The inner ear is comprised of essential structures such as the cochlea, vestibule, and semicircular canals. The cochlea is responsible for hearing, whereas vestibular function, found in the vestibule and semicircular canals, is responsible for balance.
This includes sensory hair cells that monitor head position and movement and provide a signal to the brain to ensure a sense of balance and spatial orientation.
The vestibular system assists in maintaining balance by sensing head movements and alterations in gravitational forces. The semicircular canals are filled with a fluid and covered with hair-like sensory receptors that respond to rotational movements.
The vestibule houses otolith organs that detect linear accelerations. When the head is in movement, the structures sense the movement and send a signal to the brain that processes this and assists with maintaining balance and coordination.
The condition is a sense of dizziness or spinning that is experienced when there is a mismatch between the inner ear, eyes, and proprioceptors. When the inner ear senses movement but the eyes notice that there is no movement, the brain will become confused and will experience a sense of disorientation.
A condition like benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or Meniere’s disease can interfere with the vestibular system and lead to the development of vertigo.
Inner ear disorders can also have a profound effect on equilibrium and cause vertigo. Examples include vestibular nerve inflammation or infection, which can interfere with signal transmission and result in feelings of movement when the body is not moving.
Structural conditions such as displacement of the otoliths can cause episodes of head movement sensitivity and pose substantial problems with balance and vertigo.
The inner ear is responsible for keeping us in balance, and abnormalities in its structure or function can cause vertigo. It is essential to have a good grasp of the connection between the inner ear and balancing processes to be able to diagnose and manage conditions that influence it and enhance patients’ quality of life.
Dr. Navin Tiwari
Consulting Neurologist