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35 Cards in this Set

  • Front
  • Back

REM sleep occurs when

5-30 minutes on average every 90 minutes; duration increases as person become more rested

where does inhibition required for sleep come from

below level of midpons of brain stem

stimulation of what areas of the brain can produce sleep with characteristics of natural sleep

1) raphe nuclei in lower half of pons and in medulla 2) nucleus of tractus soltarius 3) regions in diencephalon-rostral part of hypothalamus, suprachiasmal area and diffuse nuclei of thalamus

raphe nuclei in lower half of pons and in medulla and spinal cord

terminating fibers in posterior horns inhibit incoming sensory signals including pain; many secrete serotonin

nucleus of tractus soltarius and sleep

visceral sensory signals via vagus and glossopharyngeal

what lesions can result in extreme wakefulness

raphe nuclei and bilateral lesions in medial rostral suprachiasmal area in anterior hypothalamus; excitatory nuclei of mesencephalon and upper pons seem to become released from inhibition

muramyl peptide

accumulates in CSF and urine in animals kept awake for several days; produces almost natural sleep when injected into 3rd ventricle within few minutes

drugs that mimic what increase occurrence of REM sleep

acetylcholine; large neurons in upper brain stem reticular formation activate many portions of the brain in REM

nonsleep state (sleep centers not activated)

mesencephalic and upper pontine reticular activating nuclei released from inhibition=excites cerebral cortex and PNS which send positive feedback signals

alpha brain waves

rhythmical waves that occur at 8-13 cycles/s and found in EEGs of almost all normal ppl when awake in a quiet, resting state; most intense in occipital region, but also occur in parietal and frontal regions; ~50 mV; dissapear during sleep

beta brain waves

asynchronous, higher-frequency (>14 cycles/s to 80), lower-voltage; attention directed to specific mental activity; mainly parietal and frontal regions

theta brain waves

4-7 cycles/s; parietal and temporal regions in children, also during emotional stress in some adults; occur in many brain disorders/degeneration

delta brain waves

<3.5 cycles/s; often have voltages 2-4 times other waves; occur in very deep sleep, in infancym and in serious organic brain disease; can occur strictly in cortex independent of other regions of brain (seen in subcortical transections)

alpha waves originate from

reticular nuclei surrounding thalamus or diffuse nuclei deep inside thalamus; spontaneous feedback oscillation

delta waves origin

independent of lower structures in brain

first sleep stage

very light sleep; voltage of EEG waves low, broken by 'sleep spindles' (bursts of alpha waves)

stages 2, 3, 4, of sleep

progressively slower until reaches 1-3 waves/s in stage 4 (delta waves)

3 major types of epilepsy

grand mal, petit mal, and focal

grand mal

extreme neuronal discharges in all areas of the brain; few secs to 3-4 minutes; postseizure depression; high voltage, high frequency

factors that increase excitability of abnormal 'epiletogenic' circuitry

1) strong emotional stimuli 2) alkalosis by overbreathing 3) drugs 4) fever 5) loud noises or flashing lights

what stops grand mal attacks

neuronal fatigue, active inhibition

petit mal

involves thalamocortical brain activating system; 3 to 30 s unconsciousness with twitch-like contractions usually in head region; followed by return of consciousness and resumption of previous activities; appear late childhood and dissappear by 30 usually

petit mal EEG

spike and dome pattern over most or all of cerebral cortex

what causes petit mal

1) inhibitory thalamic reticular neurons (inhibitory GABA neurons) 2) excitatory thalamocortical and corticothalamic neurons

causes of focal epilepsy

1) scar tissue 2) tumor 3) destroyed area of tissue 4) congenitally deranged local circuitry

what can psychomotor seizures cause

1) short peroid of amnesia 2) attack of abnormal rage 3) sudden anxiety, discomfort, or fear 4) moment of incoherent speech/mumbling of some trite phrase

what parts of the brain are generally involved with psychomotor seizures

limbic portion=hippocampus, amygdala, septum, portions of temporal cortex

EEG of psychogenic seizure

low frequency rectangular wave; 2-4/s with occational superimposed 14/s waves

parkinson's cause

loss of neurons in substantia nigra whose nerve endings secrete dopamine in caudate nucleus and putamen

huntington's cause

loss of GABA-secreting neurons and acetylcholine-secreting neurons associated with specific abnormal motor paterns plus dementia

norepinephrine-secreting neurons are especially numerous where

locus ceruleus-send fibers to most brain limbic system, thalamus, and cerebral cortex

serotonin-secreting neurons are especially numerous where

midline raphe nuclei of lower pons and medulla=send fibers to many areas of limbic system and other areas

tricyclic antidepressant MOA

block reuptake of norepi and serotonin by nerve endings

schizophrenia may be caused by excess dopamine where

secreted by neurons in ventral tegmentum of mesencephalon, medial and superior to substantia nigra; give rise to mesolimbic dopaminergic system

clinical features of alzheimers

1) amnesic type memory impairment 2) deterioration of language 3) visuospatial deficits