PHYS: EEG & Regulation of Cortical Excitability Flashcards

1
Q

How do our lower centres keep us awake, and in what 2 forms of cortical stimulation?

A
  • Brainstem keeps cortex awake by passing excitatory impulses into our cortex.

2 forms:

  1. Direct neuronal stimulation - neurons that dump them.
  2. Neurohormonal systems - diffuse out of synapses/spill over of NTs.
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2
Q
  • The reticular formation in the brain controls what?
  • It has ____ and ____ areas.
A
  • General area/system for control of the overall excitation level of the brain.
  • In the reticular formation of pons & midbrain.
  • Reticular system has both inhibitory and excitatory areas.
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3
Q

Explain the reticular excitatory area and its function.

A

Sends signals upwards and downwards:

  • Upward through thalamus:
    1. Rapid transmission (milliseconds) to excite cerebrum through gigantocellular neurones (ACh)
    2. Build up progressively (seconds to minutes) through large number of smaller neurons, also excitatory (NA, Dopamine) - controls longer term excitation of brain
  • Downwards antigravity muscles:
    • maintains tone
    • controls levels of spinal reflexes
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4
Q

Explain the reticular inhibitory area and its function

A
  • Located in reticular formation of medulla
  • Inhibits excitation of REA via serotonergic projections
    • Seratonin is inhibitory here
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5
Q

Which 4 systems are involved in neurohormonal control?

A
  • Noradrenaline system (locus coeruleus)
    • excitatory, wakefulness and non-REM sleep
  • Dopamine system (substantia nigra, arcuate, VTA)
    • excitatory/inhibitory (region dependent)
  • Serotonin system (raphe nuclei)
    • inhibitory, induction of sleep, pain control, mood
  • Acetylcholine system (gigantocellular neurons)
    • excitatory, acutely awake, excited nervous system and REM sleep.
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6
Q

Match the neurohormonal modulatory systems to the diagrams

A
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7
Q

What are the most abundant excitatory and inhibitory neurotransmitters in the CNS?

A

Glutamate

  • Most abundant excitatory NT in CNS
  • binds NMDA or AMPA receptors (both ionotropic).
  • GABA precursor (requires glutamate decorboxylase).

GABA

  • Chief inhibitory NT in CNS.
  • Binds GABAA (Cl- Channels) or GABAB (GPCR -> K+ channel) receptors.
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8
Q

What excites the excitatory area?

A
  • Peripheral sensory signals
    • pain signals strongly excite the brain’s attention
  • Feedback (once away this keeps us awake)
    • Cortex activation (motor/thought) –> REA –> cortex acviation (thalamic feedback also)
    • +ve feedback; any cerebral activity –> awake mind
    • Corticothalamic loops fires up fires down fires up fires down
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9
Q

What are the normal EEG patterns?

A
  • Beta rhythm
    • Alert/aroused/concentrating/REM sleep
    • Small amplitude, High frequency.
  • Alpha rhythm
    • Awake relaxed/eyes closed
    • medium amplitude medium frequency
  • Delta rhythm
    • Deep sleep
    • large amplitude low frequency
  • Gamma rhythmn
    • higher cognitive/attentional state
    • very high frequency
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10
Q

How are EEGs used clinically?

A
  • Coma
    • Widespread cortical damage.
      • Consciousness requires functioning cortex.
    • Damage to ascending reticular excitatory area.
  • Seizures
    • Brief episodes of abnormal excessive or synchronous neuronal activity in the brain.
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11
Q
  • What does fMRI do?
  • Spatial resolution: good/bad?
  • Temporal resolution: good/bad?
A
  • Measures oxygenated blood flow and hence functional usage of bloow flow
  • Spatial resolution good, temporal resolution bad
    • although unclear whether precise
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