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Vestibulocochlear Nerve (CN VIII)

1. Vestibulocochlear nerve

(CN VIII)

2. Cochlear part of CN VIII

3. Spiral ganglion

4. Geniculate ganglion of CN

VII

5. Ampulla of superior

semicircular duct

6. Ampulla of lateral

semicircular duct

7. Utricle

8. Ampulla of posterior

semicircular duct

9. Saccule

10. Vestibular ganglion

(Scarpa’s ganglion)

11. Vestibular part of CN VIII

12. Internal acoustic meatus

13. Cochlear nuclei

14. Inferior cerebellar peduncle

15. Vestibular nuclei

Comment: Vestibular division of CN VIII arises from bipolar primary

sensory neurons in the vestibular (Scarpa’s) ganglion. The peripheral

process innervates hair cells in the utricle and saccule that respond

to linear acceleration (gravity) and in the ampullae of the semicircular

ducts that respond to angular acceleration (movement); the central

process of ganglion cells terminates in the vestibular nuclei and

vestibular portion of the cerebellum. Vestibular nerve irritation (e.g.,

acoustic schwannoma) can result in vertigo, dizziness, nausea, and

unsteadiness of spatial disorientation. These symptoms persist with

nerve destruction. Auditory division of CN VIII arises from bipolar

primary sensory neurons in spiral ganglion. The peripheral process

innervates hair cells that lie along the organ of Corti on the basilar

membrane in the cochlear duct. The central process of ganglion

cells conveys hearing information to the cochlear nuclei. Auditory

nerve irritation may first produce tinnitus (ringing, roaring), followed

by slow loss of hearing and inability to determine the direction from

which a sound is coming. Destruction of the auditory nerve results in

profound ipsilateral deafness.

Regional Neuroscience See book 11.25

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