60 Sleep Flashcards
Which brain waves are the fastest? Slowest?
Fastest: Gamma (>30Hz), Slowest: delta (<4Hz)
What is the order of brain frequencies from fastest to slowest?
Gamma (30Hz) > Beta > Alpha > Theta > Delta (4Hz)
Which brain waves predominate during wake? Sleep? Deep sleep?
Wake: alpha/beta (14-30Hz) Sleep: theta (4-7Hz) Deep sleep: Delta (<4Hz)
What do EEG recordings represent?
continuum of frequencies
What are the 3 primary brain states?
Wake, Non-REM sleep, REM sleep
Which brain waves predominate during wake? Non-REM sleep? REM sleep?
Wake: alpha/beta (14-30Hz) Non-REM Sleep: theta/delta (<7Hz), REM sleep: alpha/theta: (13-4Hz)
What 3 characteristics are typical of Wake in terms of brainwaves, eyes, and muscle tone?
Brainwaves: ALPHA (8-13Hz) Eyes: RAPID EYE. Muscle tone: NORMAL
During wake, where are ALPHA frequencies best seen and how are they attenuated?
occpital regions; alpha waves attenuate with eye opening
What are the sleep stages? (4)
Non-REM: N1 (light sleep/transition) N2 (filler sleep), N3 (deep sleep, slow-wave, delta sleep) and REM
What characterizes the Non-REM N1 stage? (4)
1) alpha waves (8-13Hz) are replaced with theta waves (4-7Hz), 2) slow eye movements, 3) muscle relaxation, 4) central apneas (neural transitions of wake-sleep)
What is the hypnic jerk?
sensation of falling/flash of light - whole body jerk that is normal at the sleep/wake transition stage
What characterizes the Non-REM N2 stage? (3)
1) Theta activity that progressively slows 2) sleep spindles (13-14Hz), 3) K complex (large amp/biphasic evoked response)
What characterizes the Non-REM N3 stage? (2)
1) delta waves (<4Hz), with 20% being slow wave activity (0.5-2Hz with 75uV amplitude), 2) highest arousal threshold (hardest to wake up from)
What is slow wave sleep parasomnia?
sleep disorders; involves abnormal and unnatural movements, behaviors, emotions, perceptions, and dreams that occur while falling asleep, sleeping, between sleep stages, or during arousal from sleep.
What key components characterizes the REM stage? (6)
1) reticular activation - desynchronization, 2) stage-1 like EEG (theta range) with saw-tooth waves and phasic/tonic components 3) rapid eye movements, 4) muscle atonia (paralysis) and twitches, 5) cognitive activity, 6) PGO (pontine-geniculate-occpital) spikes
What are the phasic/tonic components that are characteristic of the REM stage?
PHASIC REM: phasic eye movements and muscle twitches + saw-tooth theta waves. High SYMPATHETHIC state. TONIC REM: no eye or motor movements, no alpha or theta. High PARASYMPATHETHIC state
During REM sleep, where is most of the brain activity localized to?
in occipital lobe (VISUAL cortex) not in our olfactory cortex - reason why our dreams are visual and not olfactory
What is muscle atonia and when is this most prominent?
muscle atonia occurs during REM sleep - important so that we don’t act out our dreams during sleep. If this doesn’t get turned on, the body will act out whatever is in the cortex (normally associated with older age and neurodegenerative disorders)
Sleep enters through this phase:
N1
What is the ultradian rhythm?
Non-REM and REM sleep cycle with approximately 90 min period
What stage predominates in the first 1/3 of the night? Last 1/3 of the night?
First 1/3: N3. Last 1/3: REM
Which stage of sleep do most sleep medications act on?
stage N2 sleep, but some will suppress REM sleep
How does autonomic activity change with Non-REM sleep? REM sleep?
Non-REM: decreased HR and BP, REM: variable sympathetic activity
How does respiratory activity change with Non-REM sleep? REM sleep?
both: decreased
How does muscle tone change with Non-REM sleep? REM sleep?
Non-REM: reduced, REM: minimal
How does temperature change with Non-REM sleep? REM sleep?
Non-REM: intact regulation. REM: poikilothermic (considerable variation)
How does cerebral blood flow change with Non-REM sleep? REM sleep?
Non-REM: reduced CBF REM: increased CBF
How does cognititon/cortical arousal change with Non-REM sleep? REM sleep?
Non-REM: reduced REM: abundant/bizzare
How do genitals change with Non-REM sleep? REM sleep?
Non-REM: ?? REM: Penile erection/vaginal blood flow
What does ontogeny (of sleep) mean?
how sleep develops
In fetuses/newborns, what sleep stage predominates?
active sleep (REM). Fetuses experiences 80% of their sleep in this stage, while newborns experience 50% of their sleep in this stage