Development and Evolution of the Vestibular Sensory Apparatus of the Mammalian Ear
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Anatomical Changes and Audiological Profile in Branchio-Oto-Renal
THIEME 68 Review Article Anatomical Changes and Audiological Profile in Branchio-oto-renal Syndrome: A Literature Review Tâmara Andrade Lindau1 Ana Cláudia Vieira Cardoso1 Natalia Freitas Rossi1 Célia Maria Giacheti1 1 Department of Speech Pathology, Universidade Estadual Paulista - Address for correspondence Célia Maria Giacheti, PhD, Department of UNESP, Marília, São Paulo, Brazil Speech Pathology, Universidade Estadual Paulista UNESP, Av. Hygino Muzzi Filho, 737, Marília, São Paulo 14525-900, Brazil Int Arch Otorhinolaryngol 2014;18:68–76. (e-mail: [email protected]). Abstract Introduction Branchio-oto-renal (BOR) syndrome is an autosomal-dominant genetic condition with high penetrance and variable expressivity, with an estimated prevalence of 1 in 40,000. Approximately 40% of the patients with the syndrome have mutations in the gene EYA1, located at chromosomal region 8q13.3, and 5% have mutations in the gene SIX5 in chromosome region 19q13. The phenotype of this syndrome is character- ized by preauricular fistulas; structural malformations of the external, middle, and inner ears; branchial fistulas; renal disorders; cleft palate; and variable type and degree of hearing loss. Aim Hearing loss is part of BOR syndrome phenotype. The aim of this study was to present a literature review on the anatomical aspects and audiological profile of BOR syndrome. Keywords Data Synthesis Thirty-four studies were selected for analysis. Some aspects when ► branchio-oto-renal specifying the phenotype of BOR syndrome are controversial, especially those issues syndrome related to the audiological profile in which there was variability on auditory standard, ► BOR syndrome hearing loss progression, and type and degree of the hearing loss. -
Common Vestibular Function Tests
Common Vestibular Function Tests Authors: Barbara Susan Robinson, PT, DPT; Lisa Heusel-Gillig PT DPT NCS Fact Sheet The purpose of Vestibular Function Tests (VFTs) is to determine the health of the vestibular portion of the inner ear. These tests are commonly performed by ENTs, Audiologists, and Otolaryngologists Electronystagmography or Videonystagmography Electronystagmography (ENG test) or Videonystagmography (VNG test) evaluate the inner ear. Both record eye movements during a group of tests in light and dark rooms. During the ENG test, small electrodes are placed on the skin near the eyes to record eye movements. For the VNG test, eye movements are recorded by a video camera mounted inside of goggles that are worn during testing. ENG and VNG tests evaluate eye movements while following a visual target (tracking Produced by test) or during body and head position changes (positional test). The caloric test evaluates eye movements in response to cool or warm air (or water) placed in the ear canal. If there is no response to warm or cool air or water, ice water may be used in order to try to produce a response. The caloric test determines the difference between the function of the left and right inner ear. During this test, you may experience dizziness or nausea. You may be asked questions (math questions, city names, alphabet tasks) to distract you in order to get the best results. A Special Interest Group of Contact us: ANPT Other Common Vestibular Function Tests 5841 Cedar Lake Rd S. The rotary chair test is used along with the VNG to confirm the diagnosis and assess Ste 204 compensation of the vestibular system. -
How Does Psychological Trauma Affect the Body and the Brain the Cortex the Limbic System
How Does Psychological Trauma Affect the Body and the Brain It would take many volumes to thoroughly discuss the brain in total. In this book I will stick to an overview discussion of the parts of the brain that are most relevant to the essential understanding of trauma: the cortex (the thinking center of the brain) and the Iimbic system (the emotional and survival center of the brain). The Cortex Among other functions, the cortex is the site of conscious thought and awareness. Maintaining attention to our external environment (what we see, hear, smell, etc.) as well as our internal environment (thoughts, body sensations, and emotions) requires activity in the cortex. Thinking, including the recall of facts, description of procedures, recognition of time, understanding, and so on, also takes place in the cortex. Though it varies from individual to individual, low levels of increased stress with the accompanying increase in adrenaline levels will actually improve awareness, clear thinking, and memory.1 That is why coffee is such a popular beverage at work and among university students: a jolt of caffeine makes our memory, observations, and thinking processes sharper. However, past a certain (individually determined) level, increased adrenaline will degrade, that is, have the opposite effect on, those same processes. A most recognizable example is seen on television quiz programs. More often than not, contestants eliminated by a wrong answer will assert that when watching the program at home, they never missed an answer. Why then were they stumped when on TV? Most likely, their stress levels rose beyond the helpful low-adrenaline kick and succumbed to overload that dampened their ability to access information that was easily available under calmer circumstances. -
Technische Universität München
TECHNISCHE UNIVERSITÄT MÜNCHEN Lehrstuhl für Entwicklungsgenetik Molecular mechanisms that govern the establishment of sensory-motor networks Rosa-Eva Hüttl Vollständiger Abdruck der von der Fakultät Wissenschaftszentrum Weihenstephan für Ernährung, Landnutzung und Umwelt der Technischen Universität München zur Erlangung des akademischen Grades eines Doktors der Naturwissenschaften genehmigten Dissertation. Vorsitzender: Univ.-Prof. Dr. E. Grill Prüfer der Dissertation: 1. Univ.-Prof. Dr. W. Wurst 2. Univ.-Prof. Dr. H. Luksch Die Dissertation wurde am 08.12.2011 bei der Technischen Universität München eingereicht und durch die Fakultät Wissenschaftszentrum Weihenstephan für Ernährung, Landnutzung und Umwelt am 27.02.2012 angenommen. Erklärung Hiermit erkläre ich an Eides statt, dass ich die der Fakultät Wissenschaftszentrum Weihenstephan für Ernährung, Landnutzung und Umwelt der Technischen Universität München zur Promotionsprüfung vorgelegte Arbeit mit dem Titel „Molecular mechanisms that govern the establishment of sensory-motor networks“ am Lehrstuhl für Entwicklungsgenetik unter der Anleitung und Betreuung durch Univ.-Prof. Dr. Wolfgang Wurst ohne sonstige Hilfe erstellt und bei der Abfassung nur die gemäß § 6 Abs. 5 angegebenen Hilfsmittel benutzt habe. Ich habe keine Organisation eingeschaltet, die gegen Entgelt Betreuerinnen und Betreuer für die Anfertigung von Dissertationen sucht, oder die mir obliegenden Pflichten hinsichtlich der Prüfungsleistung für mich ganz oder teilweise erledigt. Ich habe die Dissertation in dieser oder -
ANATOMY of EAR Basic Ear Anatomy
ANATOMY OF EAR Basic Ear Anatomy • Expected outcomes • To understand the hearing mechanism • To be able to identify the structures of the ear Development of Ear 1. Pinna develops from 1st & 2nd Branchial arch (Hillocks of His). Starts at 6 Weeks & is complete by 20 weeks. 2. E.A.M. develops from dorsal end of 1st branchial arch starting at 6-8 weeks and is complete by 28 weeks. 3. Middle Ear development —Malleus & Incus develop between 6-8 weeks from 1st & 2nd branchial arch. Branchial arches & Development of Ear Dev. contd---- • T.M at 28 weeks from all 3 germinal layers . • Foot plate of stapes develops from otic capsule b/w 6- 8 weeks. • Inner ear develops from otic capsule starting at 5 weeks & is complete by 25 weeks. • Development of external/middle/inner ear is independent of each other. Development of ear External Ear • It consists of - Pinna and External auditory meatus. Pinna • It is made up of fibro elastic cartilage covered by skin and connected to the surrounding parts by ligaments and muscles. • Various landmarks on the pinna are helix, antihelix, lobule, tragus, concha, scaphoid fossa and triangular fossa • Pinna has two surfaces i.e. medial or cranial surface and a lateral surface . • Cymba concha lies between crus helix and crus antihelix. It is an important landmark for mastoid antrum. Anatomy of external ear • Landmarks of pinna Anatomy of external ear • Bat-Ear is the most common congenital anomaly of pinna in which antihelix has not developed and excessive conchal cartilage is present. • Corrections of Pinna defects are done at 6 years of age. -
Lipoma on the Antitragus of the Ear Hyeree Kim, Sang Hyun Cho, Jeong Deuk Lee, Hei Sung Kim* Department of Dermatology, Incheon St
www.symbiosisonline.org Symbiosis www.symbiosisonlinepublishing.com Letter to Editor Clinical Research in Dermatology: Open Access Open Access Lipoma on the antitragus of the ear Hyeree Kim, Sang Hyun Cho, Jeong Deuk Lee, Hei Sung Kim* Department of Dermatology, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Received: February 29, 2016; Accepted: March 25, 2016; Published: March 30, 2016 *Corresponding author: Hei Sung Kim, Professsor, Department of Dermatology, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 56 Donsuro, Bupyeong-gu, Incheon, 403-720, Korea. Tel: 82-32-280-5100; Fax: 82-2-506-9514; E-mail: [email protected] on the ear, most are located in internal auditory canals, where Keywords: Auricular Lipoma; Ear helix lipoma; Cartilagiouslipoma; Antitragallipoma approximately 150 cases have been reported in the literature worldwide [3]. Lipomas rarely originate from the external ear where only a few cases have been reported from the ear lobule Dear Editor, [4], and a only three cases from the ear helix [1,6,7] Bassem et al. Lipomas are the most common soft-tissue neoplasm [1, reported a case of lipoma of the pinnal helix on the 82-year-old 5]. Although they affect individuals of a wide age range, they woman, which presented a single, 3x3x2cm-sized, pedunculated occur predominantly in adults between the ages of 40 and 60 mass [1]. Mohammad and Ahmed reported two cases of years [5]. They most commonly present as painless, slowly cartiligious lipoma, one is conchal lipoma and the other is helical enlarging subcutaneous mass on the trunk, neck, or extremities. -
Neurosensory Development in the Zebrafish Inner Ear
NEUROSENSORY DEVELOPMENT IN THE ZEBRAFISH INNER EAR A Dissertation by SHRUTI VEMARAJU Submitted to the Office of Graduate Studies of Texas A&M University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY December 2011 Major Subject: Biology NEUROSENSORY DEVELOPMENT IN THE ZEBRAFISH INNER EAR A Dissertation by SHRUTI VEMARAJU Submitted to the Office of Graduate Studies of Texas A&M University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Approved by: Chair of Committee, Bruce B. Riley Committee Members, Mark J. Zoran Brian D. Perkins Rajesh C. Miranda Head of Department Uel Jackson McMahan December 2011 Major Subject: Biology iii ABSTRACT Neurosensory Development in the Zebrafish Inner Ear. (December 2011) Shruti Vemaraju, B.Tech., Guru Gobind Singh Indraprastha University Chair of Advisory Committee: Dr. Bruce B. Riley The vertebrate inner ear is a complex structure responsible for hearing and balance. The inner ear houses sensory epithelia composed of mechanosensory hair cells and non-sensory support cells. Hair cells synapse with neurons of the VIIIth cranial ganglion, the statoacoustic ganglion (SAG), and transmit sensory information to the hindbrain. This dissertation focuses on the development and regulation of both sensory and neuronal cell populations. The sensory epithelium is established by the basic helix- loop-helix transcription factor Atoh1. Misexpression of atoh1a in zebrafish results in induction of ectopic sensory epithelia albeit in limited regions of the inner ear. We show that sensory competence of the inner ear can be enhanced by co-activation of fgf8/3 or sox2, genes that normally act in concert with atoh1a. -
Phillips 2012 an Examination of the Efficacy of Sensory Integration in Occupational Therapy.Pdf
A Senior Honors Thesis February 2012 An Examination of the Efficacy of Sensory Integration in Occupational Therapy Shannon Phillips If an individual with sensory processing disorder undergoes occupational therapy treatment with the incorporation of sensory integration techniques, he or she will show measurable improvements in overall functioning, i.e., tactile sensitivity, taste/smell sensitivity, movement sensitivity, seeking sensation or under-responsiveness, and visual/auditory sensitivity. ACKNOWLEDGMENTS I would like to thank and acknowledge the many people who have helped make this Thesis of An Examination of the Efficacy of Sensory Integration in Occupational Therapy a success. First of all, to my advisor Mrs. Betty Marko, thank you for all the time spent with me in meetings, reading and revising my project, and giving me such wonderful guidance, advice, and insight. I very much appreciate all you have done and more. To my reader, Dr. Bob Humphries, thank you for your generous suggestions and for taking the time to help read and revise my project. To Dr. Laci Fiala Ades, thank you so much for all your help with my data consolidation. Without you as my statistical liaison, I would not have been able to convey my results in such an informative and intelligent manner. To Dr. Koop Berry and the rest of the Honors Committee, thank you for presenting me with this opportunity to come up with original research regarding my interest in occupational therapy. I know this experience can only help in my journey to graduate school, and it has left me with valuable lessons for life as well. -
Sensory Processing Disorder with Strategies for Learning Behavior
Sensory Processing Disorder with Strategies for learning Behavior and Social Skills Description: Understanding and learning to recognize the sensory needs of the children who have spectrum processing disorder. Bonnie Vos, MS, O.T.R./L History of Diagnosis Autism criterion Autism not it’s better defined, # Subtype own diagnostic of diagnosis s are category increased rapidly DSM I DSM II DSM II DSM DSM IV DSM V 1952 1968 1980 III-R 1992 2013 1987 Autism not it’s Autism New subtypes are own diagnostic becomes its added, now 16 category own diagnostic behaviors are category characteristic (must have 6 to qualify) History of Diagnosis 1. New name (Autism Spectrum Disorder) 2. One diagnosis-no subcategories 3. Now 2 domains (social and repetitive) 4. Symptom list is consolidated 5. Severity rating added 6. Co-morbid diagnosis is now permitted 7. Age onset criterion removed 8. New diagnosis: Social (pragmatic) Communication disorder What is Autism • http://www.parents.com/health/autism/histo ry-of-autism/ Coding of the brain • One theory of how the brain codes is using a library metaphor. • Books=experiences • Subjects areas are representations of the main neuro- cognitive domains: • The subjects are divided into 3 sections: 1. Sensory: visual, auditory, ect. 2. Integrated skills: motor planning (praxis), language 3. Abilities: social and cognitive • Designed as a model for ideal development The Brain Library • Each new experience creates a book associated with the subject area that are active during the experience • Books are symbolic of whole or parts of experiences • The librarian in our brain – Analyzes – Organizes – Stores – Retrieves Brain Library • The earliest experiences or sensory inputs begin writing the books that will eventually fill the foundational sections of our brain Libraries – Sensory integration begins in-utero – Example: vestibular=14 weeks in-utero – Example: Auditory=20 weeks in-utero Brain Library 1. -
Anatomy of the Ear ANATOMY & Glossary of Terms
Anatomy of the Ear ANATOMY & Glossary of Terms By Vestibular Disorders Association HEARING & ANATOMY BALANCE The human inner ear contains two divisions: the hearing (auditory) The human ear contains component—the cochlea, and a balance (vestibular) component—the two components: auditory peripheral vestibular system. Peripheral in this context refers to (cochlea) & balance a system that is outside of the central nervous system (brain and (vestibular). brainstem). The peripheral vestibular system sends information to the brain and brainstem. The vestibular system in each ear consists of a complex series of passageways and chambers within the bony skull. Within these ARTICLE passageways are tubes (semicircular canals), and sacs (a utricle and saccule), filled with a fluid called endolymph. Around the outside of the tubes and sacs is a different fluid called perilymph. Both of these fluids are of precise chemical compositions, and they are different. The mechanism that regulates the amount and composition of these fluids is 04 important to the proper functioning of the inner ear. Each of the semicircular canals is located in a different spatial plane. They are located at right angles to each other and to those in the ear on the opposite side of the head. At the base of each canal is a swelling DID THIS ARTICLE (ampulla) and within each ampulla is a sensory receptor (cupula). HELP YOU? MOVEMENT AND BALANCE SUPPORT VEDA @ VESTIBULAR.ORG With head movement in the plane or angle in which a canal is positioned, the endo-lymphatic fluid within that canal, because of inertia, lags behind. When this fluid lags behind, the sensory receptor within the canal is bent. -
Nociceptor Sensory Neuron–Immune Interactions in Pain and Inflammation
Feature Review Nociceptor Sensory Neuron–Immune Interactions in Pain and Inflammation 1,2 2 Felipe A. Pinho-Ribeiro, Waldiceu A. Verri Jr., and 1, Isaac M. Chiu * Nociceptor sensory neurons protect organisms from danger by eliciting pain Trends and driving avoidance. Pain also accompanies many types of inflammation and A bidirectional crosstalk between noci- injury. It is increasingly clear that active crosstalk occurs between nociceptor ceptor sensory neurons and immune cells actively regulates pain and neurons and the immune system to regulate pain, host defense, and inflamma- inflammation. tory diseases. Immune cells at peripheral nerve terminals and within the spinal cord release mediators that modulate mechanical and thermal sensitivity. In Immune cells release lipids, cytokines, and growth factors that have a key role turn, nociceptor neurons release neuropeptides and neurotransmitters from in sensitizing nociceptor sensory neu- nerve terminals that regulate vascular, innate, and adaptive immune cell rons by acting in peripheral tissues and responses. Therefore, the dialog between nociceptor neurons and the immune the spinal cord to produce neuronal plasticity and chronic pain. system is a fundamental aspect of inflammation, both acute and chronic. A better understanding of these interactions could produce approaches to treat Nociceptor neurons release neuropep- chronic pain and inflammatory diseases. tides that drive changes in the vascu- lature, lymphatics, and polarization of innate and adaptive immune cell Neuronal Pathways of Pain Sensation function. Pain is one of four cardinal signs of inflammation defined by Celsus during the 1st century AD (De Nociceptor neurons modulate host Medicina). Nociceptors are a specialized subset of sensory neurons that mediate pain and defenses against bacterial and fungal densely innervate peripheral tissues, including the skin, joints, respiratory, and gastrointestinal pathogens, and, in some cases, neural fi tract. -
Balance and Equilibrium, I: the Vestibule and Semicircular Canals
Anatomic Moment Balance and Equilibrium, I: The Vestibule and Semicircular Canals Joel D. Swartz, David L. Daniels, H. Ric Harnsberger, Katherine A. Shaffer, and Leighton Mark In this, our second temporal bone installment, The endolymphatic duct arises from the en- we will emphasize the vestibular portion of the dolymphatic sinus and passes through the ves- labyrinth, that relating to balance and equilib- tibular aqueduct of the osseous labyrinth to rium. Before proceeding, we must again remind emerge from an aperture along the posterior the reader of the basic structure of the labyrinth: surface of the petrous pyramid as the endolym- an inner membranous labyrinth (endolym- phatic sac. phatic) surrounded by an outer osseous laby- The utricle and saccule are together referred rinth with an interposed supportive perilym- to as the static labyrinth, because their function phatic labyrinth. We recommend perusal of the is to detect the position of the head relative to first installment before continuing if there are gravity (5–7). They each have a focal concen- any uncertainties in this regard. tration of sensory receptors (maculae) located The vestibule, the largest labyrinthine cavity, at right angles to each other and consisting of measures 4 to 6 mm maximal diameter (1–3) ciliated hair cells and tiny crystals of calcium (Figs 1–3). The medial wall of the vestibule is carbonate (otoliths) embedded in a gelatinous unique in that it contains two distinct depres- mass. These otoliths respond to gravitational sions (Fig 4). Posterosuperiorly lies the elliptical pull; therefore, changes in head position distort recess, where the utricle is anchored.