L18: Higher brain functions Flashcards

1
Q

Vegetative state

A
  • may show signs of being conscious - e.g. eyes open, sleep wake cycles, autonomic function → pupil reflexes
  • no cognitive function, no sense of self awareness
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2
Q

Coma

A

prolonged absence of wakefulness or awareness, no response to external stimuli, unable to be roused, lacks normal sleep-wake cycle.

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3
Q

normal brain activity vs during a seizure

A
  • normal brain activity = not synchronised, small amplitude
  • seizure = large amplitude, synchronised events, brain areas appear to be firing at the same time
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4
Q

anti-seizure drugs

A
  • ion channels → don’t completely block but subtilely modulate
  • or increase GABAa receptors - neurotransmitter modulated ion channels
    = lower levels of excitability in the brain
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5
Q

drivers of sleep (2)

A

homeostatic: build up of homeostatic pressure to sleep (comes back to the definition)
- adenosine → inhibitory effect on CNS activity
circadian
- Controlled by suprachiasmatic nucleus (SCN)
- informs rest of body via endocrine circuits
- regulated by exposure to light
- SCN outputs: pineal gland - secretes melatonin, promotes sleep

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6
Q

3 sleep states

A

drowsy, slow wave sllep, REM sleep

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7
Q

5 stages of SLS

A
  1. stage 1 = theta waves
  2. stage 2 = theta interupted by sleep spindes (burst of activity at higher frequency) and K complexes (large slow spikes)
  3. stage 3 = delta waves with spindles
  4. stage 4 = just delta waves (long, slow waves)
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8
Q

Sleep → wakefulness transitions

A
  • regulated neurons in the brainstem called the reticular activating system (RAS)
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9
Q

reticular activating system (RAS)

A
  • projects to the hypothalamus, thalamus and cortex
    • RAS & thalamus modulates throughput of sensory information to cortical regions
    • hypothalamus: makes neuropeptide orexin = wakefulness
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10
Q

orexin

A
  • wakefulness hormone
  • orexin inhibited by melatonin
  • defective orexin system = narcolepsy
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