Rostrocaudal and ventrodorsal change in neuronal cell size in human medial vestibular nucleus.
BACKGROUND
The present paper describes the cytoarchitectonic, morphometric, and three-dimensional characteristics of the human medial vestibular nucleus (MVN). We also studied the regional distribution, in size, of the different neurons and its possible relationship with a functional polarization of the different regions of the nucleus.


METHODS
Nine adult human brainstems (30-50 years of age) without neurological problems were used. Specimens were obtained from necropsy and fixed in 4% paraformaldehyde and 5% acetic acid in distilled water. After fixation, blocks were washed, dehydrated, and embedded in paraffin and serial sectioned at 20 microns. Sections were stained with formaldehydethionin, dehydrated, cleared in eucalyptol, and mounted with Eukitt. MVN neurons were drawn with the aid of a camera lucida at 200-micron intervals at 390 x magnification. Serial 50-micron frozen sections were used to determine the volume of the MVN. The three-dimensional reconstruction of MVN was accomplished with a drawing program in a Macinthosh II computer and an AVS on a Stardent workstation computer.


RESULTS
In the three-dimensional reconstruction, the human MVN shows a pyramidal form. The base of this pyramid constitutes the rostral limit, and its vertex forms the caudal border of the MVN. The estimated volume is 30.44 +/- 0.85 mm3, with a neuronal population of 127,737 cells and 4,136 neurons/mm3 in density. The average neuronal cross-section changes from one minimum at caudal level (212.46 +/- 2.04 microns 2) to one maximum at rostral level (491.47 +/- 5.08 microns 2). Four cell types, small (< 200 microns 2), medium (200-500 microns 2), large (500-1000 microns 2), and giant (> 1,000 microns 2) cells, were observed. Medium cells constitute 66%, small cells 18%, and large and giant cells 15% and 1% of the neuronal population.


CONCLUSIONS
The MVN shows a variation in neuronal size, and it has the highest neuronal density of all the human vestibular nuclei. Large cells predominate in rostral regions of the MVN, with significant differences in the area and diameter of the cells among rostral, central, and caudal regions. Furthermore, the largest cells are grouped in the ventrolateral part of the nucleus, close to its boundaries with the inferior and the lateral vestibular nuclei. The morphological polarization, with respect to the neuronal size of the MVN, can be related to a functional polarization of rostral and caudal regions of this nucleus.
Sección de Otorrinolaringologia, Hospital San Agustín, Avilés, Spain.
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Díaz
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Suárez
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Navarro
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González Del Rey
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JC
Alvarez
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Méndez
J
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Tolivia
D000328:Adult; D001933:Brain Stem / Q000166:cytology*; D048429:Cell Size; D006652:Histological Techniques; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008875:Middle Aged; D009474:Neurons / Q000166:cytology*; D014726:Vestibular Nuclei / Q000166:cytology*