Sleep Flashcards
What are the characteristics of non REM sleep?
Mostly at start of night Reduced heart rate, bp, tidal volume Non-narrative dreaming Synchronised, rhythmic eeg Partial muscle relaxation Reduced cerebral blood flow
What is sleep?
Normal recurring reversible state of loss of ability to respond to external environment.
Not conscious, not unconscious
What are the characteristics of REM sleep?
Mostly at end of night Fast eeg activity Increased brain activity Atomic muscles (except diaphragm and extra ocular muscles) Increased cerebral blood flow Impaired thermal regulation Narrative dreaming
Which is more important, deep sleep or REM sleep?
Deep sleep
Why is deep sleep important?
Allows cortex to recover after busy day
What stage of life has,out REM sleep?
Neonatal period (50% REM)
What is the role of non REM sleep?
Cell division and growth
What is the role of REM sleep?
Consolidates memory
Maintains immunocompetence
What controls sleep?
Circadian rhythm and light
What are the effects of not sleeping?
Prefrontal effects
Irritability and suspiciousness
Visual illusions
Micro sleeps and concentration lapses
Name some non-REM parasomnias
Sleep walking
Sleep terrors-paralysis
Bruxism
Restless legs
What are the characteristics of narcolepsy?
Daytime sleepiness
Cataplexy
Hypnagogic hallucinations
Sleep paralysis
What investigations are done in suspected narcolepsy?
Overnight polysomnography
Multiple sleep latency test
Lumbar puncture