Wk 8.1 Sleep and Wakefulness Flashcards

1
Q

What is the definition of sleep?

A

unconscious state from which a person can be aroused by sensory or other stimuli(Perodic reversible state)

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2
Q

What is the sleep epidemiology?

A

Ranks among the 3 important considerations in maintaining good health
Other two are:good nutrition stress management

62% of us population have sleeping problems

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3
Q

What is the function of sleep?

A
  • Allows body to return to equilibrium
  • Restoration – recover and prepare for next awake session
  • Adaptation – hide from predators when we are most vulnerable or to conserve energy.
  • REM sleep has been shown to aid in consolidation of memories
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4
Q

What does REM stand for and what happens during this stage?

A

Rapid Eye Movement Dreaming takes place

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5
Q

What are the stages of sleep

A

Stage 1 - wake- relax but going to sleep

Stage 2 first stage of sleep, k complexes and spindles waves on EEG means the person is asleep

Stage 3- less thalamic activity, neurons firing together

Stage 4- deep stage, 30 mins to get to this stage

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6
Q

What happens during deep sleep?

A

More the neurons are firing closer together

Bigger signal because the more the fire together, the more electrical waves

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7
Q

How do you read sleep cycle EEG?

A

High frequency and low amplitude for wake
Low frequency and high amplitude - for asleep

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8
Q

1.What is the % of sleep time in REM?
2. What happens in REM
3. What does REM cause
4. What does REM activate

A

1.Occupies 25% of total sleep time

2.Activity changes to REM approximately 4-5 times a night

3.Irregular heart rate and respiration

4.Melanin-concentrating neurons strongly active

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9
Q

How is sleep measured?

A

Electroencephalogram (EEG) electrode - attached to scalp to get information from the cortex

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10
Q

What regions are involved in sleep regulation?

A

Thalamus
Hypothalamus
Pineal gland
Locus Coeruleus
Dorsal raphe
An and po nucleus

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11
Q

Information on vebtrolateral preoptic nucleus?

A

-Contain GABAergic andGalanergic neurons

-Reduce monoamine arousalsystem during sleep

-Monoamine neurons inhibit its neurons

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12
Q

What are the two wakefulness pathways and what do they do?

A

-Acetylcholine Pathway Thalamocortical pathway= Activates thalamic relay neurons and reticular nucleus of thalamuscrucial for transmission of information to cerebral cortex

-Monoamine pathway Extrathalamic pathway = Activates neurons in the basal forebrain before activating cortex

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13
Q

What are the 2 acetylochloine cell gorups

A

-Pedunculo-pontine (PPT)
- Laterodorsal tegmental nuclei(LDT

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14
Q

What does monoaminergic neurons in the upper brainstem include.

A
  • Locus ceruleus (NA)
  • Raphe Nucleus (5HT) (dorsal andmedial)
  • PAG and VTA (Dopamine)
  • Tuberomamillary neurons(Histamine)- anti inhibits histamine leading to feeling sleepy
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15
Q

Which pathway is highly activated in REM sleep?

A

Acetylcholine Pathway

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16
Q

1.What is the flip flop sleep circuit?
2. How does it work?

A
  1. Two halves strongly inhibit each other and produce on or off switch

2.If either side is damaged or weakened= instability occurs in both sleep andwake states.

  • When monoamines fire rapidly during wakefulness they inhibit the VLPO.
  • When VLPO neurons fire rapidly during sleep they inhibit the discharge of the monoamine groups
17
Q

What is the Regulation of sleep/wake cycles?

A

-Suprachiasmatic Nucleus of theHypothalamus = A Brain Clock

  • 20,000 neurons and their circadian actibity is activated by light (Light is detected by eyes)

-Intact SCN produces rhythmic message:SCN cell firing rate varies with circadian rhythm

18
Q

How does glycogen and Adeosine work?

A

Glycogen broken down to adenosine (Increased through out the day)

Adenosine increase causes need to sleep so It activated the vetro-laterial preoptic nucleus, blocks one of the sleep pathway the basal pathway

19
Q

What does caffeine do to adeosine?

A

Caffeine blocks adeosine receptors and promotes alertness and arousal

20
Q

What are the types of sleep disorders?

A

Insomnia
Narcolepsy
Restless leg syndrome
Sleep apnoea

21
Q

What does insomia do?

A

Increase cerebal metabolism on PET
during sleep EEG - decreased delta and theta activity and increase in beta activity
Body temp is slighty higher

22
Q

What are the different types of Insomnia?

A

-Sleep onset insomnia=Difficulty sleeping and longer sleep onset

-Sleep maintenance insomnia= difficulty staying asleep and awaking up

-Sleep offset insomnia= waking up early

-Nonrestorative sleep=Fatigue despite good sleep duration

23
Q

What is Nacrolespy and key information?

A

-Neurological disorder- causes excessive daytime sleepiness

-Associated with Cataplexy

-Abdnormal REM sleep

-Neuronal loss of hypocretin neurons

24
Q

What is Restless leg syndrome?

A

-Urge to move legs during sleep (arms, trunk orhead may be affected

25
Q

What is sleep apnea?

A

Condition where the walls of throat relax and narrow and blocks breathing