EEG sleep and circadian rhythms Flashcards

1
Q

What is sleep?

A

An easily reversible state of inactivity characterized by lack of interaction with the external environment.

Why we need to sleep is an unsolved mystery but all mammals and birds show the same stages of sleep - meaning its something that developed yonks ago

(that part isn’t relevant but hey ho)

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2
Q

What causes sleep?

A

Sleep occurs due to an active inhibitory process in which inhibitory projections are sent to the cortex

It is believed to be coming from the Pons - from an area called the Reticular formation of the brainstem (hypothalamus also is involved but well get to that)

The reticular formation is closely associated with controlling consciousness and sends projections to the thalamus and higher cortical areas

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3
Q

What neurotransmitter is thought to play a vital role in sleep and why?

A

Serotonin

Drugs blocking serotonin release/transmission in Reticular formation caused an inability to sleep so we know it must play a vital role in sleep

Possibly because serotonin is a precursor of melatonin

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4
Q

When sleep-inducing peptides from a sleep-deprived animal are injected into the brain of a different species of animal, what will happen?

What does this indicate about sleeping?

A

Sleep inducing peptides will cause ‘natural sleep’ in other animals even of other species

This means the physiological response/effect of that peptide is very similar/identical across many species

This indicates that sleeping is an ancient process that evolved very early on

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5
Q

What is the involvement of the hypothalamus in sleep?

A

The Suprachiasmatic nuclei (SNC) in the hypothalamus is (thought to be) involved in the induction of sleep

SCN activity demonstrates ~24hr circadian rhythm and controls release of melatonin from the pineal gland.

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6
Q

What is the Pineal gland?

A

Endocrine gland which is part of the epithalamus

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7
Q

How does the SCN act on the pineal gland?

A

Inhibitory neurons in SCN are stimulated by light and act to inhibit pineal gland.

Darkness therefore corresponds with decreased activity in the SCN and increased melatonin release and feelings of sleepiness in humans.

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8
Q

What is meant by the term ‘Circadian rhythm’?

A

A circadian rhythm is a natural, internal process that regulates the sleep-wake cycle and repeats roughly every 24 hours

The term can be applied to any 24hr repeating physiological cycle but in this sense, it is to do with sleep

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9
Q

How does melatonin control our sleep?

A

Circadian rhythm of melatonin release likely linked to inhibition of orexin

Orexin (aka hypocretin) is an excitatory neurotransmitter released from the hypothalamus - required for wakefulness

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10
Q

What happens to Orexin neurons when we are awake and asleep?

A

Orexin neurons are active during the waking state and stop firing during sleep

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11
Q

What happens if there is defective orexin signalling?

A

Narcolepsy

The individual will suddenly fall asleep, sometimes even when talking

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12
Q

How are the levels of consciousness assessed?

A

Behaviour:

  • Look at their behaviour, general alertness, speech patterns, speech content, reading, writing and calculating skills. Spell words backwards or count backwards

Electroencephalogram (EEG):

  • EEG uses electrodes placed on the scalp to record activity of underlying neurons
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13
Q

How do the readings on an EEG correspond to consciousness?

A

Recordings reflect the electrical activity of the underlying neurones

Waves can be analysed by…

Amplitude:

  • in µV
  • tends to decrease with neuronal excitation

Frequency:

  • in Waves per second
  • tends to increase with neuronal excitation
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14
Q

What are the 4 main types of wave patterns seen with EEG

A

Alpha:

  • High Frequency - High amplitude
  • Relaxed, awake

Beta:

  • Very high frequency - low amplitude
  • Asynchronous
  • Alert, awake

Theta

  • Low frequency - varying amplitude
  • Children, stress/frustration, sleep

Delta

  • Very low frequency - high amplitude
  • Deep sleep
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15
Q

How does visual stimulus (ie having eyes open) affect the level of brain activity shown on an EEG?

A

Visual stimulus will increase neuronal activity

This means the EEG wave will have decreased amplitude

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16
Q

Why is it that Higher alertness (cortical activity) shows a decreased amplitude but high frequency?

A

Alertness causes the wave pattern to become asynchronous - as the brain is doing a lot more things than if relaxed (alpha)

Opposite polarities of signals travelling in different neurones decrease/cancel eachother out often so the amplitude is smaller

Frequency is high because all the neurones have ADHD and are rapid firing out tons of signals

17
Q

The sleep cycle moves through 5 successful stages

Describe the features of Stage 1 of the sleep cycle

A

Low frequency, High amplitude Theta waves

‘S-sleep’

Light sleeping so you’re easily roused

Slow eye movements

18
Q

What are the features of stage 2 sleep?

A

Frequency slows lower than Stage 1

However, random rapid bursts of High-frequency (12-14 Hz) waves called sleep spindles occur

Eye movements stop from stage 1

19
Q

What are the features of Stage 3 sleep

A

Delta waves:

  • Very low frequency (2 Hz) - maintaining High amplitude from stages 1 & 2

Interspersed with short episodes of faster waves - however, spindle activity decreases from stage 2

20
Q

What happens to the EEG waves in stage 4?

A

Exclusively delta waves from stage 3

No spindle activity or any of that jazz

21
Q

When is deep sleep?

A

Stages 3 and 4 are deep sleep

This means its very difficult to rouse them

It is also when sleepwalking/talking occurs

22
Q

What is stage 5 of the sleep cycle?

A

REM sleep

Rapid eye movements

Dreams

25% of our sleep is REM

High-frequency state - similar to when we are awake

23
Q

Describe the vascular, respiratory and metabolic changes that occur in the body during deep, slow-wave sleep

A

In deep, slow wave sleep there is:

  • Decreased vascular tone and thus lower BP
  • Decreased respiratory rate
  • Decreased basal metabolic rate and thus Body temperature drops slightly
24
Q
A