Hearing and Balance: The Eighth Cranial Nerve

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14 Hearing and Balance: The Eighth Cranial Nerve

The eighth nerve is the nerve of hearing and equilibrium. All of its receptive functions are accomplished by variations on a common theme; the different sensory information carried by different fibers in the nerve is simply the result of slight differences in the mechanical arrangement of receptors and accessory structures.

Auditory and Vestibular Receptor Cells Are Located in the Walls of the Membranous Labyrinth

Eighth nerve fibers innervate special receptors called hair cells, located in an elaborate end organ called the labyrinth (THB6 Figures 14-1 and 14-2, pp. 343 and 344). The labyrinth is two series of twisted tubes (hence the name labyrinth), one suspended inside the other (THB6 Figure 14-3, p. 345). The outer tube, the bony labyrinth, is a continuous channel in the temporal bone. The bony cochlea is located anteriorly, the bony semicircular canals posteriorly, and the vestibule between the two. The inner tube (so to speak), the membranous labyrinth, is a second continuous tube suspended within the bony labyrinth; as explained a little later, the mechanical arrangement of the cochlear suspension is crucial to its function. The membranous labyrinth generally parallels portions of the bony labyrinth (i.e., there are cochlear and semicircular ducts), except that the vestibule contains two parts of the membranous labyrinth—the utricle and the saccule.

Auditory and Vestibular Receptors Are Hair Cells

Hair cells, the characteristic receptor cells of the labyrinth, have a graduated array of specialized microvilli (stereocilia) and sometimes one true cilium (the kinocilium) on their apical surfaces. Each stereocilium is attached to its next tallest neighbor by a filamentous tip link protein, connected at one or both ends to a cation channel. The sensory hairs of the hair cells poke through the wall of the membranous labyrinth and are typically inserted into a mass of gelatinous material (Fig. 14-1). Movement of a hair bundle relative to the gelatinous material causes a depolarizing or a hyperpolarizing receptor potential, depending on the direction of deflection. Deflecting the hair bundle toward the tallest stereocilia stretches the tip links, opens the cation channels, and depolarizes the hair cell; deflecting in the opposite direction lets the tip links relax, and some channels that were open at rest close. This in turn causes an increase or a decrease in the release of an excitatory transmitter (probably glutamate), and a consequent increase or decrease in the firing rate of any eighth nerve fiber that innervates the hair cell (Fig. 14-2). The way in which the gelatinous material is arranged within the labyrinth plays a major role in determining the kind of mechanical stimulus to which a particular region of the labyrinth responds best.

The Cochlear Division of the Eighth Nerve Conveys Information about Sound

The auditory apparatus has three general areas—the outer, middle, and inner ears. The outer and middle ears (separated from each other by the tympanic membrane) are air-filled cavities in or leading into the temporal bone; the inner ear is the fluid-filled labyrinth.

The Cochlea Is the Auditory Part of the Labyrinth

The cochlear duct is stretched as a partition across the cochlear part of the bony labyrinth. The partition is complete except for a small hole at the apex of the cochlea (the helicotrema) at which two otherwise separate perilymphatic spaces communicate with each other. Therefore when the stapes moves inward and outward, part of the resulting perilymph movement causes a traveling wave of deformation that moves along the cochlear duct. The deformation reaches a maximum amplitude at a site that depends on the frequency of the stapes vibration (Fig. 14-3); portions of the cochlear duct closer to the oval window are more sensitive to higher frequencies, and portions closer to the helicotrema are more sensitive to lower frequencies. This is, at least to a great extent, the result of gradual changes in the width and mechanical properties of the basilar membrane, which forms one wall of the cochlear duct. Cochlear hair cells are located in the organ of Corti (on the basilar membrane), with their sensory hairs embedded in the gelatinous tectorial membrane (Fig. 14-4). Deformation of the cochlear duct causes differential movement of the basilar and tectorial membranes and this deflects the sensory hairs, which in turn causes either a depolarizing or a hyperpolarizing receptor potential in the hair cells (depending on the direction of deflection).