9) The Reticular Formation and Consciousness Flashcards

1
Q

Define Arousal

A

Emotional State associated with a goal or avoidance of noxious stimuli

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2
Q

Define Consciousness

A

Awareness of both external world and internal state

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3
Q

What two neural components are required for Consciousness ?

A

Cerebral Cortex + Reticular Formation

> Connected by Reciprocal Excitatory Projections, forming a Positive feed back Loop

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4
Q

When is positive feedback loop seen between Cerebral Cortex and Reticular Formation ?

A

It is seen where there is a binary outcome. e.g. Sleep / Awake, Ovulating / Not Ovulating

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5
Q

What is the Reticular Formation ?

A

Interneurones in the grey matter which when activated allows for consciousness

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6
Q

How does the RF relay information to the cortex ?

3 routes

A

Basal Forebrain Nuclei => Sends Excitatory Cholinergic Fibres to the Cortex

Hypothalamus => Sends Excitatory Histaminergic Fibres to the Cortex

Thalamus => Sends Excitatory Glutaatergic Fibres to the Cortex

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7
Q

Where else does RF relay to aside from Cortex ?

A

Spinal Cord, controls muscle tone

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8
Q

How can you assess Consciousness ?

A

GCS, Glasgow Coma Scale
Max = 15
Min = 3

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9
Q

What is assessed in GCS

A
Eye Opening 
4 - Spontaneous Eye Opening 
3 - Response to Speech 
2 - Response to Pain 
1 - No Response 
Motor Response 
6 - Obeys Command 
5 - Localises to Stimuli 
4 - Withdraws to Pain 
3 - Flexor Response to Pain 
2 - Extensor Response to Pain 
1 - No response to Pain 
Verbal Response 
5 - Oriented to time / place 
4 - Confused Conversation 
3 - Inappropriate Words 
2 - Incomprehensible Sounds 
1 - No response
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10
Q

How can you measure activity of Neurones in the Cortex

A

Electro Encephalogram

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11
Q

Describe the different stages of sleep. 6 Stages

A

Awake Eye Open
=> beta waves, irregular 50hz

Awake Eye Shut
=> alpha waves, regular 10 hz

Stage 1
=> Background alpha interspersed by theta waves (5hz)

Stage 2 / 3
=> Theta interspersed with sleep spindles and K Complexes

Stage 4
=> Delta Waves, Regular 1Hz

REM sleep
=> EEG similar to beta waves, dreaming occurs

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12
Q

What is the neural mechanism of Non - REM Sleep

A

> Deactivation of RF, loss of PF between cortex and RF therefore reduced Cortical Activity
Inhibition of Thalamus

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13
Q

What initiates REM Sleep ?

A

Initiated by Neurones by the Pons

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14
Q

What happens to the body during REM Sleep ?

A

> Decreased muscle tone - Glycinergic inhibition of LMNs
Eye movements and other CNs
Autonomic Effects e.g.Penile Erection, loss of thermal regulation

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15
Q

List 3 common sleeping disorders

A

Insomnia => Can’t Sleep most likely an underlying psychiatric disorder

Narcolepsy => Problems in Neuro transmission unable to maintain awaked state

Sleep Apnoea => Compression of airway during sleep, so they wake up. Occurs in people with fat necks

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