Sleep Science Overview

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Questions and Answers

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?

  • 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?

  • 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?

<p>Cortical activity and brain wave patterns (D)</p> Signup and view all the answers

What are vertices sharp waves in Stage 2 sleep associated with?

<p>Intermittent high amplitude complexes (B)</p> Signup and view all the answers

What structure forms the primary barrier between the bloodstream and the brain?

<p>Tight junctions between endothelial cells (B)</p> Signup and view all the answers

How are endothelial cells in the central nervous system connected?

<p>By tight junctions (D)</p> Signup and view all the answers

What type of capillaries is found in organs outside the nervous system?

<p>Fenestrated capillaries (C)</p> Signup and view all the answers

What role do astrocytic foot processes play in the capillaries of the central nervous system?

<p>They provide structural support and contribute to the blood-brain barrier. (B)</p> Signup and view all the answers

What are the small openings between the endothelial cells of fenestrated capillaries called?

<p>Pores (D)</p> Signup and view all the answers

What frequency range is associated with alpha waveforms?

<p>8-13 Hz (C)</p> Signup and view all the answers

Which of the following statements best describes beta waveforms?

<p>They are irregular and occur during focused attention. (C)</p> Signup and view all the answers

Which EEG waveform is primarily associated with deep sleep and has lower frequency?

<p>Delta (A)</p> Signup and view all the answers

What physiological function is primarily related to gamma wave activity?

<p>Arousal and focused attention (D)</p> Signup and view all the answers

What characteristic distinguishes sleep spindles in EEG readings?

<p>Sinusoidal wave pattern at 12-14 Hz (D)</p> Signup and view all the answers

What common sleep disorder is indicated by loud snoring and pauses in breathing?

<p>Obstructive sleep apnea (B)</p> Signup and view all the answers

Which stage of sleep is characterized by highly synchronized brain activity and occasional delta spikes?

<p>Stage 3 NREM (C)</p> Signup and view all the answers

What two distinctive patterns are seen in normal sleep cycles?

<p>Rapid eye movement (REM) and non-rapid eye movement (nREM) (B)</p> Signup and view all the answers

What is the predominant EEG activity observed in Stage 4 nREM sleep?

<p>Delta spikes with maximum amplitude (A)</p> Signup and view all the answers

Which neurotransmitter is primarily associated with the inhibition of preoptic neurons in the hypothalamus during sleep?

<p>GABA (B)</p> Signup and view all the answers

During the initial stages of sleep, which waves are predominantly observed in the EEG?

<p>Alpha waves (A)</p> Signup and view all the answers

What characterizes the sleep of children during Stage 4 nREM sleep?

<p>Deep sleep resistant to awakening (B)</p> Signup and view all the answers

Which of the following statements about neurotransmitters in sleep is correct?

<p>Histamine inhibits preoptic neurons. (C)</p> Signup and view all the answers

What happens to Orexin levels during Stage 4 nREM sleep?

<p>They decrease. (C)</p> Signup and view all the answers

What is typically observed in the EEG during the awakening of an individual from deep sleep?

<p>Low voltage fast activity is predominant (D)</p> Signup and view all the answers

Which neurotransmitter's activity is decreased during deep sleep?

<p>Acetylcholine (C)</p> Signup and view all the answers

What is primarily responsible for the pressure-controlled mechanism of cerebral autoregulation?

<p>Myogenic responses (D)</p> Signup and view all the answers

At what mean arterial blood pressure range does cerebral autoregulation occur?

<p>60-150 mmHg (D)</p> Signup and view all the answers

Which statement accurately describes the role of neurogenic control in cerebral autoregulation?

<p>It includes both extrinsic and intrinsic influences. (B)</p> Signup and view all the answers

What happens to cerebral blood flow when there is an increase in pH (alkalosis)?

<p>Vasoconstriction occurs. (D)</p> Signup and view all the answers

Which mechanisms are involved in cerebral autoregulation?

<p>Chemical-metabolic, neurogenic, and myogenic (B)</p> Signup and view all the answers

What defines cerebral autoregulation as a major homeostatic mechanism?

<p>It ensures constant blood flow under varying pressures. (A)</p> Signup and view all the answers

Which factor is NOT typically a determinant of cerebral blood flow (CBF)?

<p>Intracranial pressure levels (A)</p> Signup and view all the answers

Which of the following describes a characteristic of cerebral autoregulation?

<p>It occurs in both large and small arterioles. (A)</p> Signup and view all the answers

What physiological changes occur during REM sleep?

<p>Penile erections may occur (D)</p> Signup and view all the answers

What is the typical pattern of sleep cycles in young adults?

<p>nREM and REM sleep cycles lasting about 90 minutes (B)</p> Signup and view all the answers

What is a common symptom associated with disturbances during sleep?

<p>Waking up in unusual places (A)</p> Signup and view all the answers

How does sleep change with aging?

<p>Slow wave sleep decreases steadily (C)</p> Signup and view all the answers

What triggers REM sleep according to current understanding?

<p>Activity in the pontine reticular formation (A)</p> Signup and view all the answers

Which of the following is characteristic of neonate sleep patterns?

<p>Up to 16 hours of sleep with REM predominating (A)</p> Signup and view all the answers

Which statement about bruxism is true?

<p>It is associated with dreaming (C)</p> Signup and view all the answers

What happens to nREM sleep periods during the first half of the night?

<p>They tend to be longer and deeper (B)</p> Signup and view all the answers

How does the distribution of sleep stages change throughout a typical night?

<p>nREM periods are less deep in the latter half of sleep (C)</p> Signup and view all the answers

What is the role of PGO spikes in REM sleep?

<p>They facilitate the maintenance of REM sleep (C)</p> Signup and view all the answers

Flashcards

Electroencephalogram (EEG)

A procedure that records the electrical activity of the brain using electrodes placed on the scalp.

Stage 1 NREM Sleep

A state of very light sleep where a person can be easily awakened.

Sleep Spindles

A type of brain wave that appears in Stage 2 sleep, characterized by bursts of 12-15 Hz activity.

Vertex Sharp Waves

A type of brain wave feature in Stage 2 sleep that is a high-amplitude, sharp wave with a central-parietal location.

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K-Complexes

A complex brain wave feature in Stage 2 sleep formed by the overlap of vertex sharp waves and sleep spindles.

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Circle of Willis

A network of blood vessels at the base of the brain that supplies blood to the brain.

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Blood-Brain Barrier

Specialized capillaries in the brain that restrict the passage of substances from the blood to the brain tissue.

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Cerebral Metabolism

The process by which the brain uses oxygen and glucose to produce energy.

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Fenestrated Capillaries

Gaps or pores between endothelial cells in capillaries outside the brain, allowing for easier passage of substances.

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Astrocytic Foot Processes

Extensions from astrocytes (brain cells) that wrap around capillaries in the brain, contributing to the blood-brain barrier.

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Alpha Waves

Brain waves with a frequency of 9-11 Hz, seen in the back (posterior) of the brain during wakefulness.

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GABA

A neurotransmitter that plays a role in sleep, particularly inhibiting the preoptic neurons in the hypothalamus, promoting sleep.

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Histamine

A neurotransmitter that helps regulate wakefulness and arousal, acting on the posterior hypothalamic neurons to promote wakefulness.

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Norepinephrine

The neurotransmitter responsible for the 'fight-or-flight' response, which plays a role in wakefulness and arousal.

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Pontine Reticular Formation

A brain region that plays a significant role in regulating sleep and wakefulness, particularly through its connection to the hypothalamus.

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REM Sleep

A stage of sleep characterized by rapid eye movements (REMs), vivid dreams, and muscle paralysis.

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Acetylcholine (ACh)

A neurotransmitter that plays a role in arousal and wakefulness, particularly in the pontine reticular formation.

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Beta waves

Brain waves with a frequency of 13-30 Hz and low amplitude. They are irregular and appear when you're focused and attentive or under the influence of certain drugs.

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Gamma waves

Brain waves with a frequency of 30-80 Hz. They are associated with high levels of alertness and attention.

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Theta waves

Brain waves with a frequency of 4-7 Hz. They are often associated with sleep and drowsiness but can also indicate abnormal brain activity.

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Delta waves

Brain waves with a frequency of 0.5-3 Hz. They are the slowest brain waves and are most prominent during deep sleep and can also indicate certain neurological conditions.

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Non-REM Sleep

Stages of sleep that are characterized by slow brain waves, decreased muscle activity, and slow breathing. There are four stages of non-REM sleep, each progressively deeper than the last.

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Slow Wave Sleep

A period of deep sleep in NREM sleep characterized by slow, large brain waves.

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Ponto-geniculo-occipital (PGO) Spikes

Electrical signals in the brain that are associated with the start and maintenance of REM sleep.

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Arousal Threshold

The ability of the brain to block out external stimuli during sleep.

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Sleep Cycle Progression

The process of getting progressively less deep sleep as the night goes on.

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Sleep and Aging

Changes in sleep patterns over time, with less deep sleep and more REM sleep in older age.

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Sleep Variation

The amount of sleep needed varies from person to person.

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Neurodegenerative Sleep Disorder

A sleep disorder characterized by frequent waking, unusual movements, and vivid dreams.

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Autoregulation

The ability of an organ, like the brain, to keep its blood flow stable even when the pressure supplying blood to the organ changes.

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Cerebral Autoregulation

The brain's ability to maintain a steady blood supply and flow, even when blood pressure changes.

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Changes in Arterial BP within the Normal Range

Changes in arterial blood pressure (BP) that are within the normal range for the brain (between 60-150 mmHg) trigger cerebral autoregulation to maintain blood flow.

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Metabolic Demand Changes

Changes in the brain's metabolic demands, like increased activity, also trigger cerebral autoregulation to maintain blood flow.

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Myogenic Mechanism

The mechanism of cerebral autoregulation involving the smooth muscles in blood vessels that respond directly to changes in blood pressure.

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Neurogenic Mechanism

The mechanism of cerebral autoregulation involving neural signals from the brain that control the blood vessels.

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Chemical-Metabolic Mechanism

The mechanism of cerebral autoregulation involving chemical & metabolic factors that affect blood flow, like CO2

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How Does the Brain Regulate Blood Flow?

The ability of the brain to adjust its blood flow based on its own needs, even if the pressure supplying blood is changing.

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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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