Dysequilibrium of aging in humans has been speculated to arise from progres
sive deterioration within anatomical components of the vestibular system. A
n integral part of this system is vestibular ganglions, which are bipolar n
eurons that relay peripheral vestibular information to the central nervous
system. To assess the effect of aging on the number of human vestibular gan
glion newtons, assumption-free stereology in the form of the optical fracti
onator was used on 20 serially sectioned archival human temporal bone speci
mens. Donors had no history of vestibular pathology and ranged in age from
2 to 88 years. An average of 25,812 (coefficient of variation = 0.13) vesti
bular ganglion neurons was found throughout this age range, a significant d
eparture from the results of past studies. Logistics-based regression analy
sis pointed to a nonlinear pattern of decline in the neuronal population: t
he number of cells remained roughly constant at about 28,952 cells in youth
and then declined gradually between 30 and 60 years of age before leveling
off at approximately 23,349 cells in older individuals. This study confirm
ed the existence of an age-related decline in the primary neurons of the hu
man vestibular system, thus providing one anatomical basis for the increase
d incidence of imbalance seen with age. J. Comp. Neurol. 431:437-443, 2001.
(C) 2001 Wiley-Liss, Inc.