EEG And Sleep Flashcards

1
Q

What does EEG stand for?

A

Electroencephalogram

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2
Q

What does EEG measure

A

Electrical activity of the brain, more specifically the synchronicity of firing of the pyramidal neurones in the brain - does not measure one neurone but a collection of neurones which all do the same thing.
Amplitude of the waves measured depends on how synchronised the activity is - the more synchronised the activity the larger the waves
Measuring through the scalp and bone and meninges

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3
Q

What do EEG readings mean

A

Electrical activity in different areas of the brain
Can show different areas of activation at different times
Function of different areas depending on the activity in that area depending on what you are doing.

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4
Q

What makes the neurones fire synchronously

A

Pace maker - thought to be the thalamus. As they have an intrinsic rhythm
Also coordinated networks. Lots of sensory input into the thalamus leads to collective interaction
Thought the thalamic pacemakers and coordinated networks work together to cause synchronous activity

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5
Q

Normal synchronous activity

A

Learning- binding phenomena whereby brain sees something that was not previously there and now cannot be unseen due to the connections in the brain
Fastest oscillations are seen in learning - as we attach meaning to our world
Sleep - synchronous firing deep sleep larger peak larger synchronicity

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6
Q

Pathological synchronicity

A

Epilepsy

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7
Q

What is sleep?

A

Become insensible
Decreased mobility
Decreased responsiveness to sensory inputs
Decreased cortical excitability in EEG
Readily reversible state unlike a coma or under GA

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8
Q

Necessity of sleep

A

All mammals and birds - evolutionarily important,
Spend 1/3 of your life sleep
Motivated behaviour not a stereotyped reflex response.
Not always the same depends on the external and internal stimuli cause sleep to happen

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9
Q

Functions of sleep

A

Recuperation and energy conservation
Cognitive functions
Important in mood
Altered physical health - immune suppression and metabolic pathways

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10
Q

Stages of sleep

A
Beta - rem 
Alpha - relaxed reflecting 
Theta - drowsy idealing 
Delta - deep dreaming 
Delta - deep dreamless
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11
Q

What happens in R.E.M sleep beta

A

Desynchronised EEG activity - similar recording to being awake but loss of muscle tone
Rapid eye darting
Easily aroused by meaningful stimuli
Awakened are alert
Dreaming - dreams can be other stages too but they are different
Loss of muscle tone

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12
Q

Is there a sleep wake centre

A

Reticular activating system in midbrain and thalamus
Current view is that there are 2 major groups of neurones
Ach
Monoamine
When active they activate thalamic relay neurones resulting in cortical activation
When Ach and monoamine active you are awake
When only Ach active you are R.E.M. Thought monoamine important in loss of muscle tone.

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13
Q

Is sleep the absence of wakefulness

A

NO
Non-R.E.M. Sleep nuclei in the brainstem are less active but the VLPO - ventrolateral preoptic area in the hypothalamus is more active when asleep than when awake so this area makes you actively sleep.

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14
Q

What is the flip flop theory

A

States that there is no in between when it comes to sleep you are ever asleep or awake.

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15
Q

What induces sleep?

A

Waking time - adenosine accumulation over the day
Evidence caffeine - an adenosine receptor antagonist so adenosine cannot have its effect therefore cannot induce sleep
Also exercise makes you sleep earlier not longer - this means that the more accumulation of adenosine due to the exercise makes you tired faster
Circadian rhythm - suprachiasmatic nucleus in the hypothalamus- Zietgeber time giver - detect the light at the retina and a decrease in light = sleep so you can see how long is left in the day - sleep
Neurones -‘tick’ relates to protein synthesis/ degradation pattern in a 24hr cycle - this is jet lag body telling you it’s night but your suprachiasmatic nucleus tells you is is day so there is a conflict

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16
Q

Types of sleep disorders

A

Sleep apnoea
Insomnia - difficult to define - lack of sleep could be falling asleep waking up early, waking up intermittently

Hunger - fasting can’t sleep
High physical activity before sleep - can’t sleep
5-HT depletion - dietary manipulation - brain stem pathways
Withdrawal from hypnotics - lead to insomnia brain tolerises to the them so you need them to sleep
Caffeine stop = keep awake
Illness links with depression and physical and mental Illnesses

17
Q

Role of Orexin

A

Orexin is a produced by neurones and activates the nuclei involved in the sleep wake cycle
When there is a lack of Orexin people have narcolepsy where they fall uncontrollable asleep

18
Q

What is cataplexy

A

Loss of muscle tone as Dec monoamine cause loss of muscle tone in R.E.M. Sleep there could be a problem with this

19
Q

Depression and sleep

A

Relationship but not sure which comes first
Depression - sufferers are kept awake depression score decreases and when they go back to their natural sleeping pattern they get higher depression scores