VESTIBULAR SYSTEM (Balance/Equilibrium) the Vestibular Stimulus Is Provided by Earth’S ______, and ______

Total Page:16

File Type:pdf, Size:1020Kb

VESTIBULAR SYSTEM (Balance/Equilibrium) the Vestibular Stimulus Is Provided by Earth’S ______, and ______ VESTIBULAR SYSTEM (Balance/Equilibrium) The vestibular stimulus is provided by Earth’s _______, and ____________________. Located in the __________ of the inner ear, in two components: 1. Vestibular sacs - gravity & head direction 2. Semicircular canals - angular acceleration (changes in the rotation of the head, not steady rotation) 1. Vestibular sacs (Otolith organs) - made of: a) _______ (“little pouch”) b) _______ (“little sac”) Signaling mechanism of Vestibular sacs Receptive organ located on the “floor” of Utricle and on “wall” of Saccule when head is in upright position - _______ move within _______________upon head movement; - crystals slightly bend _______________also located within gelatinous mass; - this _________________________of action potentials in bipolar vestibular sensory neurons. Otoconia: Calcium carbonate crystals Gelatinous mass Cilia Hair cells Vestibular nerve Vestibular ganglion 2. Semicircular canals: 3 ring structures; each filled with fluid, separated by a membrane. Signaling mechanism of Semicircular canals -head movement induces movement of _____________but ________________of endolymph slightly bends cupula (endolymph movement is initially slower than head mvmt); - cupula bending slightly moves the cilia of hair cells; - this bending changes rate of action potentials in bipolar vestibular sensory neurons; - when head movement stops: endolymph movement _______________________, again bending the cupula but in reverse direction on hair cells which changes rate of APs; - detects “acceleration” in all 3 planes semicircular Ampulla Cross- canal section Cross- section Perilymph Membrane Cupula Hair Endolymph cells Vestibular nerve Vestibular Ganglion 3. Vestibular pathway to the nervous system: - vestibular bipolar sensory cell bodies located in _________________, which looks like a nodule (____________) on the vestibular nerve; - axons from vestibular neurons get together with axons of the spiral ganglion (auditory) and give rise to ______________________ = VIII cranial nerve; - vestibular axons synapse within ___________ _________in medulla, and in cerebellum; - vestibular neurons send axons to cerebellum, spinal cord, medulla and pons; - medullary responses to vestibular stimulation involved in ________________(nausea, emesis); - responsible for controlling _____________for keeping head upright; - controls eye movement; compensates for sudden head movement = ________________ _______________. Chap. 8- 4 Nerves out of the “vestibule” . and entering the brain AUDITORY SYSTEM (Hearing) I. AUDITORY (ACOUSTIC) STIMULUS - waves of energy = sound waves - propagates through: (air), (water), and (metals) 1 cycle Intensity (loudness): measured on a logarithmic scale ; very sensitive & wide range - range: 0 - 160+ dB (>140 dB = painful) Frequency: Normal range (humans): ___________ - cps = cycles per seconds = ________________ - frequency = ________ - ex., women’s voice higher pitch than men’s - range gets considerably narrower with age Complexity: addition of gives rise to _________ waves - most sounds are complex waves that can be analyzed with into their component simple waves. II. EAR A. OUTER EAR a. (external ear) b. Hammer Ossicles (middle Anvil Stirrup}ear bones) Oval window Auditory nerve Bone Cochlea Vestibule Ear canal Tympanic Round membrane Pinna window Eustachian tube (connects with throat) B. MIDDLE EAR a. Eardrum (_____________________) b. Ossicles 1. _________ 2. ______ 3. _______ C. INNER EAR = COCHLEA C. COCHLEA a. Oval window b. Round window c. Endolymph d. Cochlear duct - contains Organ of Corti 1. Tectorial membrane (top) 2. Basilar membrane (bottom) 3. Hair cells Tectorial Cilia of Inner membrane hair cell hair cell Outer (rigid) hair cells Deiter’s cells Cochlear Axons of auditory nerve duct Basilar membrane - mobile Organ of Corti Cochlear nerve Spiral ganglion Bone Membrane surrounding cochlea Slice through cochlea Signaling mechanism for hearing: - sound waves produce movement of basilar membrane; - movement of basilar membrane induce movement of cilia of hair cells; - cilia movement increase or decrease polarization of hair cells, which increase or decrease neurotransmitter release onto axon terminals of bipolar auditory neurons; - this increases or decreases action potentials in bipolar auditory neruons. - it is the inner hair cells that provide the auditory signal to the brain; - the outer hair cells are believed to control the “tightness” of the basilar membrane, and therefore provide some modulation of hearing. D. CODING OF FREQUENCY: Pitch (frequency) perception: 1. _____________ a. Different spots on basilar membrane vibrate to different frequencies (Fig. A above) b. Works for moderate to high frequencies, 100-200 to 20,000 Hz; - near oval window: very high frequencies (20,000 Hz) - near round window: moderate frequencies (100-200 Hz) 2. ____________ a. Frequency of sound waves over a large portion of basilar membrane = frequency of action potentials b. Works for low frequency sounds (below about 100-200 Hz) Chap. 8- 8 E. CODING OF INTENSITY (LOUDNESS): Determined by action potential frequency; ex. soft sound = , loud sound = F. CODING OF SOUND LOCALIZATION: Based on: 1. : ex., click sound generated to the left arrives at left ear first 2. : ex., continuous sound waves will reach each ear at slightly different phases of the oscillating sound waves - these mechanisms work best with sounds of moderate frequencies 3. : ex., sound generated to the left are sensed slightly louder on the left side - this mechanism works best with sounds of high frequencies Note. Low frequencies (____________) are nearly impossible to localize (that’s why you need only one “sub-woofer” in a home-theater system) G. AUDITORY SYSTEM PATHWAY Spiral ganglion - contains bipolar neurons - receive information from hair cells - send their axons to brain via VIII nerve (auditory component of vestibulocochear nerve) Lateral fissure Auditory cortex Forebrain Thalamus: Medial geniculate body Midbrain Inferior colliculus Dorsal cochlear nucleus Lateral lemniscus Ventral cochlear nucleus Trapezoid Medulla body Auditory nerve Superior (VIII nerve) olivary complex Frequency organization kept throughout auditory system all the way to auditory cortex.
Recommended publications
  • Sound and the Ear Chapter 2
    © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Chapter© Jones & Bartlett 2 Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Sound and the Ear © Jones Karen &J. Kushla,Bartlett ScD, Learning, CCC-A, FAAA LLC © Jones & Bartlett Learning, LLC Lecturer NOT School FOR of SALE Communication OR DISTRIBUTION Disorders and Deafness NOT FOR SALE OR DISTRIBUTION Kean University © Jones & Bartlett Key Learning, Terms LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR Acceleration DISTRIBUTION Incus NOT FOR SALE OR Saccule DISTRIBUTION Acoustics Inertia Scala media Auditory labyrinth Inner hair cells Scala tympani Basilar membrane Linear scale Scala vestibuli Bel Logarithmic scale Semicircular canals Boyle’s law Malleus Sensorineural hearing loss Broca’s area © Jones & Bartlett Mass Learning, LLC Simple harmonic© Jones motion (SHM) & Bartlett Learning, LLC Brownian motion Membranous labyrinth Sound Cochlea NOT FOR SALE OR Mixed DISTRIBUTION hearing loss Stapedius muscleNOT FOR SALE OR DISTRIBUTION Compression Organ of Corti Stapes Condensation Osseous labyrinth Tectorial membrane Conductive hearing loss Ossicular chain Tensor tympani muscle Decibel (dB) Ossicles Tonotopic organization © Jones Decibel & hearing Bartlett level (dB Learning, HL) LLC Outer ear © Jones Transducer & Bartlett Learning, LLC Decibel sensation level (dB SL) Outer hair cells Traveling wave theory NOT Decibel FOR sound SALE pressure OR level DISTRIBUTION
    [Show full text]
  • Fibroblast Growth Factor (Fgf) Implication in the Neonatal Development of the Cochlear Innervation G
    FIBROBLAST GROWTH FACTOR (FGF) IMPLICATION IN THE NEONATAL DEVELOPMENT OF THE COCHLEAR INNERVATION G. Després, I. Jalenques, R. Romand To cite this version: G. Després, I. Jalenques, R. Romand. FIBROBLAST GROWTH FACTOR (FGF) IMPLICATION IN THE NEONATAL DEVELOPMENT OF THE COCHLEAR INNERVATION. Journal de Physique IV Proceedings, EDP Sciences, 1992, 02 (C1), pp.C1-173-C1-176. 10.1051/jp4:1992134. jpa-00251205 HAL Id: jpa-00251205 https://hal.archives-ouvertes.fr/jpa-00251205 Submitted on 1 Jan 1992 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. JOURNAL DE PHYSIQUE IV Colloque C1, suppICment au Journal de Physique 111, Volume 2, avril 1992 FIBROBLAST GROWMI FACTOR (FGF) IMPLICATION IN TIlE NEONATAL DEVELOPMENT OF THE COCIiLEAR INNERVATION G. DESPR~S,I. JALENQUES and R. ROMAND Laboratoire de Neurobiolc@e et Physwlogie du Dkeloppement, Universite'BIaise Pascal, F-63177Aubi2re ceder, France The presence of fibroblast growth factor-like protein has been investigated on cryostat sections from Sprague Dawley rat cochleae and auditory brainstem nuclei of various neonatal stages by indirect immunofluorescence and immunoperoxydase techniques with an antibody directed against the 1-24 amino-acid sequence of brain derived basic FGF.
    [Show full text]
  • The Standing Acoustic Wave Principle Within the Frequency Analysis Of
    inee Eng ring al & ic d M e e d Misun, J Biomed Eng Med Devic 2016, 1:3 m i o c i a B l D f o e v DOI: 10.4172/2475-7586.1000116 l i a c n e r s u o Journal of Biomedical Engineering and Medical Devices J ISSN: 2475-7586 Review Article Open Access The Standing Acoustic Wave Principle within the Frequency Analysis of Acoustic Signals in the Cochlea Vojtech Misun* Department of Solid Mechanics, Mechatronics and Biomechanics, Brno University of Technology, Brno, Czech Republic Abstract The organ of hearing is responsible for the correct frequency analysis of auditory perceptions coming from the outer environment. The article deals with the principles of the analysis of auditory perceptions in the cochlea only, i.e., from the overall signal leaving the oval window to its decomposition realized by the basilar membrane. The paper presents two different methods with the function of the cochlea considered as a frequency analyzer of perceived acoustic signals. First, there is an analysis of the principle that cochlear function involves acoustic waves travelling along the basilar membrane; this concept is one that prevails in the contemporary specialist literature. Then, a new principle with the working name “the principle of standing acoustic waves in the common cavity of the scala vestibuli and scala tympani” is presented and defined in depth. According to this principle, individual structural modes of the basilar membrane are excited by continuous standing waves of acoustic pressure in the scale tympani. Keywords: Cochlea function; Acoustic signals; Frequency analysis; The following is a description of the theories in question: Travelling wave principle; Standing wave principle 1.
    [Show full text]
  • 5.1. Structure of the Spiral Ganglion
    CHAPTER 5. INNERVATION OF THE ORGAN OF CORTI The investigation of nerve components of the acoustic system’s periph- eral part is so difficult methodologically that a whole series of questions which were solved long ago during the investigation of the other sensory system have not yet been clarified. The basic difficulty for the morphologists lies in the fact that the organ of Corti, together with its nerve elements, is located within the osseous tissue. In addition, it is in the shape of a spirally involut- ed geometrical figure. These structural peculiarities create considerable dif- ficulties during the determination of the connections between the types of peripheral and central neuron’s processes and bodies of the spiral ganglion of the cochlea. Therefore, most of the work on the cochlea’s innervation and the computation of the different element’s quantity demands an application of special methods, including graphical reconstruction of the serial sections. The Golgi method was and still remains the basic histological method of the organ of Corti’s innervation study, which has been supplemented by the cochlea’s electron-microscope investigations in the normal conditions and during the experimentally induced degenerations. 5.1. Structure of the spiral ganglion The neurons which innervate the auditory receptor cells form a spiral ganglion: a nerve-knot of the VIII pair’s acoustic part of the craniocerebral nerves. The ganglion fills the Rosental’s canal in the cochlea’s axis and re- peats the number of its spiral turns. The ganglionic neuron has, as a rule, a widened body with two processes: peripheral and central (Diagram 7).
    [Show full text]
  • Auditory Neuropathy After Damage to Cochlear Spiral Ganglion Neurons
    www.nature.com/scientificreports OPEN Auditory Neuropathy after Damage to Cochlear Spiral Ganglion Neurons in Mice Resulting from Conditional Received: 27 July 2016 Accepted: 15 June 2017 Expression of Diphtheria Toxin Published online: 25 July 2017 Receptors Haolai Pan1, Qiang Song1, Yanyan Huang1, Jiping Wang1, Renjie Chai2, Shankai Yin1 & Jian Wang 1,3 Auditory neuropathy (AN) is a hearing disorder characterized by normal cochlear amplifcation to sound but poor temporal processing and auditory perception in noisy backgrounds. These defcits likely result from impairments in auditory neural synchrony; such dyssynchrony of the neural responses has been linked to demyelination of auditory nerve fbers. However, no appropriate animal models are currently available that mimic this pathology. In this study, Cre-inducible diphtheria toxin receptor (iDTR+/+) mice were cross-mated with mice containing Cre (Bhlhb5-Cre+/−) specifc to spiral ganglion neurons (SGNs). In double-positive ofspring mice, the injection of diphtheria toxin (DT) led to a 30–40% rate of death for SGNs, but no hair cell damage. Demyelination types of pathologies were observed around the surviving SGNs and their fbers, many of which were distorted in shape. Correspondingly, a signifcant reduction in response synchrony to amplitude modulation was observed in this group of animals compared to the controls, which had a Cre− genotype. Taken together, our results suggest that SGN damage following the injection of DT in mice with Bhlhb5-Cre+/− and iDTR+/− is likely to be a good AN model of demyelination. Auditory neuropathy (AN) is a hearing disorder characterized as having normal cochlear microphonic (CM) potentials and otoacoustic emissions (OAEs), but largely reduced or missing auditory brainstem responses (ABRs).
    [Show full text]
  • Mathematical Model of the Cupula-Endolymph System with Morphological Parameters for the Axolotl (Ambystoma Tigrinum) Semicircular Canals
    138 The Open Medical Informatics Journal, 2008, 2, 138-148 Open Access Mathematical Model of the Cupula-Endolymph System with Morphological Parameters for the Axolotl (Ambystoma tigrinum) Semicircular Canals Rosario Vega1, Vladimir V. Alexandrov2,3, Tamara B. Alexandrova1,3 and Enrique Soto*,1 1Instituto de Fisiología, Universidad Autónoma de Puebla, 2Facultad de Ciencias Físico Matemáticas, Universidad Autónoma de Puebla, 3 Lomonosov Moscow State University, Mexico Abstract: By combining mathematical methods with the morphological analysis of the semicircular canals of the axolotl (Ambystoma tigrinum), a system of differential equations describing the mechanical coupling in the semicircular canals was obtained. The coefficients of this system have an explicit physiological meaning that allows for the introduction of morphological and dynamical parameters directly into the differential equations. The cupula of the semicircular canals was modeled both as a piston and as a membrane (diaphragm like), and the duct canals as toroids with two main regions: i) the semicircular canal duct and, ii) a larger diameter region corresponding to the ampulla and the utricle. The endolymph motion was described by the Navier-Stokes equations. The analysis of the model demonstrated that cupular behavior dynamics under periodic stimulation is equivalent in both the piston and the membrane cupular models, thus a general model in which the detailed cupular structure is not relevant was derived. Keywords: Inner ear, vestibular, hair cell, transduction, sensory coding, physiology. 1. INTRODUCTION linear acceleration detectors, and the SCs as angular accel- eration detectors, notwithstanding that both sensory organs The processing of sensory information in the semicircular are based on a very similar sensory cell type.
    [Show full text]
  • Auditory and Vestibular Systems Objective • to Learn the Functional
    Auditory and Vestibular Systems Objective • To learn the functional organization of the auditory and vestibular systems • To understand how one can use changes in auditory function following injury to localize the site of a lesion • To begin to learn the vestibular pathways, as a prelude to studying motor pathways controlling balance in a later lab. Ch 7 Key Figs: 7-1; 7-2; 7-4; 7-5 Clinical Case #2 Hearing loss and dizziness; CC4-1 Self evaluation • Be able to identify all structures listed in key terms and describe briefly their principal functions • Use neuroanatomy on the web to test your understanding ************************************************************************************** List of media F-5 Vestibular efferent connections The first order neurons of the vestibular system are bipolar cells whose cell bodies are located in the vestibular ganglion in the internal ear (NTA Fig. 7-3). The distal processes of these cells contact the receptor hair cells located within the ampulae of the semicircular canals and the utricle and saccule. The central processes of the bipolar cells constitute the vestibular portion of the vestibulocochlear (VIIIth cranial) nerve. Most of these primary vestibular afferents enter the ipsilateral brain stem inferior to the inferior cerebellar peduncle to terminate in the vestibular nuclear complex, which is located in the medulla and caudal pons. The vestibular nuclear complex (NTA Figs, 7-2, 7-3), which lies in the floor of the fourth ventricle, contains four nuclei: 1) the superior vestibular nucleus; 2) the inferior vestibular nucleus; 3) the lateral vestibular nucleus; and 4) the medial vestibular nucleus. Vestibular nuclei give rise to secondary fibers that project to the cerebellum, certain motor cranial nerve nuclei, the reticular formation, all spinal levels, and the thalamus.
    [Show full text]
  • Use of Calcium-Binding Proteins to Map Inputs in Vestibular Nuclei of the Gerbil
    THE JOURNAL OF COMPARATIVE NEUROLOGY 386:317–327 (1997) Use of Calcium-Binding Proteins to Map Inputs in Vestibular Nuclei of the Gerbil GOLDA ANNE KEVETTER* AND ROBERT B. LEONARD Departments of Otolaryngology, Anatomy and Neurosciences, and Physiology and Biophysics, University of Texas Medical Branch, Galveston, Texas 77555 ABSTRACT We wished to determine whether calbindin and/or calretinin are appropriate markers for vestibular afferents, a population of neurons in the vestibular nuclear complex, or cerebellar Purkinje inputs. To accomplish this goal, immunocytochemical staining was observed in gerbils after lesions of the vestibular nerve central to the ganglion, the cerebellum, or both. Eleven to fourteen days after recovery, the brain was processed for immunocytochemical identification of calretinin and calbindin. After lesion of the vestibular nerve, no calretinin staining was seen in any of the vestibular nuclei except for a population of intrinsic neurons, which showed no obvious change in number or staining pattern. Calbindin staining was reduced in all nuclei except the dorsal part of the lateral vestibular nuclei. The density of staining of each marker, measured in the magnocellular medial vestibular nucleus, was signifi- cantly reduced. After the cerebellar lesion, no differences in calretinin staining were noted. However, calbindin staining was greatly reduced in all nuclei. The density of staining, measured in the caudal medial vestibular nucleus, was significantly lower. After a combined lesion of the cerebellum and vestibular nerve, the distribution and density of calretinin staining resembled that after vestibular nerve section alone, whereas calbindin staining was no longer seen. This study demonstrates that calretinin and calbindin are effective markers for the identification of vestibular afferents.
    [Show full text]
  • Cranial Nerves 1, 5, 7-12
    Cranial Nerve I Olfactory Nerve Nerve fiber modality: Special sensory afferent Cranial Nerves 1, 5, 7-12 Function: Olfaction Remarkable features: – Peripheral processes act as sensory receptors (the other special sensory nerves have separate Warren L Felton III, MD receptors) Professor and Associate Chair of Clinical – Primary afferent neurons undergo continuous Activities, Department of Neurology replacement throughout life Associate Professor of Ophthalmology – Primary afferent neurons synapse with secondary neurons in the olfactory bulb without synapsing Chair, Division of Neuro-Ophthalmology first in the thalamus (as do all other sensory VCU School of Medicine neurons) – Pathways to cortical areas are entirely ipsilateral 1 2 Crania Nerve I Cranial Nerve I Clinical Testing Pathology Anosmia, hyposmia: loss of or impaired Frequently overlooked in neurologic olfaction examination – 1% of population, 50% of population >60 years Aromatic stimulus placed under each – Note: patients with bilateral anosmia often report nostril with the other nostril occluded, eg impaired taste (ageusia, hypogeusia), though coffee, cloves, or soap taste is normal when tested Note that noxious stimuli such as Dysosmia: disordered olfaction ammonia are not used due to concomitant – Parosmia: distorted olfaction stimulation of CN V – Olfactory hallucination: presence of perceived odor in the absence of odor Quantitative clinical tests are available: • Aura preceding complex partial seizures of eg, University of Pennsylvania Smell temporal lobe origin
    [Show full text]
  • Cranial Nerve VIII
    Cranial Nerve VIII Color Code Important (The Vestibulo-Cochlear Nerve) Doctors Notes Notes/Extra explanation Please view our Editing File before studying this lecture to check for any changes. Objectives At the end of the lecture, the students should be able to: ✓ List the nuclei related to vestibular and cochlear nerves in the brain stem. ✓ Describe the type and site of each nucleus. ✓ Describe the vestibular pathways and its main connections. ✓ Describe the auditory pathway and its main connections. Due to the difference of arrangement of the lecture between the girls and boys slides we will stick to the girls slides then summarize the pathway according to the boys slides. Ponto-medullary Sulcus (cerebello- pontine angle) Recall: both cranial nerves 8 and 7 emerge from the ventral surface of the brainstem at the ponto- medullary sulcus (cerebello-pontine angle) Brain – Ventral Surface Vestibulo-Cochlear (VIII) 8th Cranial Nerve o Type: Special sensory (SSA) o Conveys impulses from inner ear to nervous system. o Components: • Vestibular part: conveys impulses associated with body posture ,balance and coordination of head & eye movements. • Cochlear part: conveys impulses associated with hearing. o Vestibular & cochlear parts leave the ventral surface* of brain stem through the pontomedullary sulcus ‘at cerebellopontine angle*’ (lateral to facial nerve), run laterally in posterior cranial fossa and enter the internal acoustic meatus along with 7th (facial) nerve. *see the previous slide Auditory Pathway Only on the girls’ slides 04:14 Characteristics: o It is a multisynaptic pathway o There are several locations between medulla and the thalamus where axons may synapse and not all the fibers behave in the same manner.
    [Show full text]
  • Endolymphatic Hydrops Meniere's
    ENDOLYMPHATIC HYDROPS MENIERE’S DISEASE Introduction: Meniere’s Disease, or endolymphatic hydrops, is a disorder of the inner ear. This condition occurs because of abnormal fluctuations in the inner ear fluid called endolymph. A system of membranes, called the membranous labyrinth, contains a fluid called endolymph. This fluid bathes the inner ear balance and hearing system sensory cells and allows them to function normally. The membranes can become dilated like a balloon when pressure increases. This is called "hydrops". The amount of fluid is normally kept constant by altering the production and absorption of the fluid. Endolymph also contains a specific concentration of sodium, potassium, chloride, and other electrolytes. If the inner ear is damaged by disease, injury, or other causes, the volume and composition of the inner ear fluid can fluctuate with changes in the body’s fluid and electrolyte levels. This fluctuation in inner ear fluid can cause the symptoms of hydrops, including pressure or fullness of the affected ear, tinnitus, hearing loss, and imbalance or dizziness. Treatment of this condition is geared towards stabilizing the body fluid levels so that fluctuations in the endolymph volume can be avoided. Meniere's episodes may occur in clusters in which several attacks may occur within a short period of time. On the other hand, years may pass between episodes. Between the acute attacks, most people are free of symptoms or note mild imbalance, tinnitus, and/or hearing loss. Meniere’s affects roughly 0.2% of the population, about 200 out of 100,000 people (or in other words, 2/1000).
    [Show full text]
  • Imaging Features Differentiating Vestibular Ganglion From
    Click HERE for more articles at Annals, Academy of Medicine, Singapore homepage Differentiating Ganglion from Schwannoma—Yi-Wei Wu et al 65 Original Article Imaging Features Differentiating Vestibular Ganglion from Intracanalicular Schwannoma on Single-Sequence Non-Contrast Magnetic Resonance Imaging Study 1 1 1 2 Yi-Wei Wu, MD, MMed, FRCR, Amit Karandikar, MBBS, FRCR, FAMS, Julian PN Goh, MBBS, FRCR, Tiong Yong Tan, MBBS, FRCR, FAMS Abstract Introduction: This study aimed to identify imaging features on single-sequence non- contrast magnetic resonance imaging (MRI) that differentiate the vestibular ganglion from small intracanalicular schwannomas. Materials and Methods: Ninety patients (42 men and 48 women; age: 24‒87 years old) with 102 internal auditory canal (IAC) nodules (59 vestibular ganglia and 43 intracanalicular schwannoma) who underwent both single- sequence T2-weighted (T2W) non-contrast enhanced MRI studies and contrast-enhanced T1-weighted (T1W) MRI studies between May 2012 and April 2017 were evaluated. The length, width, distance to the IAC fundus and length/width ratios for all lesions were obtained and compared among groups. Diagnostic performance and cutoff values of the parameters were evaluated with receiver operating characteristics curve analysis. Area under the curve (AUC) value was calculated. Results: Vestibular ganglia have significantly smaller lengths and widths compared to intracanalicular vestibular schwannomas (1.7 ± 0.4 mm and 1.0 ± 0.2 mm versus 5.6 ± 3.0 mm and 3.7 ± 1.5 mm). They are more fusiform in shape compared to vestibular schwannomas (length/width ratio: 1.8 ± 0.4 versus 1.5 ± 0.4). The lesion width demonstrated the highest diagnostic performance (AUC: 0.998).
    [Show full text]