10-17 L1 Consciousness & sleep Flashcards
Content of consciousness
Specific senosyr inforamtoin received by the nervous system
Level of Consciousness
(what are the two components)
-
Arousability.alertness.wakefullness:
- activation of cerebral cortex so that it is receptive to senosry input or ‘turned on’
-
Awareness/orientation:
- recognition of one’s temporal., spatial and personal relationships and environment
- note one can be alert (awake or arousable) without being aware (a computer is on but not processing)
- But one can’t be aware withouth being alert.( acomputer can’t process without being turned on)
What type of signals does the Ascending reticular activating system (ARAS) send to the cortex?
-
Direct
- Pontomesencephalic reticular formation
-
Indirect
- thalamic intralaminar nuclei, basal forebrain and hypothalamus
Lesion of what nucleus can induce insomina in rats?
Preoptic nuclei of the hypothalamus
Where is the location of the Cholinergic cell groups?
Whats their function
- (MTN) Mesopontine tegmental nuclei of the rostral pons and midbrain
- Function:
- Memory
- Attention
-
sleep/wake cycle
- Awake: active
- NonREM: less active
- REM: active
Where is the location of Seotonergic cell groups?
What is their function?
- Raphe nuclie of the rostal brainstem
- Functions
- Mood
- Sleep/cycle
- Awake: Active
- Non-REM: less active
- REM: quiesent
A lesion of the raphe nuclei of the rostral brainstem would result in what (in cats)?
Random manifestatino of REM
- serotonergic cell groups (serotonin) is responsible for the timing of REM.
Where is the location of Noradrenergic cell groups?
What is the function?
- Noradrenergic locus ceruleus
- Functions:
- response to novel stimuli
What is Sleep atonia?
Lesion of locus ceruleus will cause what?
- Sleep atonia: paralyzing the body during sleep so that we don’t move as we dream
- Lesion of locus ceruleus (in kittens) act out their dreams during REM
Where is the location of histaminergic cell groups?
What is its function?
- Histaminergic tuberomammillary nucleus
- Function
- Generla arounsal
- themore active it is the more aroused you are
What is the cause of cortical arousal?
What is the cause of cortical awareness?
what are the requirements for awareness?
- cortical arousal: activity of cortex due to input from the ARAS
- cortical awareness: Is activity of cortex due to thalamocortical & corticocortical processing (cognition)
- Awareness requires
- awakeness
- high fidelity transmission of senosry signals from thalamic relay nuclei to cortex.
What part of the brain decides what input of the multiple channesl are aloowed to be processed.
Also can allow an all, none, or some of the information through
Thalamus
T-type Ca2+ channels inactivated describes what?
Tonic or Relay mode
- High-fidelity relay
- low signal-noise ration
- IDeal for informtanoi processing
T-type Ca2+ channels de-inactivated describes what?
Burst Mode
- Low fidelity relay
- High signal-noise ratio
- Ideal for search-light vigilance
Dsecribes what happens during Wakefulness
-
Wakefulness
- multiple inputs from the ARAS depolarize thalamic neurons, shifting toward tonic mode.
What happens in Slow-wave cycle?
-
Slow-wave sleep
- _ARAS activity is suppresed _
- thalamic neurons switch into burst mode.
What happens in REM sleep cycle?
- REM sleep
- most ARAS activity is completely suppresed
- however cholinergic activity is as great as during wakefulness
- allowing thalamic neurons to remain in tonic mode.
What happens in the following stages
- Awake
- Drowsy
- Stage 1
- Stage 2
- Stage 3-4
- REM sleep
-
Awake
- increased freq
- decrease amp
-
Drowsy
- alpha waves
-
Stage 1
- theta waves
-
Stage 2
- Sleep spindles
- K complex
-
Stage 3-4
- Delta waves >75
- high amp
- low freq
-
REM sleep
- PGO spikes (periodic pontine-geniculate-occipital
- Sawtooth waves
- high freq
- low amp
What type of sleep is seen in cases of brain injury and coma?
- Stage 3-4 sleep (delta waves)
- large slow brain wave associated with deep sleep
- during sleep delta waves are not present in other stages
Based on internal arousibility what stage is the lightest stage of sleep?
REM
- REM sleep is more likely to result in spontaneous awakening
- stage 4>stage3>stage 2
Pt is awaken from REM to find themselves temporarily paralyzed what would you diagnosis the pt with?
sleep paralysis
What two muscles are not inhibited during sleep?
What is it called
what is it mediated by?
- extra-ocular mm and diaphram
- sleep atonia
- mediated by locus ceruleus
What are the 3 things that change in sleep-cycles from young age to old age?
- REM sleep decreases slighty
- Stage 4 decreases progressively (so much that little or none is present in adults)
- elderly have frequent awakening and notable increase in wake time after sleep onset