What is the relevant anatomy in a dizziness evaluation?

Updated: Jun 26, 2018
  • Author: Wayne T Shaia, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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The vestibular system, which is the system of balance, consists of 5 distinct end organs: 3 semicircular canals that are sensitive to angular accelerations (head rotations) and 2 otolith organs that are sensitive to linear (or straight-line) accelerations.

The semicircular canals (see the image below) are arranged as a set of 3 mutually orthogonal sensors; that is, each canal is at a right angle to the other 2. This is similar to the way 3 sides of a box meet at each corner and are at a right angle to one another. Furthermore, each canal is maximally sensitive to rotations that lie in the plane of the canal. The result of this arrangement is that 3 canals can uniquely specify the direction and amplitude of any arbitrary head rotation. The canals are organized into functional pairs wherein both members of the pair lie in the same plane. Any rotation in that plane is excitatory to one of the members of the pair and inhibitory to the other.

Anatomy of the labyrinth. Anatomy of the labyrinth.

For more information about the relevant anatomy, see Vestibular System Anatomy, Visual System Anatomy, Extraocular Muscle Actions, Extraocular Muscle Anatomy, and Inner Ear Anatomy.

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