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32 Cards in this Set

  • Front
  • Back

Two physiological components of Consciousness

Arousal - wakefulness




Awareness

EEG

Brain produces electrical activity




Can put electrode on surface of brain




See slow wavy signal - local field potential - its the sum of many neurons




Every brain region has a different characteristics of wave firing

EEG spikes

Are action potentials

PET

Binding of certain neurotransmitters to their receptors




Details of brain activity rather than structure




FDG often used in studies of brain metabolism to see which areas of brain are most active during a task

Cerebral Metabolism varies with...

states of consciousness

Excessive sleepiness associated with lesions of

posterior hypothalamus/rostral midbrain

Excessive wakefulness associated with

lesion of anterior hypothalamus, preoptic area

VLPO neurons

The VLPO - ventro lateral preoptic region


-preoptic area and adjacent anterior hypothalamus - contains sleep active cells




decrease activity of wake promoting neurons in the hypothalamus and brainstem via release of GABA and galanin

Importance of EEG in sleep

Informs about frequency and amplitude of electrical brain activity associated with sleep

Stage 1 of sleep

Hyponogogic - first fall asleep




transition from alpha waves to theta waves (lower frequency)




Sudden twitches and hypnic jerks or positive myoclonus

Stage 2 of sleep

Sleep spindle is characteristic of stage two.




Person is asleep.




muscular activity decreases, conscious awareness to external environment dissappears




Occupies 45-55% of total sleep in adults

Stage 3 and 4 sleep

Deep/Slow wave sleep - delta waves




Sleep disorders affect this stage




This stage is when parasomnias as night terrors, bedwetting, sleepwalking, and sleep-talking occur

REM sleep

Accounts for 20-25% of sleep




EEG looks similar to awake, low voltage high frequency




Lucid dreaming




Sleep induced descending muscular atonia: disconnection of muscles from brain, muscles most relaxed


-prevents you from acting out your dreams




Most difficult stage to wake someone from

Length of Stage 4 vs REM sleep in the 90 minute sleep cycle

Stage 4 sleep decreases and duration of REM sleep increases

Effects of sleep deprivation

Fatigue and subsequent death


impaired concentration


emotional irritability


depressed immune system


greater overall vulnerability

Study that shows REM sleep is important for memory storage

Ability to memorize phone numbers tested in subjects with normal sleep, REM-deprived sleep, and stage 3 and 4 deprived sleep.




Those with REM-deprived sleep did the poorest

Narcolepsy

Sudden onset of sleep




Go immediately into REM




Often report hallucinations

What part of the brain is critical in maintaining wakefulness

Reticular formation in brain stem




Loose connection of neurons extending from caudal medulla through core of midbrain




wakefulness is particularly dependent on the rostral half (mid brain reticular formation MRF)




Does not require external stimuli to maintain an awake state




Most reticular neurons contain excitatory AA Glutamate

Arousal states are determined by....

An interaction among the brainstem, hypothalamus, thalamus & basal forebrain




ascending projections: stimulate cortical activation characterized by high frequency low amplitude fast activity




descending projections: modulate muscle tonus and activity

How are arousal systems dampened?

Active inhibition by thalamo cortical systems to produce sleep

Arousal Pathway

Reticular formation project to:




intralaminar nuclei of thalamus >> cortex


relay neurons throughout thalamus


nucleus reticularis (regulates the thalamic gate)

Pontomesencephalic cholingergic neurons

Include: Pedunculopontine (PPT) & lateral dorsal tegmental nuclei (LDT




located in dorsal mid brain and pons




Actively discharge during wakefulness and REM sleep




no activity during non rem sleep

Locus coeruleus noradrenergic neuons

Synthesize NE




Located in the mid to rostral pons near floor of 4th ventricle




project throughout brain




Maximal discharge during wakefulness and stops firing during REM (some in NREM)


-enhances activation and increases arousal particularly in times of increased stress

Ventral Mesencephalic Dopaminergic neurons

In substantia nigra pars compacta & ventral tegmental area (VTA) << important for arousal




Project to dorsal and ventral striatum, BF and cortex




May be important in maintaining alertness particularly in association with situations involving positive reward

Raphe Serotonergic Neurons

Located bilaterally in the midline of the brainstem




Project to much of the CNS




Discharge across sleep wake cycle same as LC (Maximal during wakefulness, stops during REM)




Increased 5-HT levels are associated with a relaxed or satiated waking state

What thalamic nuclei send projections to the cortx involved in the arousal system?

Midline, medial and intralaminar nuclei




Excitatory thalamocortical projections are associated with cortical activation (through glutamate release) during wakefulness and REM sleep

Firing pattern of intralaminar cells, and what does it do?

Fire in a natural pattern of 40 cycles per sec (40 Hz)




Source of rhythmicity that is detected at the surface of the cortex





Main neurons in the hypothalamus

Histamine




orexin

Posterior Hypothalamus

Neurons with maximal rate of discharge during wakefulness, decreased discharge during slow wave sleep




Involved in activation of sympathetic nervous system and hypothalamic pituitary axis during arousal

Histaminergic neurons

Histamine - tuberomammilary nucleus


-project diffusely throughout CNS


-wake activating




-important in promoting wakefulness during exposure to novel environments/situation which require higher behavior arousal + initially after waking

Orexigenic neurons

Located in lateral and posterior hypothalamus




project throughout CNS




Excitatory projections to other arousal systems




Levels are highest at the end of the day




There is a lack of ORX signaling in 90% of pts with narcolepsy



Basal Forebrain and Arousal

Cholinergic neurons that receive input from all of brainstem and hypothalamic arousal systems




Most active during wakefulness and REM sleep