Brain & Arousal Flashcards
2 Parts of Consciousness
(1) Arousal
(2) Awareness
Coma
Neither awake or aware
Persistent Vegetative State
- Physiologically identifiable sleep/wake cycles
- No evidence of awareness
- Existing response largely reflexive
Minimally Conscious State
- Sleep/wake cycles
- Reproducible evidence of awareness – ability to respond to simple commands
- Limited or absent communication
Disruptions of consciousness often result from small lesions in the:
Brainstem, Midbrain, Hypothalamus – in many cases the cortex isn’t obviously damaged
Cortical neurons are as much as ___ mV ___ threshold compared to normal in an individual in a persistent vegetative state
- 30
- Below
Coma
(1) Eye/Head Motions?
(2) Sleep/Wake Cycle?
(3) Awareness?
(4) Verbal Responses?
(1) Yes, reflexive
(2) No
(3) No
(4) No
Persistent Vegetative State
(1) Eye/Head Motions?
(2) Sleep/Wake Cycle?
(3) Awareness?
(4) Verbal Responses?
(1) Yes, reflexive
(2) Yes
(3) No
(4) No
Minimally Conscious State
(1) Eye/Head Motions?
(2) Sleep/Wake Cycle?
(3) Awareness?
(4) Verbal Responses?
(1) Yes, some volitional
(2) Yes
(3) Yes, but inconsistent
(4) Yes, but inconsistent
Aware/Alert State
(1) Eye/Head Motions?
(2) Sleep/Wake Cycle?
(3) Awareness?
(4) Verbal Responses?
(1) Yes
(2) Yes
(3) Yes
(4) Yes
Neurotransmitters present in the basic arousal system:
- EAA
- ACh