Brain Arousal Systems Flashcards

1
Q

Brain arousal systems affect what?

A
Sleep disorders
Major depression
Medical procedures and anesthetics 
Autism spectrum
Coma
Fatigue 
Neuroactive drugs
Antihistamines
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2
Q

____ is the degree to which the individual appears to be able to interact with their environment. What are two examples?

____ reflects the depth and content of the arousal state. It is dependent on _____.

____ describes that set of neural processes that allow an individual to perceive, comprehend, and act on the internal and external environments.

A

Arousal; sleep and wakefulness

Awareness; arousal

Consciousness

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3
Q

_____ is the reproducible evidence of awareness exists such as responding to simple commands but with limited or absent communication.

Pt’s eyes open and close and the pt appears to track objects about the room and may chew and swallow food placed in the mouth. Pt does not respond to auditory stimuli and does not sense pain, hunger. There is ___ but not ____.

A

Minimally conscious state

Persistent vegetative state; arousal; awareness

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4
Q

_____ is individuals who have suffered brain injury that leaves them in a deeply unconscious state defined by apparent unresponsiveness to noxious, sensory stimuli; may have some reflexes and/or posturing.

____ is no EEG activity.

A

Coma

Irreversible brain death

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5
Q

J

A

Default mode network

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6
Q

_____ is required for arousal and awareness.

The cortex has no intrinsic mechanism for activation of ____ and ____.

Disruptions in consciousness result from smaller, subcortical lesions in the ____, _____, _____.

A

Cortical fx

Arousal and awareness

Brainstem, midbrain, hypothalamus

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7
Q

What are five arousal systems?

A

Excitatory AA:

Cholinergic:

Noradrenergic:

Serotonergic:

Dopaminergic:

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8
Q

The ____ is a network of neurons located in the brainstem and project to _____.

It descends to the SC along the ____ tract.

A

RAS; hypothalamus, thalamus, cortex

Reticulospinal tract

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9
Q

What is the fx of RAS?

A

Regulation of arousal and level of consciousness

Relays all ascending sensory info

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10
Q

H

A

H

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11
Q

The _____ contains subgroups of neurons and plays a role in promoting wakefulness through cortical activation.

It is important in generating ____.

Amygdala activation of PBN causes what?

What is it classified as?

A

Parabrachial nuclei complex

Respiration patterns during the waking state

Hyperventilation during anxiety states

Glutamatergic

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12
Q

J

A

J

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13
Q

How is PBN similar to RAS?

A

Both use EAA glutamate as their neurotransmitter

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14
Q

_____receive so much input that modality-specific info is lost.

Outputs are via the _____ used by RAS.

Neurotransmitter is ____.

A

Pedunculopontine tegmental (PPT) and laterodorsal nuclei (LDT)

Dorsal and ventral pathways

ACh

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15
Q

____ is the primary cause of wakefulness and REM sleep.

A

Cholinergic nuclei

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16
Q

J

A

J

17
Q

Damage to the _____ doesn’t cause a coma but does produce severe cognitive deficits that are associated with a generalized slowing of cortical processes.

A

PPT/LDT

18
Q

_____ is embedded within the RAS.

What are its two outputs?

A

Locus coeruleus

Ascending: dorsal and ventral pathways along with the RAS -> become the dorsal noradrenergic bundle

Descending: sensory modulation

19
Q

What are the fx of the locus coeruleus?

What neurotransmitter?

A

Startle and alerting responses

Sleep-wake cycle

Behavioral vigilance

Norepinephrine

20
Q

What is the alerting response?

What other response is also associated with this system?

A

An early indicator that the cortex is looking for or expecting sensory input.

Startle response

21
Q

J

A

J

22
Q

Serotonergic

What are the fx of the Raphe nuclei?

A

J

23
Q

The ____ is embedded within the RAS.

What is the fx?

A

Ventral tegmental nuclei

24
Q

What are three characteristics of the dorsal pathway?

Ventral pathway?

A

Arousal systems send axons to the thalamus

Synapse

Axons from the thalamus to cortex

Arousal systems send axons straight to the cortex
Synapse directly onto cortical neurons

25
Q

Dorsal pathway

A

J

26
Q

Persistent vegetative state causes the rostral regions of the _____ to show neuronal loss that exceeds that of the cortex.

They are ____ relative to their threshold.

Treatment of ____ can produce increases in cognitive fx/

A

Pons/midbrain/thalamus

Hyperpolarized

Levodopa

27
Q

J

A

J