Address for correspondence: Bernard Cohen, M.D., Department of Neurology, Mount Sinai School of Medicine, Box 1135, 1 East 100th Street, New York, NY 10029. Voice: 212-241-7068; fax: 212-831-1610.
bernard.cohen{at}mssm.edu
Ann. N.Y. Acad. Sci. 956: 190-204 (2002).
The spatial orientation of the slow-phase eye velocity of caloric
nystagmus was investigated in cynomolgus monkeys after all six
semicircular canals had been plugged. Normal animals generate
responses that have dominant convective components produced
by movement of the endolymph in the lateral canal toward or
away from gravity. As a result, the direction of horizontal
slow-phase velocity induced by cold-water irrigation changes
direction with changes in head position with regard to gravity.
Plugging produced a dense overgrowth of bone that blocked the
flow of endolymph, but the end organs were intact. Robust caloric
nystagmus was elicited after recovery, but the horizontal (yaw)
component was now always toward the stimulated (ipsilateral)
side, regardless of head position re gravity. The induced caloric
nystagmus had strong spatial orientation properties after canal
plugging. With animals upright, the three-dimensional velocity
vector of the caloric nystagmus was close to the yaw axis with
small vertical and roll components. Roll components became stronger
in supine and prone positions and vertical components were enhanced
in the right- and left-side down positions. In each instance,
the addition of the roll and vertical components moved the velocity
vector of the nystagmus closer to the spatial vertical. Modeling
supported the postulate that the caloric nystagmus after canal
plugging is influenced by three factors: (1) a reduction in
neural activity in the ampullary nerves on the stimulated side
due to cooling of the nerves; (2) contraction of the endolymph
in the closed space between the cupula and the plug due to cooling,
which resulted in deflection of the cupula and hair cells toward
the plug (ampullofugal deflection); and (3) alignment of eye
velocity to gravity due to the orientation properties of velocity
storage. Although convection is the most prominent factor in
producing caloric responses in the normal state, our results
suggest that alteration of nerve activity due to thermal effects,
endolymph contraction or expansion, and velocity storage are
also likely to contribute to the total response.