Sleep Flashcards
What does sleep polysomnography measure?
Brain activity EEG, eye movements EOG, muscle activity EMG, and heart activity ECG
What does EEG measure?
Measures the potential differences between two points on the scalp
Wakefulness EEG
Low amplitude fast rhythms
A relaxed subject with eyes closed is differentiated from sleep by the presence of alpha EEG activity in 50% or more of the time.
Stage 1 EEG
Similar to wakefulness, very superficial, small eye movements, slow, slightly higher amplitude EEG.
Alpha activity 50% or less of the time
Stage 2 EEG
Spindles and K complexes:
Characteristics include sleep spindles and K-complexes occurring on a low-voltage, mixed-frequency background EEG and minimal (<20% of the time) slow-wave activity.
Stage 3 EEG
High amplitude slow waves
Contains delta EEG activity with a 75 µV or greater amplitude enduring for 20% or more of the duration
REM EEG
Similar to wakefulness EEG, sensory disconnected from environment
Saccadic eye movements occur during epochs with low-voltage, mixed-frequency EEG in association with a very low level of EMG activity.
Proportions spent in each sleep phase?
REM sleep accounts for approximately 20% to 25% of total sleep time, stage N2 accounts for 50%, N3 accounts for 12.5% to 20%, and N1 accounts for the remainder.
Sleep oscillations
Rhythmic and/or repetitive electrical activity generated spontaneously and in response to stimuli by neural tissue in the central nervous system
Slow waves divided into
Slow oscillation (0.2-1 Hz)
Delta (1-4 Hz)
Spindle (7-15 Hz
Theta (4-10 Hz)
Three areas controlling sleep oscillations
Cortex, thalamus, reticular nucleus of thalamus
Thalamus sends what signals to RTN and cortex
Glutaminergic
Cortex sends what signals to RTN and thalamus
Glutaminergic
Reticular neurons sends what signals to where
GABAergic inhibitory output to the thalamocortical neurons
What is a sleep spindle
0.5-second (or longer) burst of 12- to 14-Hz activity
What initiates spindles
Thalamic reticular nucleus and regulated by thalamo-reticular and thalamo-cortical circuits.
What disorder leads to deficits in spindle activity?
Schizophrenia
What diffuse subcortical neuromodulatory systems regulate global brain states
Cholinergic Adrenergic Histaminergic Dopamine Serotonin Orexin/Hypocretin
Where are orexin neurons
Lateral nucleus of the hypothalamus
Cholinergic nuclei are located?
Lateral dorsal tegmentum and posterior pontine tegmentum
Basal forebrain