Made available in DSpace on 2016-04-27T18:12:15Z (GMT). No. of bitstreams: 1 LucianeFigueiredo.pdf: 1388145 bytes, checksum: a12378e7490ffe48ea1021025b84918a (MD5) Previous issue date: 2006-07-31 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Scope: To describe the vestibular complaints and/or symptoms found in otoneurological clinical practice and investigate the relationship between these and vestibulometry. Method: A study was performed by retrospective analysis of the medical records of 116 individuals examined in the otoneurological sector of the Institute of Advanced Studies in Audition during the period from January 2004 through November 2005. Results: The findings showed that the sample was comprised of 86 (74.1%) females and 30 (25.9%) males. The age bracket ranged from 18 to 82 years (50 years average). The vestibular evaluation revealed normal results in 66 individuals and altered results in 50. The otoneurological complaints and/or symptoms reported by the individuals were: dizziness, vertigo, tinnitus, perspiration, headaches, heaviness in the head and walking disturbances. Among the neurovegetative symptoms, nausea proved to be significant (p=0.004). The analysis of the isolated dizziness/vertigo complaint, in comparison with the variable vestibular exam (normal/altered) did not produce any statistically significant association. On the other hand, when the complaint of vertigo appeared in association with tinnitus, a considerable number of altered exam results were observed. Conclusion: Based on the data gathered, it can be seen that the fact that a patient records a complaint of isolated dizziness/vertigo does not signify that the vestibular exam will necessarily be altered. However, the association of vertigo + tinnitus reveals itself to be indicative of altered exam results. Therefore, a comparison of the clinical history of patients with vestibulometric symptoms is fundamental for establishing the diagnostic hypothesis / Objetivo: Descrever a queixa e/ou os sintomas vestibulares encontrados na clínica otoneurológica e investigar a relação destes com a vestibulometria. Método: Efetuou-se um estudo por meio da análise retrospectiva dos prontuários de 116 sujeitos examinados no setor de otoneurologia do Instituto de Estudos Avançados da Audição no período de janeiro de 2004 a novembro de 2005. Resultados: Os achados mostraram que a amostra foi constituída por 86 (74,1%) sujeitos do sexo feminino e 30 (25,9%) do sexo masculino. A faixa etária variou de 18 e 82 anos (média 50 anos). A avaliação vestibular mostrou resultados normais em 66 sujeitos e resultados alterados em 50. As queixas e/ou sintomas otoneurológicos referidos pelos sujeitos foram: tontura, vertigem, zumbido, náusea, sudorese, cefaléia, peso na cabeça e distúrbios à marcha. Dentre os sintomas neurovegetativos, a náusea apresentou-se bastante significativa (p=0,004). A análise da queixa de tontura/vertigem isolada, em comparação com a variável exame vestibular (normal/alterado), não apresentou associação estatisticamente significante. Por outro lado, quando a queixa de vertigem apareceu associada a zumbido, observou-se um número considerável de exames alterados. Conclusão: Com base nos dados encontrados, verifica-se que o fato de o paciente apresentar queixa de tontura/vertigem isolada não significa que o resultado do exame vestibular estará necessariamente alterado. Todavia, a associação vertigem + zumbido mostra-se sugestiva de exame alterado. Sendo assim, comparar a história clínica dos pacientes com os achados vestibulométricos é fundamental para o estabelecimento da hipótese diagnóstica

The semicircular canals detect head rotations and trigger compensatory movements that stabilize gaze and help maintain visual fixation. Mammals with large eyes and high visual acuity presumably require more precise gaze stabilization mechanisms because they experience degradation of spatial resolution at a lower threshold of uncompensated motion. Because semicircular canal radius of curvature is a primary determinant of canal sensitivity, species with large canal radii are expected to be capable of more precise gaze stabilization than species with small canal radii. Here the relationship between semicircular canal radius of curvature, eye size, and visual acuity is examined in a large sample of therian mammals. These results demonstrate that eye size and visual acuity both explain a significant proportion of the variance in mean canal radius of curvature after statistically controlling for the effects of body mass and phylogeny. These findings suggest that interspecific variation in semicircular canal radius of curvature is partly the result of selection for improved gaze stabilization in species with large eyes and acute vision. / text

Thesis (Ph.D.)--McMaster University, 2002. / Includes bibliographical references (leaves 142-143). Also available via World Wide Web.

Thesis (Ph. D.)--University of Washington, 1999. / Vita. Includes bibliographical references (leaves 114-122).

Simple circuits perform simple tasks. Complex circuits can perform more complicated tasks. This is true for artificial circuits and for brain circuits. As is known from artificial networks, a complexity that makes circuits substantially more powerful is distributing learning across multiple layers. In fact, most brain circuits in vertebrate systems are multi-layer circuits (but for few that perform simple reflexes) in which learning is distributed across layers. Despite the crucial contribution of learning in middle layer neurons to the output of the circuits they are embedded in, there is little understanding of the principles defining this contribution. A very common feature in brain circuits is that middle layer neurons generate two types of signals, known as spikes. These middle layer neurons commonly have long dendrites where they generate dendritic spikes. As well, like most neurons, they generate axonal spikes near the cell body. Neurons exhibiting these two spike types include pyramidal cells in the neo-cortex and the hippocampus, the Purkinje cells in the cerebellum and many more. In this thesis I study another circuit that contains middle layer neurons, the electrosensory lateral lobe (ELL) of the mormyrid fish. The ELL is a tractable brain circuit in which the middle layer neurons generate dendritic and axonal spikes. In this thesis I show that these spike types are not two different expressions of the same inputs. Rather, they have a symbiotic relationship. Instead of all inputs triggering both spikes, some inputs can selectively drive dendritic spikes. The dendritic spikes in return modify the synaptic strength of another set of inputs. The modified inputs are then transmitted to downstream neurons via the axonal spikes, which contributes a desired signal to the output of the circuits. Effectively there is a separation of learning and signaling in the middle layer neurons through the two spike types. Having two types of spikes in the same neuron doing different computations enormously expands the computational power of the neuron. But, being in the same neuron means the separation of function is constrained and needs to be supported by biophysical principles. I have thus built a biophysical model to understand the biophysical principles underlying the separation of function. I show that in the middle layer neurons of the ELL, the axonal spikes are strongly reduced in amplitude as they backpropagate to the apical dendrites, yet they remain crucial in driving dendritic spikes. Critically, modulation of inhibitory inputs can selectively dial up or down the ability of the backpropagating axonal spikes to drive dendritic spikes. Thus, a set of inhibitory modulating inputs can selectively modulate dendritic spikes. Having learning in different layers contributing to the outcome of the circuit, naturally leads to asking how the work is divided across layers and neuron types within the circuit. In this thesis I answer this question in the context of the outcome of the ELL circuit. Finally, another signature of a complex circuit is the ability to integrate many different inputs, usually in middle layer neurons, to generate sophisticated outputs. A goal for scientists studying systems neuroscience is to understand how this integration works. In this thesis I provide a coherent model of a learning behavior called vestibulo occular reflex (VOR) adaptation, that depends on the integration of separate inputs to yield a learned behavior. The VOR is a simple reflex generated in the brain stem. Inputs from the brain stem are also sent to an area in the cerebellar cortex called the flocculus. The flocculus also receives another set of inputs that generate a different behavior, called smooth-pursuit. The integration of VOR inputs with smooth-pursuit inputs in the flocculus generate VOR adaptation. Understanding complex circuits is one of the greatest challenges for today's neuroscientists. In this thesis I tackle two such circuits and hope that through a better understandings of these circuits we gain principles that apply to other circuits and thereby advance our understanding of the brain.

Patients with non-compensated vestibular dysfunction frequently complain of the ability to maintain dynamic visual acuity during activities which require the movement of the head. When this occurs the patient is experiencing oscillopsia, which is the symptom resulting from a non-functional vestibulo-ocular reflex (VOR). To measure the presence of oscillopsia, tests of dynamic visual acuity (DVA) may be used. A recent test of DVA has been reported which is administered while patients are walking on a treadmill. Although this test has been shown to be useful in evaluating DVA in patients, there are several disadvantages to treadmill use. These include physical space, cost and accessibility. Additionally, walking at the required treadmill speed to produce sufficient head movement may pose difficulties and be medically contraindicated for patients with certain health risks. The purpose of this study was to evaluate a different method to measure DVA in patients which would not require the use of the treadmill, but instead utilize a volitional head movement to reveal oscillopsia. In this study, patients performed the DVA test in two conditions: (1) walking on a treadmill, and (2) seated on a chair volitionally moving the head. In this study, DVA was tested in both conditions with 15 adults with normal vestibular function, and 16 adults with vestibular impairment. Results revealed that both methods, treadmill walking and volitional head movement, appeared equivalent for measuring DVA in normal subjects and vestibular impaired subjects. The lack of finding a significant main effect of method, and interactions that include method, supports the equivalence of volitional head movement to a treadmill approach for the measurement of DVA.

No description available.

No description available.

Différents éléments vasculo-nerveux participent à la constitution de l'angle ponto-cérébelleux. Dans certaines conditions pathologiques dont la genèse est encore imparfaitement connue actuellement, des conflits peuvent apparaître entre des vaisseaux battants autour du tronc cérébral et des nerfs crâniens. L'objectif de ce travail en trois parties distinctes est consacré à certaines bases anatomiques et physiologiques permettant de mieux appréhender ces conflits vasculo-nerveux. La première partie s'intéresse à la morphogenèse du système vertébrobasilaire. La conception d'un logiciel original de reconstruction tridimensionnelle a permis la modélisation de quatre embryons à partir de coupes histologiques. Les images obtenues permettent de confirmer la morphogenèse décrite dans la littérature et jette les bases d'une étude plus exhaustive. La deuxième partie démontre pour la première fois la mobilité physiologique du nerf vestibulo-cochléaire au niveau de l'angle ponto-cérébelleux, par l'utilisation d'une séquence IRM en contraste de phase. Les directions crânio-caudale et antéro-postérieure et leur amplitude ont été étudiées. Ces mouvements sont dépendants de l'onde de pouls. De façon plus générale, ils peuvent être modélisés sous la forme d'une corde oscillant entre le tronc cérébral et le fond du méat acoustique interne. La troisième partie traite d'une étude de faisabilité qui jette les bases informatiques permettant d'apprécier le vieillissement artériel par la variabilité morphologique du point de confluence des artères vertébrales. Au laboratoire, nous avons conçu un programme de normalisation à partir des scanographies de neuf patients. Il autorise ainsi la création d'un tronc cérébral moyen, et la comparaison de la topographie de ces points de confluence. / Several vascular and nervous structures are located within the cerebello-pontine angle. In certain pathological conditions, microvascular compression syndroms may occur, where an artery or a vein is compressing a cranial nerve. The purpose of this work in three parts is to investigate some anatomical and physiological bases of these microvascular compression syndroms. The first part focuses on the vertebrobasilar system morphogenesis. A special designed 3D reconstruction original software allowed us to reformate four human embryos from histological serial sections. The three-dimensional views are confirming the classical features thus creating the basis of a larger study based on multiple embryos. The second part shows for the first time the physiological motion of the vestibulo-cochlear nerve at the level of the cerebello-pontine angle, with the help of a phase-contrast MRI sequence. The cranio-caudal and antero-posterior directions and their amplitudes have been studied. These motions are cardiac-cycle-dependant. We used an "oscillating string" model to explain the VCN motion between the brain stem and the fundus of the internal acoustic meatus. The third part of this work is focused on a preliminary study of the variability of the vertebro-basilar arterial fusion along the lifetime. An original software has been designed and allowing the normalisation from nine post-contrast cerebral CT scanners. A ?mean? brain stem was obtained and visualized in front of nine arterial fusion points.

This thesis deals with the evaluation of the vestibulo-ocular reflex in patients indicated for neurosurgical resection of vestibular schwannoma, executed at the Motol University Hospital. To evaluate the function of the vestibulo-ocular reflex, three types of clinical examinations were used. In periods before the surgery, early after the surgery and before leaving the hospital we monitored the patients' ability to perceive subjective visual vertical, which reflects tonic function of otolith organs. Before the surgery we also tested relative dynamic visual acuity during passive isolated head movements in the transversal plane, whose impairment is related to dysfunction of lateral semicircular canals. Furthermore, we obtained patients' preoperative values achieved in caloric reflex test. In the early postoperative period, bordered by the first day after the vestibular schwannoma surgery and the last day of the hospitalization, patients underwent specialized vestibular rehabilitation. Based on statistical analysis of acquired data, we found out that in some patients there was a lesion of the vestibulo-ocular reflex already before the surgery and moreover, there was a correlation between dysfunction of translational and rotational parts of the vestibulo-ocular reflex. Although variance of subjective...