19 Brain Arousal Systems - B Flashcards
What are the 2 parts of conciousness
Arousal and awareness
What are examples of arousal
Sleep and wakefulness
What is a minimally conscious state
Reproducible evidence of awareness exists but communication is limited
Sleep wake cycles can be seen on EEG
What is a persistent vegetative state
- pts eyes open and close
- they can track objects
- they can chew and swallow
- do not respond to auditory stimuli, pain, hunger
Good example of arousal but no awareness
What is a coma
Deeply unconscious and displays unresponsiveness to stimuli
May display reflexes
What marks irreversible brain death
No EEG activity recorded
What is required for arousal and awareness
Cortical function
Disruptions in consciousness arise from
Subcortical lesions
- brainstem
- midbrain
- hypothalamus
What are the excitatory amino acid arousal systems
- reticular activating system (RAS)
- parabracial nuclei (PBN)
What are the cholinergic arousal systems
Pedunculopontine tegmental and laterodorsal nuclei (PPT/LDT)
What are the noradrenergic arousal systems
Locus coeruleus (LC)
What are the serotonergic arousal systems
Raphe nuclei (RN)
What are the dopaminergic arousal systems
Ventral tegmental area (VTA)
What does the RAS project to
- hypothalamus
- thalamus
- cortex
What tract does the RAS descend to in spinal cord
Reticulospinal tract
What is the function of the RAS
- regulates arousal and consciousness
- all ascending (sensory) info goes through it
- modal specificity is lost because all pathways are converged
- USES GLUTAMINE
The ascending RAS has 2 outputs. Where do they go and what do they do
Ventral
-goes to cortex or through hypothalamus and then to cortex
Dorsal
-through thalamus and then diffuses to cortex
What is the parabrachial nuclei complex
Different neurons that play a role in promoting wakefulness through cortical activation \