Semicircular canals as a primary etiological factor in motion sickness.

Data are presented which support the view that the semicircular canals of humans can act as the essential factor for the production of motion sickness and the evocation of symptoms characteristic of this malady in the absence of 'motion.' Quantitative grading of acute symptoms demonstrated that motion sickness can be evoked by stimuli which are adequately provocative and unique for the canals. These results are compared with those of two provocative rotational tests that introduce Coriolis (cross-coupled angular acceleration) forces or generate a rotating linear acceleration vector. Wide interindividual differences but only slight intraindividual differences among the six provocative test conditions are revealed, indicating that individuals usually possess an overall susceptibility to motion which is relatively independent of its type. The fact that typical symptoms of motion sickness were also produced by bithermal irrigation of several subjects who represented a wide range of susceptibility adds to the evidence that semicircular canals can act as the primary etiological factor in this malady.