Sleep and wakefulness Flashcards

1
Q

Delta waves

A

deepest sleep <4Hz

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

Alpha and beta waves

A

awake
Alpha=8-13 Hz
Beta=14-30 Hz

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

Sleep state is characterized by which wave states?

A
Theta waves (4-7 Hz)
Delta waves (<4Hz)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the three brain states?

A

Awake
NREM
REM

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

What is the alpha rhythm? Where in the brain would you see activity?

A

Eyes are open
Rapid eye movements
Normal muscle tone

See activity in the occipital region. this is the hallmark of wakefulness

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

What are the different stages of sleep, on the way to REM?

A

N1=light sleep
N2=filler sleep
N3: deep sleep-slow waves
REM sleep

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

Describe N1 sleep:

A
LIGHT SLEEP
o	Alpha drops out and replaced by theta activity
o	Vertex sharp waves
o	Central apneas
o	Slower eye movements
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe N2 sleep:

A

o Continued theta slowing
FILLER SLEEP
o Sleep spindles: 13-14 hz in the beta range that are football shaped
o K complexes: Large amplitude/biphasic evoked by stimulation (noise). Hypothesized to keep us asleep despite stimuli

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

Describe N3 sleep:

A
Deep sleep
o	>20% slow wave activity
o	.5-2 Hz slow waves
o	>75uV amplitude slow waves (tall!)
o	Highest arousal threshold of sleep
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe REM sleep

A

o Stage-1 like EEG
o Sawtooth waves= sharp theta waves
o Rapid eye movements
o Reticular activation – desynchronization
o Phasic and tonic movements
o Muscle atonia
o Cognitive activity mostly in occipital lobes
o PGO spikes
o Autonomic instability—irregularity in respiration, arrhythmias. Switching back and forth between sympathetic and parasympathetic tone

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

NREM and REM cycle every how many minutes?

A

90 minutes.

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

When does N3 predominate? When does REM predominate?

A

o N3 predominates in the first 1/3 of night

o REM predominates in the last 1/3 of night

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

What sleep state predominates overall usually?

A

We are in N2 50% of the time we are sleeping

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

Describe Non-Rem sleep

A
Decreased HR and BP
Low O2, high CO2 and slow breathing
Normal thermal regulation
Reduced muscle tone
Reduced CBF
Reduced cognition
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe REM sleep

A

Variable sympathetic activity (breathing, HR, BP)
Very low O2, high CO2, slow breathing
Minimal muscle tone
Poikilothermic: Variable body temperature
Increased CBF
Bizarre cognition

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

Describe fetal sleep–how many hours?

What percent is active sleep vs quiet sleep?

A

Feti sleep 16-18 hrs each day

50/50 activity. Adults only spend 25% of their sleep cycle in REM sleep

17
Q

What happens to slow wave sleep as we age?

A

Slow decline in slow wave sleep

18
Q

What are Zeitgebers?

A

External cues which help us regulate circadian rhythms

19
Q

What is entrainment?

A

Adjustment of circadian to surrounding cues. Bright light in evening will cause a phase delay (ie teenagers watching TV at night will go to bed at 3AM and sleep till NOON)

20
Q

What is free running?

A

Persistence of circadian rhythms during constant conditions of light or darkness.Absence of Zeitgebers

21
Q

What nucleus is responsible for regulating circadian rhythms?

22
Q

what happens when you ablate the SCN?

A

Loss of rhthmycity

23
Q

what happens when you isolate the SCN?

A

Loss of zeitgeber response. Cannot incorporate external cues into circadian rhythm

24
Q

What cues cause melatonin to be released? What does melatonin do?

A

Melatonin is induced by darkness. It helps to shift the phase of the cycle towards sleep.

25
What causes me to feel sleepy after a long day in the library?
Process S: homeostatic mechanism related to prior sleep and wake states. Adenosine is the main driver. Levels of adenosine build over the day, causing us to feel sleepy.
26
Describe the pathophysiological mechanism by which adenosine works.
Adenosine inhibits basal forebrain Ach neurons. Caffeine works by inhibiting adenosine activity.
27
What is process C?
Driven by circadian rhythm. Peaks in the evening. Helps us to stay awake at night.
28
What system promotes a wakeful state?
The ascending reticular activating system
29
Where does the ARAS project to?
1. Thalamus 2. Lateral hypothalamus 3. Basal forebrain 4. Cortex
30
Which key components of the ARS are active during wake cycles? What neurotransmitter does each use?
Lateral Dorsal Tegmentum (LDT)/ pedunculopontine tegmentum (PPT) – Acetylcholine (Ach) Locus Coeruleus – Norepihepherin (NE) Raphe – Serotonin (5HT) Tuberomamillary Nucleus (TMN) – Histamine (His)
31
What is the role of hypocretin/orexin?
Works on hypothalamus. Prevent unwanted sleep transitions. Orexin neurons of the lateral hypothalamus are active during wakefulness and stimulate activity in the ARAS
32
Where does dopamine act?
Brainstem/hypothalamus
33
What happens with a lack of orexin?
Narcolepsy. It's important in the maintenance of a wakeful state
34
What is the role of the Ventrolateral preoptic area.
Releases GABA to inhibit ARAS and orexin. Crucial for sleep onset In contrast, LC, TMN, RAPHE work with ARAS to keep us awake
35
Describes what happens to generate REM sleep
Decreased firing in: 1. Locus coeruleus (NE), TMN (histamine) and raphe (5HT) Increased firing in: 1. LDT and PPT neurons (Ach) (lateral dorsal tegmentum and pedunculopontine tegmentum) Generation of PGO spikes Descending motor inhibition
36
What are the postulated functions of sleep?
1. Restoration: tissue repair, anabolic steroids, rebound slow wave sleep, downregulation of normal physiologic functions
37
What are the fxns of REM sleep?
1. learning/memory 2. promotion of CNS development 3. Restoration of neurotransmitters 4. Maintenance of circuitry formed during the day 5. Memory fxn