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:
- Direct neuronal stimulation - neurons that dump them.
- Neurohormonal systems - diffuse out of synapses/spill over of NTs.
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.
3
Q
Explain the reticular excitatory area and its function.
A
Sends signals upwards and downwards:
- Upward through thalamus:
- Rapid transmission (milliseconds) to excite cerebrum through gigantocellular neurones (ACh)
- 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
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
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.
6
Q
Match the neurohormonal modulatory systems to the diagrams
A
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.
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
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
10
Q
How are EEGs used clinically?
A
- Coma
- Widespread cortical damage.
- Consciousness requires functioning cortex.
- Damage to ascending reticular excitatory area.
- Widespread cortical damage.
- Seizures
- Brief episodes of abnormal excessive or synchronous neuronal activity in the brain.
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