Brain rhythms and sleep Flashcards

1
Q

What are rhythmic activities (oscillations) of the brain?

A
  • Rthyms that differ in their frequency, origin and reactivity to changes in sensory input and task demands:
  • All rhtyms are characterised by the periodic re-occurance of similar patterns at a relatively constant rate
  • Some oscillations have been shown to be linked to a specific behaviour but the function of many osciillations are still unclear
  • e.g.
  • Circadian rhthym - regulates our sleeping anf waking patterns. Aligns with light-dark (day-night) cycles and is driven by an intrinsic circadian clock
  • Hibernation (longer rhtymic period)
  • Breathing (shorter rhythmic period)
  • Cerebral cortex : Range of electrical rhythyms depending on state of consciousness (recorded using EEG)
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2
Q

How can we record oscillations in the cerebral cortex?

A
  • The electroenecephaloram (EEG)
  • Measurement of generalised cortical activity
  • Non-invasive, painless
  • Diagnose neurological conditions such as epilepsy, sleep, disorders, research
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3
Q

**W

What is an EEG recording?

A
  • Very small electrical fields generated by synaptic currents in pyramidial cells
  • The signal is only seen by the scalp EEG electrode if thousands of them contribute their small volatage at the same time (synchronous firing)
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4
Q

What drives oscillations?

A
  • Mechanisms of synchronous rhythms that can be led by a pacemaker or that arise from collective behaviour of all participants
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5
Q

How does the thalamus act in oscillation?

A
  • The thalamus can act as a powerful pacemaker
  • Can generate very rhythmic, self sustaining, discharge patterns even when there in no external input
  • Thalamocorttical axons
  • Thalamus - cortex = excited cortical neurons
  • Cortical cells will oscillate to the same rhythm as the thalamus
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6
Q

What are circadian rhythms?

A

Circadian Rhythms

  • circa = approximately; dies = a day
    Daily cycles of light and dark

— Schedules of circadian rhythms vary among species
— Physiological and biochemical processes in body: Rise
and fall with daily rhythms
— Daylight and darkness cycles removed, circadian rhythms
continue
— Brain clocks

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7
Q

What role does the circadian rhythm play in physiological function?

A
  • Sleep and wakefulness
  • Temperature
  • Growth hormone
  • Cortisol
  • Potassium
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8
Q

What is the suprachiasmatic nucleus of the circadian rhythm?

A
  • A brain clock
  • Intact SCN produces rhythmic message : SCN cell firing rate varies with the circadian rhythm
  • Each SCN cell is a small clock
  • Light sensitive input pathway
  • Clock (SCN)
  • Output pathway
  • Allows the clock to control certain brain and body functions according to the timing of the clock
  • Circadian rhythmicity of behaviour, hormone levels, sleeping and waking, metabolism, feeding, drinking
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9
Q

What is sleep?

A
  • A readily revereseible state of reduced responsiveness to , and interaction with, the environment
  • SCN = important for maintaining circadian rhythmicity of sleep-wake cycles. Sleep is also regulated by mechanisms other than the circadian clock, primarily the amount and timing of prior sleep
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10
Q
A
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11
Q

What are the stages of sleep?

A

Stage 1: Transitional sleep. Alpha rhythms of relaxed waking becomes less regular and
wane and eyes start to make slow, rolling movement. It is fleeting and only last a few
minutes.
Stage 2: Slightly deeper, may last 5-15 mins. Includes occasional 8-14Hz sleep spindle
generated by a thalamic pacemaker). And high-amplitude K-complex. Eye movements
almost cease.
Stage 3: Large amplitude, slow delta rhythms. Eye and body movements usually absent.
Stage 4: Deepest stage of sleep: Large EEG rhythms of 2Hz or less. Can last 20-40 mins.
REM: Sleep will lighten from stage 4 to stage 2 (for about 15 mins) before entering brief
period of REM. Frequent eye movements, fast EEG rhythms.
As night progresses, there is general reduction in NREM and sleep and an increase in REM
Half nights REM sleep occurs during its last third
Obligatory ‘NREM’ cycle before next REM period begins
*Consider the implications for teenagers and night owls. Will very rarely receive all the REM
sleep they require as being woken up too early.
17

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12
Q

What are the physiological changes during non-REM and REM sleep?

A
  • Non-REM sleep
  • Steady HR, BP and respiration rate
  • Muscles relaxed
    -REM sleep
  • Fluctuating HR, BP and respiration rate
  • Skeletal muscles profoundly relaxed (body movements may occur)
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13
Q

What are the proven benefits of a full night of sleep?

A

Proven benefits of a full night of sleep…
* Makes you live longer
* Enhances your memory
* Makes you more creative
* Keeps BMI low and decreases food cravings
* Protects from dementia and cancer
* Wards of the flu
* Lowers risk of heart attack, stroke and diabetes
* Reduces depression and anxiety

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14
Q

How does sleep aid memory before and after learrning?

A

Sleep aids memory before learning:
* The hippocampus offers a short term reservoir/temporary information store, for new
memories. BUT it has a limited storage capacity (e.g. a USB memory stick). Exceed its
capacity and you may not be able to add more information or, equally as bad, you
may overwrite one memory with another (called interference forgetting).
* How does the brain deal with this capacity issue?
Sleep: Acts as a file-transfer mechanism. It moves recently required information to
more permanent, long-term storage locations, freeing up short term memory stores.
* Result? We awake with a refreshed short-term storage and greater ability for new
learning.

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15
Q

Which sleep period offers a greater memory saving benefit?

A
  • For facts based, text- book like memory : Early night sleep, rich in deep NREM
  • NREM - can also helpo you recover memories you could not retrieve before sleep
  • Important for forgetting info we no longer need- actively deletes memories during NREM to improve learning efficiency and improve the ease of memory recollection
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16
Q
  • What is the main benefit of REM sleep?
A
  • Creativty and problem solving : REM sleep helps the brain to gather disparate sets of knowledge fostering impressive problem solving abilities
17
Q

What are the neural mechanisms of sleep?

A

What are the neural mechanisms of sleep?
Neurons critical to sleeping-waking are part of the diffuse modulatory neurotransmitter
systems
Serotonin, noradrenaline, acetylcholine
Diffuse modulatory systems control rhythmic behaviours of thalamus, which controls
EEG rhythms of cortex. Sleep related rhythms of the thalamus ‘gate’ the flow of sensory
information to the cortex

18
Q

What is wakefulness and ascending reticular formation?

A

Wakefulness and ascending reticular formation
*
Noradrenergic neurones in locus coeruleus
(pons) play a very important role in cortical
excitability
Serotonin-containing cells of raphe nuclei
Ach containing cells of brainstem and basal
forebrain
Midbrain neurones that release histamine as a
neurotransmitter
Neurons of hypothalamus that use hypocretin
(orexin) as a transmitter (excites the other
modulatory systems)
Long lasting states of wakefulness are
produced after cerebral catecholamine levels
are elevated.
Collectively these neurons synapse with
thalamus, cerebral cortex and other brain
regions to increase neuronal excitability and
suppress rhythmic forms of firing.

19
Q

Explain the process of falling asleep and NREM state?

A

Falling asleep and NREM state
Progression of changes over several minutes
Unclear what initiates NREM sleep but there are some sleep promoting
factors
General decrease in firing rate of most brainstem modulatory neurons
(NA, 5-HT, Ach).

Although most regions of basal forebrain promote alertness and arousal,
there are a subset of basal cholinergic neurons that increase firing rate with onset of NREM (and are silent during wake)

Many cortical areas are at least as active during REM as during awake e.g. neurons in motor cortex fire rapidly and attempt to command entire body, but only succeed to move few muscle of the eyes.
Also primary visual cortex, limbic system (more active in REM than when awake). Frontal lobes
less active than when awake.
Firing rates of NA and 5-HT systems decrease to almost nothing before REM sleep.
Concurrent sharp rise in ACh neurons in pons— possibly these that induce REM sleep. When
activated, there is a change in activityin thalamus and cortex to reseble that of the awake state.
(NA 5 -HT ACH )

20
Q

What are the neural connections associated with the sleep wake cycle?

A
  • Hypothalamic SCN - provides circadian drive
  • Pontine (ACh) REM-on cells = increased firing prior to inducing REM sleep
  • Raohe/LC (5HT/ NA) REM - off cells- decreased firing of pontine cells, inducing non - REM sleep
21
Q

What are some sleep promoting factors?

A

Sleep promoting factors include:
* 24-hour Circadian rhythm
* Sleep pressure
* Adenosine levels t every waking minute.
* The longer you are awake, the more adenosine you will accumulate =
sleep pressure.
* Adenosine acts on the sleep promoting centres (and turns down
wakefulness centres).
* When adenosine concentration levels peak an irresistible urge for sleep
occurs (in most people after about 12-16 hours of being awake)
* Caffeine is an adenosine receptor antagonist as so temporarily reduces
sleep pressure.
Caffeine has an average half life of 5-7 hours. If you have a cup of coffee at
19.30pm, 50% of that may still be circulating at 01:30 = bad nights sleep…

22
Q

What is rapid eye movement disorder ?

A
  • Normally pons instrumental in inhibiting muscle tone during REM sleep (pontine reticulospinal pathways) to prevent the acting out of dreams
  • Muscle tone is not prevented in this conditions thus they can act out their dreams
23
Q

What is Nacrolepsy?

A
  • Attacks of sleep at times and places where sleep does not normally occur e.g.g in the car whilst driving. Maybe associated with loss of hypocretin
24
Q

What is sleep apnea?

A
  • Characterised by an interruption of breathing and decline in o2 level of blood
  • Interruption of breathing leads to arousal from sleep or resukts in lighyer stages of NREM sleep in order for breathing to be maintained. Muscle tone is further compromised by REM sleep. Leads to narrowing of airway passages
  • Continuous positive airway pressure device (CPAP). CPAP= a mask that fits over the nose and / or mouth, and gently blows air into the airway to help keep it open during sleep.
25
Q

What is insomnia?

A
  • a chronic inability to fall asleep despite appropriate opportunities to do so
  • Transient (2-3 days)
  • acute stress
  • jet-lag
  • Short term (acute <3 weeks)
  • Up to 50% of patients in this group have underlying psychiatric illness (Morin 2012/)
  • Also chronic alcohol or drug abuse
  • Insomnia affects > 20% of the population at any one tiem
  • Most insomniacs underestimate the amount of time they sleep
  • Affects onset and maintenance
  • Cause od insomnia should be treated not the symptom
26
Q

What are the guidelines for treating insomnia?

A

Sleep hygiene/behaviour - essential first line treatment strategy

Psychological behaviours - decrease stress, explain about good sleep
Physiological Increase relaxation
decrease caffeine; alcoholm Psychiatruic anxiety/depression
Physiological- decrease pain, asthma, etc

If severe consider referral to sleep clinic with ward or home monitoring video
sleep behaviour + EEG monitoring; sleep apnoea (mask)
Cognitive behavioural therapy can be used as a first choice treatment

27
Q

Tips to improve sleep

A

Keep a constant sleep schedule

Avoid caffeine in the afternoon or evening
* Turn your bedroom into a sleep inducing environment (avoid light exposure)
Establish a soothing pre-sleep routine and avoid bright light in the evenings
* Go to sleep when you are truly tired
Don’t be a night time clock watcher

  • Use light to your advantage
    Keep your internal clock set with a consistent sleep schedule (get up at same time week day/weekends)
  • Nap before 5pm or not at all
  • Eat light evening meal not too late
    Balance fluid intake
  • Exercise at least three hours before bedtime
  • If you don’t fall asleep after 20 minutes, get out of bed (do something mellow and try again later)
    Persist with the above tips