Vestibular recruitment and decruitment. 1979

P Ghosh, and S K Kacker

Serial Thermal Vestibulometry with the application of increasing caloric stimuli (corresponding to decreasing temperature of water at successive irrigration of the ears) was performed on normal subjects and patients with lesions in the central nervous system involving the statoacoustic subsystem. The normal values and 'slope' values (i.e.increase in degrees of velocity of slow component of nystagmus in response to each 4 degrees C change in water temperature) were computed to yield values of the normal vestibulogram. The values obtained in patients were compared with those of the Normograms and the following diagnostic patterns observed: (a) Hypograms, (b) Hypergrams, (c) Central Vestibular Decruitment. Central Vestibular Recruitment has been explained on the basis of the locus of the lesion leading to involvement of the nystagmogenic area in the lower part of the reticular formation, suprasegmental neurones in the vicinity of the vestibular nuclear complex, and partial destruction of the complex itself, each being responsible alone or in combination. Hypergrams presumably result from suprasegmental lesions, e.g. in cerebrum and stem components. Central decrittment follows neural lesions in the vestibular subsystem. Hypograms are found in vestibular nuclear pathology. Furthermore, it helps in charting a plan for therapy, viz. head and balance exercise, in particular, in the sense that his exercise is not helpful in cases with central decruitment but is in peripheral one. An explanation for this has been put forward.

UI MeSH Term Description Entries
D009431 Neural Conduction The propagation of the NERVE IMPULSE along the nerve away from the site of an excitation stimulus. Nerve Conduction,Conduction, Nerve,Conduction, Neural,Conductions, Nerve,Conductions, Neural,Nerve Conductions,Neural Conductions
D011999 Recruitment, Neurophysiological The spread of response if stimulation is prolonged. (Campbell's Psychiatric Dictionary, 8th ed.) Recruitment, Motor Unit,Motor Unit Recruitment,Neurophysiological Recruitment
D002150 Caloric Tests Elicitation of a rotatory nystagmus by stimulating the semicircular canals with water or air which is above or below body temperature. In warm caloric stimulation a rotatory nystagmus is developed toward the side of the stimulated ear; in cold, away from the stimulated side. Absence of nystagmus indicates the labyrinth is not functioning. Barany Test,Barany's Test,Baranys Test,Caloric Test,Test, Barany,Test, Barany's,Test, Caloric,Tests, Caloric
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013696 Temperature The property of objects that determines the direction of heat flow when they are placed in direct thermal contact. The temperature is the energy of microscopic motions (vibrational and translational) of the particles of atoms. Temperatures
D014722 Vestibule, Labyrinth An oval, bony chamber of the inner ear, part of the bony labyrinth. It is continuous with bony COCHLEA anteriorly, and SEMICIRCULAR CANALS posteriorly. The vestibule contains two communicating sacs (utricle and saccule) of the balancing apparatus. The oval window on its lateral wall is occupied by the base of the STAPES of the MIDDLE EAR. Vestibular Apparatus,Ear Vestibule,Vestibular Labyrinth,Vestibule of Ear,Vestibulum Auris,Apparatus, Vestibular,Ear Vestibules,Labyrinth Vestibule,Labyrinth Vestibules,Labyrinth, Vestibular,Labyrinths, Vestibular,Vestibular Labyrinths,Vestibule, Ear,Vestibules, Ear,Vestibules, Labyrinth

Related Publications

P Ghosh, and S K Kacker
January 1973, The Annals of otology, rhinology, and laryngology,
P Ghosh, and S K Kacker
January 1988, Zhonghua er bi yan hou ke za zhi,
P Ghosh, and S K Kacker
January 1993, Otolaryngologia polska = The Polish otolaryngology,
P Ghosh, and S K Kacker
January 1975, Anales otorrinolaringologicos ibero-americanos,
P Ghosh, and S K Kacker
December 1977, Journal francais d'oto-rhino-laryngologie; audiophonologie, chirurgie maxillo-faciale,
P Ghosh, and S K Kacker
January 1988, Anales otorrinolaringologicos ibero-americanos,
P Ghosh, and S K Kacker
March 1998, The American journal of otology,
P Ghosh, and S K Kacker
March 1966, The Annals of otology, rhinology, and laryngology,
P Ghosh, and S K Kacker
January 1965, Transactions of the American Otological Society,
P Ghosh, and S K Kacker
June 1965, The Annals of otology, rhinology, and laryngology,
Copied contents to your clipboard!