Brain Arousal Systems Flashcards
What are the 2 parts to consciousness?
Arousal and awareness
Neither awake or aware and no sleep cycles
Coma
No evidence of awareness and physiologically sensed sleep cycles
Persistent vegetative state
Ability to respond to simple commands and has wake and sleep cycles
Minimally conscious state
What is the order of things from coma to alertness?
Coma
Arousal
Awareness
Alertness
What region of the brain is critical for arousing and activating the cortex?
Brainstem
Can patients in a coma have eye/head movements?
Occasionally
What are the arousal systems?
EAA, cholinergic, noradrenergic, serotonergic, dopaminergic
What are the 2 parts to the EAA arousal system?
Reticular Activating System (RAS) and Parabrachial nuclei
What arousal systems MUST be present to move from a coma to a persistent vegetative state?
EAA - Reticular Activating System and Parabrachial nuclei
What can aid the EAA in moving a pt from a coma to the persistent vegetative state but cannot excite the cortex enough on its own?
Cholinergic arousal system
Once the EAA and even the Cholinergic arousal systems are active, what arousal systems move you more and more towards consciousness?
Noradrenergic, Serotonergic, and Dopaminergic
If all arousal systems are active and functioning correctly what is the result?
Fully functional human
Describe the Dorsal pathway?
Neurons synapse at the thalamus first
Then Neurons from there are sent to the cortex to synapse
What are the neurons that travel from the thalamus to the cortex called?
Thalamo-cortical neurons
What do thalamo-cortical neurons release, regardless of what synapsed at them?
EAA
Describe the Ventral pathway?
Neurons go straight to the cortex to synapse
What do neurons that travel using the ventral pathway release at the synapse?
Whatever they were carrying - (i.e. EAA, Ach, NE, 5HT..)