However, a specific area of the brain stem contains the vestibular nuclei, the origin of the vestibular nerve in the inner ear.

The vestibular nuclei serve as the body’s central balance control.

The vestibular nuclei serve as the body's central balance control.

Its primary connections are with the vestibular nuclei, although it also receives visual and other sensory input.[3]

Its primary connections are with the vestibular nuclei, although it also receives visual and other sensory input.

Its primary connections are with the vestibular nuclei, although it also receives visual and other sensory input.

Because the vestibular nuclei are deep in the brain, it is likely that disease affecting this area will also affect surrounding brain tissue.

BRAIN STEM DISEASE – Disease at the brain stem, specifically the vestibular nuclei, can cause similar signs as seen with inner ear disease.

BRAIN STEM DISEASE - Disease at the brain stem, specifically the vestibular nuclei, can cause similar signs as seen with inner ear disease.

For the purposes of our discussion we are most concerned about the infection that takes place in the vestibular nuclei in the brain resulting in head tilt.

For example, the vestibulospinal pathway descends to the spinal cord from the vestibular nuclei in the brainstem, whereas the reticulospinal pathway descends from neurons in the brainstem reticular formation.