells within the cochlea, movement that bends the stereocilia toward the kinocilium results in depolarization due to potassium influx through open mechanically-gated ion channels within the tips of the stereocilia. Movement that bends the stereocilia away from the kinocilium causes the mechanically-gated ion channels to close, decreasing potassium influx and causing hyperpolarization.

Images of hair cells at rest, in a depolarized state and in a hyperpolarized state. Details in caption and text.
Figure 33.3. Hair cell at rest, in a depolarized state, and a hyperpolarized state. When the hair cell is at rest, some of the mechanically-gated ion channels at the tips of the stereocilia are open and some are closed (left). When the stereocilia are bent in the direction of the tallest stereocilium the linker proteins open the mechanically-gated ion channels. When mechanically-gated ion channels are open, potassium flows into the cell down its concentration gradient, allowing for a large influx of potassium ions leading to depolarization of the hair cell (middle). When the stereocilia are bent in the direction of shortest stereocilium the linker proteins close the mechanically-gated ion channels, no longer allowing for potassium influx. This leads to the hair cell being hyperpolarized (right). ‘Hair cell at rest, in a depolarized state, and a hyperpolarized state’ by Valerie Hedges is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Semicircular Canals

The other major structure of the vestibular labyrinth are the semicircular canals. The semicircular canals are the structures that are responsible for detecting head rotation and angular acceleration.

Anatomically, the semicircular canals are a series of three arch-shaped membranous tubes within the vestibular labyrinth, each one oriented at a right angle to each other. Because of this shape, the semicircular canals sense and convey information about any direction of head movement.

These semicircular canals are filled with endolymph, the same potassium-rich solution that is in the cochlea that is important for auditory sensation. At the end of each of the three canals is a small swelling called the ampulla. Contained in the ampulla is a gelatinous membrane called the cupula. Here, hair cells extend stereocilia into the cupula. The tallest stereocilium is again referred to as the kinocilium.

When we rotate our head, the endolymph within the semicircular canals has a delay in movement due to inertia, and as a result the endolymph will move the cupula in the opposite direction of head movement. The physical movement of the cupula also pushes the cilia of the hair cells within the cupula. As previously discussed in the cochlea and the otolith organs, these hair cells also have mechanically-gated ion channels located in the tips of the stereocilia and function in the same way, with deflection towards the kinocilium resulting in depolarization and deflection away from the kinocilium resulting in hyperpolarization.

When we stop rotating, the endolymph within the semicircular canals continues to move for a brief period of time due to inertia (which contributes to our feeling of dizziness when we stop rotating).

Image of the hair cells and cupula within the semicircular canals. Details in caption and text.
IMAGE 33.4. Semicircular canal cupula and hair cells. The hair cells of the semicircular canals are located with the ampulla of the semicircular canals. A gelatinous cupula covers the hair cell stereocilia. When the head rotates, the endolymph within the semicircular canals pushes the gelatinous cupula causing it to deflect in the opposite direction of head movement. When the cupula moves, the hair cell stereocilia within the cupula are bent, which causes either depolarization or hyperpolarization depending on the direction of movement.

Central Vestibular Pathways

The vestibular system is responsible for coordinating our balance through our head and body movements. As such, the neurons of the vestibular system signal to motor neurons that adjust head, eye, and body position.

The vestibular hair cell information is passed to the brain via excitatory synapses onto a branch of the vestibulocochlear nerve (CN VIII). The cell bodies of these neurons are in Scarpa’s ganglion. These axons send projections to several brain areas, notably the cerebellum, which is a structure critically important for balance. CN VIII also projects into the vestibular nuclei of the medulla. From there, neurons signal to areas of the thalamus that ultimately control motor areas of the face, extraocular motor neurons that ultimately control eye movement, and the spinal cord that is responsible for limb and neck motor movements to help maintain body and head position.

Image depicting the central vestibular pathways. Details in the caption and text.
IMAGE 33.5. Central vestibular pathways. Vestibular information is carried by Cranial Nerve VIII (the vestibulocochlear nerve) to the vestibular nuclei within the medulla. From the medulla, vestibular information is conveyed to multiple structure to control vestibular sensation. Connections to the cerebellum are important in maintaining balance. Other connections that are routed through the ventral posterior (VP) nucleus of the thalamus is important in sensation and motor activity of the face. Connections to the extraocular motor neurons are important in orienting the eyes to maintain balance. Lastly, connections to motor neurons that control the limb and neck muscles help maintain body balance and our head position. ‘Central vestibular pathways’ by Valerie Hedges is  licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Key Takeaways

  • The vestibular labyrinth is located within the inner ear and functions in our sense of balance.
  • The structures of the vestibular labyrinth are the otolith organs (the saccule and utricle) and the three semicircular canals.
  • The vestibular labyrinth structures also contain hair cells similar to the hair cells within the auditory system. Bending the stereocilia in the direction of the tallest stereocilium results in depolarization of the hair cell and bending in the direction of the shortest stereocilium results in hyperpolarization.
  • The vestibular labyrinth structures signal to multiple brain areas to control head movement, eye movements, and balance.

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Attributions

Portions of this chapter were remixed and revised from the following sources:

  1. Open Neuroscience Initiative by Austin Lim. The original work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Introduction to Neuroscience Copyright © 2022 by Valerie Hedges is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, except where otherwise noted.

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