The Physiology of Sleep Flashcards

1
Q

Define Sleep

A

a natural period state of rest for the mind and body, in which the eyes usually close and consciousness in completely or partially lost, so that there is a decrease in bodily movement and responsiveness to external stimuli

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2
Q

Sleep Deprivation can lead to:

A
  • grumpiness
  • grogginess
  • irritability
  • forgetfulness
  • language, memory, planning and
    sense of time are severely affected
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3
Q

How do we measure sleep?

A
  • questionnaire
  • physiological measurements EEG
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4
Q

Analysis of Sleep: Questionnaire:

A
  • eg do you feel your sleep is not
    refreshing or restful
  • results can be limiting due to
    increased error due to bias
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5
Q

Analysis of Sleep: Physiological Measurements:

A
  • more complex approach
  • eg brain waves, neurochemicals,
    sleep models, pharmacology
  • results are limited by methods
    used, mostly free from bias and
    are reproducible
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6
Q

EEG stands for

A

Electroencephalography

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7
Q

EEG: Method:

A

involves the recording of a gross average of electrical potentials of the cells and fibers in the brain areas closes to each electrode attached to the scalp

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8
Q

EEG: Basic Principle:

A
  • neurons generate electrical action
    potentials
  • the firing of many neurons creates
    a large electrical field in particular
    brain regions
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9
Q

Generation of small fields in pyramidal cells:

A

insert diagram

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10
Q

What are the 2 basic requirements for signal detection?

A
  • a whole population o fneurons
    must be active in synchonicity to
    generate a large enough electrical
    field at the level of the scalp
  • this population of neurons must
    be aligned in a parallel orientation
    so that they summate rather than
    cancel out
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11
Q

The amplitude of EEG signals depends upon:

A
  • the synchronous activity of
    underlying neurons
  • number of active cells, total
    amount of excitation, timing of
    activity are key contributors
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12
Q

What type of cells generate synchronous rhythmns?

A

Thalamic cells have a set of voltage-gated ion channels that allow each cell to generate rhythmic, self-sustaining discharge patters even in the absence of external inputs

the rhythmic activity of each thalamic pacemaker neuron then becomes synchronised with many other thalamic cells through cellular and chemical communication

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13
Q

Function of Brain Rhythms?

A
  • sensory input travels to thalamus,
    then directed to functional area of
    cortex
  • meaningless by-product of
    feedback circuits and connections
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14
Q

EEG Recordings:

A
  • electrical potentials are recorded
    from either the entire skull surface
    or from specific points
  • electrical potentials are recorded
    as traces
  • increased, synchronised activity is
    displayed as a larger amplitude
    than the baseline recording
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15
Q

Interpreting Sleep Through EEGs:

A
  • EEG recorded whilst asleep
  • observes monitored behavioural
    changes during sleep
  • traces obtained were analysed
    from amplitude and frequency of
    wave patterns
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16
Q

EEG:
- flat line
- peak
- trough

A

Flat line = half the neurons recorded are firing, half are inhibiting

Peak = all are firing in that area

Trough = none are firing in that area

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17
Q

Whilst sleeping, heart rate, breathing rate and brain activity

18
Q

Major behavioural changes whilst sleeping:

A
  • lack of gross movement (large
    amounts of muscle movement)
  • presence of Rapid Eye Movement
    (REM) cycles throughout a period
    of sleep
19
Q

Correlating EEG with Behaviour:

All are different stages:

A

insert slide

20
Q

EEG:

A

insert figure

21
Q

How many stages in sleep?

A
  • 4 stages non-REM sleep (N1,2,3)
  • 1 stage REM sleep
22
Q

Sleep: N1:

A
  • non-REM sleep
  • dominated by irregular, jagged,
    low voltage waves
  • brain activity is high but will start
    to decline
23
Q

Sleep: N2:

A
  • non-REM sleep
  • sleep spindles
  • K-complexes
24
Q

Sleep: N2: Sleep Spindles:

A
  • 12-14Hz burst for at least 500msec
  • generated by oscillating
    interactions between cells in the
    thalamus and the cortex
25
Sleep N2: K-Complexes:
- sharp, high amplitude positive wave - followed by a smaller, slow, negative wave - occurs randomly and in response to auditory stimuli
26
Sleep: N3:
- Non-REM - delta waves
27
Sleep: N3: Delta Waves:
- slow, large amplitude waves - neural activity is highly synchronised
28
Sleep: Stage 4 N3:
- Non-REM - increased delta wave activity - stage 3 and 4 are known together as slow-wave sleep (SWS) - sleepwalking, nightmares, bed wetting can occur at this stage of sleep
29
Sleep: REM Stage (5):
- rapid eye movement - irregular, low voltage fast waves, similar to those in stage 1 of non- REM sleep - increased brain activity, may be associated with a state of dreaming
30
Describe the waves on EEG when awake with eyes open.
low amplitude = no synchronicity, all neurons are doing different things beta waves in all stages high frequency low amplitude = brain is active
31
Describe the waves on EEG when awake with eyes closed.
high frequency similar to awake with eyes open = brain is active higher amplitude than awake with eyes open = more synchronicity (visual neurons)
32
In Non-REM sleep, neurons become more
synchronised (larger amplitude, lower frequency)
33
In REM sleep, neurons are
synchronised but very active as dreaming
34
Newborn babies wake every 1.5 hours because
struggle with transition from light sleep in non-REM to deep REM sleep
35
How long does the entire sleep cycle last?
- 90-120 minutes - first cycle starts at stage 1 - subsequent cycles will start at stage 2 and continue through to REM sleep every 90 - 110 minutes
36
REM Sleep: Physiological Changes:
- postural muscles become more relaxed = deep REM sleep - heart rate, bp, rr are more variable than other stages of sleep - increased blood supply to reproductive organs
37
Influences of Benzodiazepines on Sleep:
- bind to gaba a receptors - Cl- channel - hyperpolarises cells - modulator not a ligand - allows Cl- channel to open for longer increases the length or non-REM sleep but decreases REM sleep so will decrease effects of sleep
38
EEG Limitations:
- scalp electrodes are not sensitive enough to pick up individual action potentials - can not distinguish between excitatory, modulatory or inhibitory activity - limited anatomical specificity compared with other imaging tools such as fMRI
39
Other physiological systems that contribute to sleep:
- hormone systems - melatonin and cortisol rhythms - melatonin increases during sleep - cortisol decreases at the start and increases at the end
40
Examples of Circadian Regulation:
cortisol high during the day, low at night when put in light at night still persist but slightly altered
41
Parasomnias:
- disruptive sleep related disorders Non-REM Parasomnias: - sleep walking; still asleep but exhibit limited awareness and repsonsiveness to their surroundings - night terrors: often scream in their sleep, though most are not responsive to outside stimuli and will have no recollection of the source of their terror upon waking REM Parasomnias: - unusual vocalisations or movements during REM sleep, often as a reaction to a dream
42
Circadian and Peripheral Cycle:
central pacemaker; when light positive signal, dark no signal synchronises all hormonal systems peripheral oscillators synchronise directed by the central pacemaker jet lag is the lag between the central and peripheral