Nausea and vestibular dysfunction
Joseph J. Strout
strout at helmholtz
Sun Apr 9 16:54:17 EST 1995
On 6 Apr 1995, WB Thomas wrote:
> A student recently asked me a question I can't answer. Why are
> autonomic signs such as nausea and vomiting often associated
> with vestibular disease? I am interested not so much in a
> neuroantomical explaination, but rather any possible evolutionary
> benifit in vestibular input to the emetic center.
Many neurotoxins have the effect of causing visual and vestibular inputs
to become "out of sync" with each other; in fact I suspect that this may
be the earliest symptom for at least some toxins. Toxins can often be
ingested, and in that case, the most adaptive response is to vomit.
Since we evolved without vehicles, space travel, and roller coasters, it
was probably a good idea to vomit whenever visual and vestibular inputs
are desynchronized (thus, motion sickness). Vestibular disease probably
causes nausea for the same reason -- you're more likely (says evolution)
to have eaten something poisonous than to have contracted such a disease.
I apologize for not having any references to back this up -- consider it
my $0.02 worth.
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