Vestibular Ocular Reflex

The VOR is a very simple central reflex. The sensory input is head velocity and the motor output is eye velocity. The head velocity signal is transmitted from the semicircular canals to the vestibular nucleus via primary vestibular afferent fibres in the eighth cranial nerve.

Second order vestibular nuclei project to the appropriate pools of extraocular muscle motoneurons.

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Thus in its simplest form, the VOR is referred to as a three-neuron-arc:

1) Primary vestibular afferent

2) second order vestibular interneuron

3) extraocular muscle motoneuron.

For the horizontal reflex, head velocity information form the horizontal canals is sent to vestibular interneurons in the medial vestibular nucleus. The vestibular interneurons project to abducens nucleus and contact the lateral rectus muscle motoneurons and a population of internuclear neurons that in turn project tot he contralateral pool of medial rectus motoneurons to maintain conjugacy.