Introduction to Consciousness Flashcards

1
Q

What is consciousness?

A

Processes that enable us to experience the world around us

Distinct from automatic behaviours that occur in a rather unconscious manner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What structure within the brain is heavily involved in regulating alertness?

A

Reticular Activating System

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the reticular formation?

A

A core of grey matter passing through the midbrain, pons + upper medulla– it is a polysynaptic network that regulates activity of the cerebral cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the sensory inputs to the reticular formation?

A

Sensory + pain from ascending pathways
Vestibular information from medial vestibular nucleus
Visual from superior colliculus
Auditory from inferior colliculus
Olfactory via the median forebrain bundle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The RF modulates cerebral activity via various projections. What are these projections?

A

Noradrenergic projections from the Locus coeruleus (Pons) to the cerebral cortex
Dopaminergic projections from the ventral tegmental area (midbrain) to the cerebral cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the different waveforms seen on an EEG and what levels of arousal do they represent?

A

Delta (< 4 Hz): Sleep
Theta (4-8 Hz): Drowsiness
Alpha (8-13 Hz): Subject relaxed with eyes closed
Beta (13-30 Hz): Mental activity + attention
Gamma range (~40 Hz): creation of conscious contents in the focus of the mind’s eye, via the recurrent thalamo-cortical feedback

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a coma?

A

Absent wakefulness + absent awareness
Unrousable unresponsiveness
Cant be awakened, no normal sleep-wake cycle
No initiation of voluntary actions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

State 4 causes of coma.

A

Metabolic alteration e.g. hypoglycaemia
Diffuse intracranial e.g. epilepsy
Hemisphere lesion e.g. cerebral haemorrhage, tumour
Brainstem e.g. brainstem infarct, tumour, abscess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe how the Glasgow Coma Scale is structured.

A

Eye opening = 4
Verbal responses = 5
Motor responses = 6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What would the consequences of a right parietal lesion be?

A

Hemispatial neglect: patient will not pay attention to left visual field
Info. from left visual field is reaching primary visual cortex but because of the parietal damage, patient is not conscious of this visual field
E.g. Eat a meal, only eat half of what is on plate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What imaging technique can be used to study consciousness in health and disease?

A

Functional MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe the dynamics of neuronal activity

A

Integration: brain activity over time is collectively correlated
Differentiation: different parts of brain must be doing different things to account for the range of occurrences in our experiences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Is there a single brain region for consciousness?

A

No, there are brain networks (groups of regions that function together)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which brain network is considered important for consciousness?

A

Default mode network

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What does the perturbational complexity index illustrate?

A

Complexity of brain activity
Complex: high level of consciousness
Low complexity: low level of consciousness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a vegetative state?

A

Disconnection of brainstem from cortex or widespread cortical damage
Wakefulness with absent awareness
Capacity for spontaneous/ stimulus induced arousal
Range of reflexive behaviours
Absence of self- or environmental awareness

17
Q

What is a minimally conscious state?

A

Wakefulness with minimal awareness
Minimal but discernible evidence of self or environmental awareness
Inconsistent, reproducible responses above reflexes, indicating some degree of interaction with surroundings

18
Q

What characterises brainstem death?

A

Irreversible coma due to brainstem death, but body kept alive artificially
No eye opening
No brainstem reflexes

19
Q

What shape bleed is seen in extradural and subdural haemorrhages?

A

Extradural: Elliptical
Subdural: Crescent

20
Q

What is a diffuse axonal injury?

A

Damage to white matter tracts in the brain e.g. Corpus callosum