Podcast
Questions and Answers
What occurs in the EEG when a person first closes their eyes?
What occurs in the EEG when a person first closes their eyes?
- Alpha dropout and loss of posterior rhythmicity (correct)
- Dominance of delta waves
- Increase in high-frequency beta waves
- Stable theta wave patterns
During which stage of sleep is a person most easily awakened?
During which stage of sleep is a person most easily awakened?
- Stage 2 non-REM sleep
- Stage 1 non-REM sleep (correct)
- REM sleep
- Stage 3 non-REM sleep
What characterizes Stage 2 non-REM sleep according to EEG features?
What characterizes Stage 2 non-REM sleep according to EEG features?
- Presence of sleep spindles and K-complexes (correct)
- Increased presence of delta waves
- Low amplitude mixed frequency activity
- Consistent alpha rhythms throughout
What does an electroencephalogram (EEG) primarily measure?
What does an electroencephalogram (EEG) primarily measure?
What are vertices sharp waves in Stage 2 sleep associated with?
What are vertices sharp waves in Stage 2 sleep associated with?
What structure forms the primary barrier between the bloodstream and the brain?
What structure forms the primary barrier between the bloodstream and the brain?
How are endothelial cells in the central nervous system connected?
How are endothelial cells in the central nervous system connected?
What type of capillaries is found in organs outside the nervous system?
What type of capillaries is found in organs outside the nervous system?
What role do astrocytic foot processes play in the capillaries of the central nervous system?
What role do astrocytic foot processes play in the capillaries of the central nervous system?
What are the small openings between the endothelial cells of fenestrated capillaries called?
What are the small openings between the endothelial cells of fenestrated capillaries called?
What frequency range is associated with alpha waveforms?
What frequency range is associated with alpha waveforms?
Which of the following statements best describes beta waveforms?
Which of the following statements best describes beta waveforms?
Which EEG waveform is primarily associated with deep sleep and has lower frequency?
Which EEG waveform is primarily associated with deep sleep and has lower frequency?
What physiological function is primarily related to gamma wave activity?
What physiological function is primarily related to gamma wave activity?
What characteristic distinguishes sleep spindles in EEG readings?
What characteristic distinguishes sleep spindles in EEG readings?
What common sleep disorder is indicated by loud snoring and pauses in breathing?
What common sleep disorder is indicated by loud snoring and pauses in breathing?
Which stage of sleep is characterized by highly synchronized brain activity and occasional delta spikes?
Which stage of sleep is characterized by highly synchronized brain activity and occasional delta spikes?
What two distinctive patterns are seen in normal sleep cycles?
What two distinctive patterns are seen in normal sleep cycles?
What is the predominant EEG activity observed in Stage 4 nREM sleep?
What is the predominant EEG activity observed in Stage 4 nREM sleep?
Which neurotransmitter is primarily associated with the inhibition of preoptic neurons in the hypothalamus during sleep?
Which neurotransmitter is primarily associated with the inhibition of preoptic neurons in the hypothalamus during sleep?
During the initial stages of sleep, which waves are predominantly observed in the EEG?
During the initial stages of sleep, which waves are predominantly observed in the EEG?
What characterizes the sleep of children during Stage 4 nREM sleep?
What characterizes the sleep of children during Stage 4 nREM sleep?
Which of the following statements about neurotransmitters in sleep is correct?
Which of the following statements about neurotransmitters in sleep is correct?
What happens to Orexin levels during Stage 4 nREM sleep?
What happens to Orexin levels during Stage 4 nREM sleep?
What is typically observed in the EEG during the awakening of an individual from deep sleep?
What is typically observed in the EEG during the awakening of an individual from deep sleep?
Which neurotransmitter's activity is decreased during deep sleep?
Which neurotransmitter's activity is decreased during deep sleep?
What is primarily responsible for the pressure-controlled mechanism of cerebral autoregulation?
What is primarily responsible for the pressure-controlled mechanism of cerebral autoregulation?
At what mean arterial blood pressure range does cerebral autoregulation occur?
At what mean arterial blood pressure range does cerebral autoregulation occur?
Which statement accurately describes the role of neurogenic control in cerebral autoregulation?
Which statement accurately describes the role of neurogenic control in cerebral autoregulation?
What happens to cerebral blood flow when there is an increase in pH (alkalosis)?
What happens to cerebral blood flow when there is an increase in pH (alkalosis)?
Which mechanisms are involved in cerebral autoregulation?
Which mechanisms are involved in cerebral autoregulation?
What defines cerebral autoregulation as a major homeostatic mechanism?
What defines cerebral autoregulation as a major homeostatic mechanism?
Which factor is NOT typically a determinant of cerebral blood flow (CBF)?
Which factor is NOT typically a determinant of cerebral blood flow (CBF)?
Which of the following describes a characteristic of cerebral autoregulation?
Which of the following describes a characteristic of cerebral autoregulation?
What physiological changes occur during REM sleep?
What physiological changes occur during REM sleep?
What is the typical pattern of sleep cycles in young adults?
What is the typical pattern of sleep cycles in young adults?
What is a common symptom associated with disturbances during sleep?
What is a common symptom associated with disturbances during sleep?
How does sleep change with aging?
How does sleep change with aging?
What triggers REM sleep according to current understanding?
What triggers REM sleep according to current understanding?
Which of the following is characteristic of neonate sleep patterns?
Which of the following is characteristic of neonate sleep patterns?
Which statement about bruxism is true?
Which statement about bruxism is true?
What happens to nREM sleep periods during the first half of the night?
What happens to nREM sleep periods during the first half of the night?
How does the distribution of sleep stages change throughout a typical night?
How does the distribution of sleep stages change throughout a typical night?
What is the role of PGO spikes in REM sleep?
What is the role of PGO spikes in REM sleep?
Flashcards
Electroencephalogram (EEG)
Electroencephalogram (EEG)
A procedure that records the electrical activity of the brain using electrodes placed on the scalp.
Stage 1 NREM Sleep
Stage 1 NREM Sleep
A state of very light sleep where a person can be easily awakened.
Sleep Spindles
Sleep Spindles
A type of brain wave that appears in Stage 2 sleep, characterized by bursts of 12-15 Hz activity.
Vertex Sharp Waves
Vertex Sharp Waves
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K-Complexes
K-Complexes
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Circle of Willis
Circle of Willis
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Blood-Brain Barrier
Blood-Brain Barrier
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Cerebral Metabolism
Cerebral Metabolism
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Fenestrated Capillaries
Fenestrated Capillaries
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Astrocytic Foot Processes
Astrocytic Foot Processes
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Alpha Waves
Alpha Waves
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GABA
GABA
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Histamine
Histamine
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Norepinephrine
Norepinephrine
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Pontine Reticular Formation
Pontine Reticular Formation
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REM Sleep
REM Sleep
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Acetylcholine (ACh)
Acetylcholine (ACh)
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Beta waves
Beta waves
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Gamma waves
Gamma waves
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Theta waves
Theta waves
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Delta waves
Delta waves
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Non-REM Sleep
Non-REM Sleep
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Slow Wave Sleep
Slow Wave Sleep
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Ponto-geniculo-occipital (PGO) Spikes
Ponto-geniculo-occipital (PGO) Spikes
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Arousal Threshold
Arousal Threshold
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Sleep Cycle Progression
Sleep Cycle Progression
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Sleep and Aging
Sleep and Aging
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Sleep Variation
Sleep Variation
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Neurodegenerative Sleep Disorder
Neurodegenerative Sleep Disorder
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Autoregulation
Autoregulation
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Cerebral Autoregulation
Cerebral Autoregulation
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Changes in Arterial BP within the Normal Range
Changes in Arterial BP within the Normal Range
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Metabolic Demand Changes
Metabolic Demand Changes
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Myogenic Mechanism
Myogenic Mechanism
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Neurogenic Mechanism
Neurogenic Mechanism
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Chemical-Metabolic Mechanism
Chemical-Metabolic Mechanism
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How Does the Brain Regulate Blood Flow?
How Does the Brain Regulate Blood Flow?
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Study Notes
Sleep
- Sleep is a normal, cyclic, temporary loss of consciousness, readily reversed by stimuli.
- It's a result of interaction between the reticular formation and sleep-producing brain centers.
- The brain is still active during sleep.
- Electroencephalography (EEG) records cortical activity via scalp electrodes.
- Waveforms represent summed postsynaptic potentials (EPSPs/IPSPs) and reflect cortical activity and consciousness levels.
- EEG is used to identify sleep stages.
- Visual input is lost with eyes closed increasing the summation of (EPSPs/IPSPs) on the posterior brain area (vision).
- Alpha waves (8-13 Hz) are prominent when eyes are closed and attention is relaxed.
- Beta waves (13-30 Hz) are irregular and associated with active attention.
- Gamma (30-80Hz) waves occur during high-attention and alertness.
- Theta (4-7 Hz) and Delta (0.5-3 Hz) waves are more prevalent in pathological conditions showing lower brain function.
- Sleep periods are categorized as REM (rapid eye movement) and nREM (non-rapid eye movement).
- nREM sleep is predominant in the first half of sleep cycles, offering restorative properties.
nREM Sleep Stages
- Stage 1: Lightest sleep, marked by drowsiness and slowing of brain activity; loss of posterior rhythmicity and alpha dropout.
- Stage 2: Light to medium sleep. EEG features include sleep spindles (12-14Hz, sinusoidal waves) and K complexes (high voltage biphasic waves). Common time for obstructive sleep apnea to be observed.
- Stage 3: Deeper sleep with increased difficulty waking characterized by slow wave activity, higher amplitude, lower frequency and a greater synchronization of EEG.
- Stage 4: Deepest sleep. EEG shows maximum slowing with large amplitude waves and increased delta spikes. Common for young children.
REM Sleep
- Also called paradoxical sleep, with brain activity levels similar to wakefulness; however, skeletal muscles are inactive to prevent acting out dreams.
- Associated with muscle paralysis and dreaming.
- REM sleep behavior disorder (RBD) occurs when muscle paralysis is lost.
- REM sleep shows rapid, low-amplitude, desynchronized EEG waves, fluctuations in autonomic functions like heart rate, blood pressure, respiration, and potentially increases risk for cardiovascular events.
Sleep Distribution and Age
- Sleep patterns change with age. nREM periods are longest during the first half of sleep, with REM periods increasing throughout the night as sleep progresses.
- Neonates need more sleep than adults.
- REM sleep is predominant in infants.
- Slow-wave sleep (stage 3 and 4) is maximal in children.
- The proportion of REM sleep decreases throughout life, plateauing at around 25% in adulthood.
Circadian Rhythm
- Circadian rhythm is a roughly 24-hour cycle of processes (e.g. sleep-wake cycle, hormone secretion).
- It is driven by the suprachiasmatic nucleus (SCN) in the hypothalamus, the master biological clock.
- It is adjusted to the external environment through zeitgebers (time givers) such as light-dark cycles, temperature, and social cues.
Blood-Brain Barrier (BBB)
- The BBB is a protective barrier between the blood and the brain, formed by capillaries with tight junctions and astrocyte foot processes.
- It controls movement of substances from the blood to the brain.
- Lipid-soluble substances can easily traverse the barrier.
- Substances need to travel through the plasma membrane to reach/enter the brain.
- BBB is absent in very specific areas of the brain like the 3rd ventricle, tuber cinereum of hypothalamus, pineal gland, and area postrema
Cerebral Blood Flow (CBF)
- The brain (1.5-2% of body mass) receives about 15-20% of the cardiac output.
- CBF is driven by mean arterial pressure (MAP) and inversely proportional to cerebrovascular resistance (CVR).
- The brain maintains a relatively constant CBF over a range of blood pressures.
- Changes in CO2 most potently influence CBF, with increased CO2 leading to vasodilation and increased CBF.
- Normal CBF is sustained by tightly coupled mechanisms—myogenic, neurogenic, and biochemical/metabolic.
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