Content includes Physiology of sleep and and its correlation with EEG waves along with specific characteristics of different phases of sleep as well as an account of sleep disorders.
Sleep involves distinct stages including non-REM and REM sleep in cycles. The sleep-wake cycle is regulated by two processes - a homeostatic drive (Process S) for sleep that increases with wakefulness and a circadian rhythm (Process C) that promotes wakefulness during the day. Key structures like the suprachiasmatic nucleus and ventrolateral preoptic area help generate and regulate sleep and wake states.
This document discusses sleep and the brain waves associated with it. It defines sleep and describes the two types: slow wave sleep and REM sleep. It explains that sleep is an active process involving different neuronal centers and neurohormonal substances that cause different stages of sleep. The brain waves associated with different stages are also described, including alpha, beta, theta, and delta waves. Various sleep disorders are also mentioned.
This document discusses the stages and physiology of sleep. It defines sleep as a state of unconsciousness that one can be aroused from, and coma as a state of unconsciousness that one cannot be aroused from. It describes the four stages of non-rapid eye movement (NREM) sleep - stages 1, 2, 3, and 4 - as well as rapid eye movement (REM) sleep. It provides details on the EEG patterns, duration, and characteristics of each sleep stage. Overall, it provides a comprehensive overview of the stages and cycles of sleep.
Circadian rhythms refer to biological cycles that occur over approximately 24 hours. The suprachiasmatic nucleus (SCN) in the hypothalamus acts as the master pacemaker regulating circadian rhythms. Lesions to the SCN abolish circadian rhythms, while transplanted SCN tissue can impart rhythms to recipient animals. The SCN receives light input from retinal ganglion cells that contain melanopsin photoreceptors sensitive to blue light wavelengths.
The reticular formation is a network of neurons located in the brainstem that performs several important functions. It receives sensory information from the spinal cord and senses arousal levels. The reticular formation contains nuclei that are involved in motor control, sleep-wake cycles, autonomic functions, and modulating pain. It has ascending and descending pathways that connect to the thalamus and cerebral cortex and help regulate states of consciousness like sleep and wakefulness.
The reticular activating system (RAS) is a complex network of neurons located in the brainstem that regulates states of consciousness such as sleep and wakefulness. It is composed of neurotransmitter systems including cholinergic, adrenergic, serotonergic, and histaminergic neurons. The RAS maintains arousal and attention by transmitting signals from the brainstem to the thalamus and cortex. Disruptions in the RAS can result in disturbances of consciousness and sleep-wake cycles, and have been implicated in disorders such as schizophrenia, PTSD, Parkinson's disease, and Alzheimer's disease.
A brief intro into the science of sleepCsilla Egri
This document discusses sleep, including what it is, what happens during sleep, what causes sleep, and the functions of sleep. It notes that sleep consists of different stages, including non-REM sleep with four stages and REM sleep. It discusses factors that cause sleep accumulation in the blood and CSF of sleep deprived animals. It also discusses how caffeine and tetrahydrocannabinol affect sleep and potential reasons why sleep is needed, including neural maturation, memory consolidation, and energy conservation, though the physiological functions of sleep remain speculative.
This document provides an overview of sleep, including its definition, stages, neurobiology, and relevance to psychiatry. It describes the two main types of sleep - REM and NREM sleep - and the different stages of NREM sleep. The neurobiology of sleep and wakefulness involves separate but interacting systems in the brainstem, hypothalamus, and basal forebrain. Key structures and neurotransmitters that promote wakefulness include the ascending reticular activating system, locus ceruleus, tuberomamillary nucleus, pedunculopontine tegmental nucleus, and hypocretin. Age and circadian rhythms also influence sleep patterns.
The document summarizes the five stages of sleep in order: stage 1 (light sleep), stage 2 (45-55% of sleep), stage 3 (first stage of deep sleep), stage 4 (second stage of deep sleep), and REM sleep. It then discusses important functions of REM sleep such as its role in learning, memory consolidation, and problem solving. Finally, it briefly outlines common sleep disorders according to the DSM-5 classification and common causes of sleep disorders.
Understanding the sleep cycle is often the first step to better sleep quality. When you know, what affects your sleep cycle, you can take measures to cut out distractions and get ample restful sleep every night.
Also, to help you understand the various sleep stages and sleep cycles easily, we have also created an infographic for this.
Read more details on the source site: https://sleepsherpa.com/stages-of-sleep-and-sleep-cycles-explained/
The document discusses different stages of sleep including NREM and REM sleep. It describes various sleep disorders such as sleepwalking, which occurs during NREM stage 3, and sleep apnea which has three forms: obstructive, central, and mixed. The document also mentions somniloquy, a parasomnia where one talks aloud during sleep.
Sleep disorders are characterized by disturbances in sleep amount, quality, or timing. There are over 70 different sleep disorders divided into two main categories - dyssomnias involving problems falling or staying asleep, and parasomnias involving abnormal behaviors during sleep. The document provides detailed descriptions of common sleep disorders like insomnia, narcolepsy, sleep apnea, circadian rhythm disorders, nightmares, and sleep terrors. Diagnostic criteria are also outlined for each disorder.
This document summarizes key aspects of sleep and circadian rhythms. It discusses that healthy sleep is on average 7.5 hours per day but decreases with age. Circadian cycles regulate body temperature, growth hormone, and cortisol levels throughout the day and night. The suprachiasmatic nucleus contains a molecular clock that generates circadian rhythms and receives light input from retinal ganglion cells. Molecular mechanisms involve activation of clock and BMAL1 genes by light and subsequent negative feedback involving PER and CCG proteins to maintain a 24.5 hour cycle. Melatonin and brain waves also vary across sleep stages and between wakefulness and sleep states.
The outcome of this course is for the learner to describe the normal stages of sleep, common sleep measurement tools sleep characteristic, common sleep disorders, the changes that affect the quality and quantity of sleep as an individual ages, and methods the healthcare provider can use to assess and assist clients with sleep disorders.
This document discusses sleep physiology and sleep disorders. It begins by defining sleep and outlining the three basic physiological processes of wakefulness, non-rapid eye movement (NREM) sleep, and rapid eye movement (REM) sleep. It then describes sleep architecture and the stages of NREM and REM sleep in detail. Key aspects of sleep such as circadian rhythms, sleep requirements, neurobiology, and disorders like insomnia are also summarized. The document provides an overview of normal sleep patterns and processes as well as common sleep disorders.
Neurobiology of sleep_disorders_lattova(5280ab0cb6099)Hena Jawaid
This document provides an overview of neurobiology of sleep and sleep disorders. It defines normal sleep, describes the circadian rhythm and two-process model that regulate sleep-wake cycles. It outlines the reticular activating system and flip-flop switch that control transitions between wake and sleep states. Non-REM and REM sleep are characterized based on EEG patterns. Polysomnography and other tools for measuring sleep are discussed. Common sleep disorders like insomnia are introduced.
The reticular formation is a network of neurons located in the brainstem that serves important functions. It extends from the spinal cord up through the midbrain. The reticular formation receives input from various areas of the brain and spinal cord and sends output to many regions including the thalamus and cerebral cortex. It is involved in arousal, motor control, sensory processing, sleep-wake cycles and other vital functions through the ascending and descending reticular activating systems. Damage to or disruption of the reticular formation can impact consciousness, muscle tone, learning, and circadian rhythms.
This document provides an overview of sleep, sleep disturbances, and sleep disorders. It discusses the physiology and stages of normal sleep, including non-rapid eye movement (NREM) sleep and rapid eye movement (REM) sleep. It describes factors that affect sleep such as circadian rhythms, lifestyle, environment, and medications. Common sleep disorders are explained, including insomnia, sleep apnea, narcolepsy, and parasomnias. Diagnostic tests and treatments for sleep disturbances are also summarized.
This document summarizes key aspects of sleep physiology. It describes the two main types of sleep - slow-wave sleep and REM sleep. Slow-wave sleep is deeper and more restorative while REM sleep is when most dreaming occurs. The brain activity and physiology differs between these sleep stages. Several theories are presented on what causes sleep, including that active inhibitory processes in the brainstem induce sleep rather than fatigue. The role of neurotransmitters like serotonin is also discussed.
Sleep is defined as unconsciousness from which the person can be aroused by sensory or other
stimuli.
distinguished from coma, which is unconsciousness from which the person cannot be
aroused. There are multiple stages of sleep, from very light sleep to very deep sleep; sleep
researchers also divide sleep into two entirely different types of sleep that have different qualities,
Sleep-wake cycle refers to our 24 hour daily sleep pattern which consists of
approximately 16 hours of daytime wakefulness and 8 hours of night-time sleep.
The complex process of the sleep-wake cycle is controlled by the body’s circadian rhythm and sleep homeostasis (the amount of accumulated sleep need that builds during time spent awake).
This document summarizes key information about sleep and sleep disorders. It discusses how sleep is measured using EEG, EOG and EMG recordings. It describes the different types of brain waves seen on EEGs during sleep stages. The stages of sleep including non-REM sleep stages I-IV and REM sleep are outlined. Factors influencing sleep such as biological rhythms and neuroendocrine regulation are also summarized.
Classification of sleep disorders and parasomniasEnoch R G
Sleep is made up of two physiological states: non-rapid eye movement (NREM) sleep and rapid eye movement (REM) sleep. There are several brain regions and neurotransmitters that regulate the sleep-wake cycle, including serotonin, norepinephrine, acetylcholine, melatonin, and dopamine. Sleep disorders are classified in the DSM-5 and ICSD-2 and include insomnia, sleep-related breathing disorders, hypersomnias, circadian rhythm sleep-wake disorders, parasomnias, and other sleep-related movement disorders.
Sleep is an active, not passive, process where the body recuperates and the day's events are processed. It occurs in stages that progress from light to deep sleep and includes REM sleep characterized by eye movements. While sleep restores energy, its main functions are to maintain cognitive skills and normal functioning. The brain stem contains centers that induce sleep through inhibition of other areas, like the hypothalamus, while neurotransmitters like serotonin are also involved. Sleep cycles between non-REM and REM sleep in a regular pattern governed by activation and fatigue of neuronal centers in the brain.
The document provides an overview of sleep physiology, including:
(1) It describes the differences between sleep and coma, and defines Non-Rapid Eye Movement (NREM) sleep and Rapid Eye Movement (REM) sleep.
(2) It explains that NREM and REM sleep alternate throughout the night in cycles lasting approximately 90 minutes, with NREM occupying around 75-80% of sleep time.
(3) The document discusses current theories about the neural basis of sleep, including the roles of serotonin, melatonin, and cholinergic neurons in regulating sleep-wake cycles and inducing different sleep stages.
Isabella thoburn college neural mechanism of sleepMadeeha Zaidi
Sleep is regulated by two main mechanisms - sleep homeostasis and circadian rhythms. Sleep homeostasis refers to the increasing need for sleep driven by a buildup of adenosine in the brain throughout periods of wakefulness. Circadian rhythms refer to the approximately 24 hour cycles in physiology and behavior driven by the brain's biological clock in the hypothalamus, which is synchronized to light/dark cycles. Disruptions to these mechanisms can cause sleep disorders like jet lag. Neural control of sleep involves both sleep-promoting and wake-promoting areas. Key sleep-promoting areas include the basal forebrain, raphe nucleus, and ventrolateral preoptic area. Key wake-promoting areas include the brainstem
The document discusses the neural mechanisms involved in sleep and waking. It mentions several key brain areas and systems:
- The cerebral cortex is responsible for monophasic sleep patterns while the hypothalamus controls polyphasic sleep patterns. Abnormalities in the hypothalamus can cause excessive sleepiness.
- The reticular activating system (RAS) in the brainstem is the primary waking center. Stimulation of the RAS causes arousal while lesions cause somnolence.
- The thalamus also plays a role in arousal through its diffuse thalamic projection system. Electrical stimulation at different frequencies can induce either arousal or sleep.
- Theories of sleep such as the evolutionary theory propose that periods of
This document discusses sleep disturbances and patterns. It begins with objectives of gaining knowledge about sleep disturbances, patterns, and their application in patient care. It then covers definitions of sleep, sleep facts, sleep patterns in different age groups, sleep physiology including stages of sleep and sleep regulation. Factors affecting sleep and consequences of sleep deprivation are explained. Common sleep disorders like insomnia are described along with international classification of sleep disorders and their management.
Sleep is essential for health and cognitive function. It involves NREM and REM sleep stages measured using polysomnography. Common sleep disorders include insomnia, hypersomnolence, and narcolepsy. Insomnia is difficulty initiating or maintaining sleep and is treated with sleep hygiene, relaxation, and medication. Hypersomnolence involves excessive daytime sleepiness and is treated with stimulants. Narcolepsy involves REM sleep intrusion and is diagnosed by decreased REM latency on polysomnography.
- Sleep is divided into two types: slow-wave sleep and REM (rapid eye movement) sleep, which alternate throughout the night. Slow-wave sleep is deep and restful while REM sleep is associated with vivid dreaming.
- Brain waves change patterns between wakefulness, slow-wave sleep, and REM sleep as measured by EEG. Slow-wave sleep involves low frequency delta waves while REM sleep involves high frequency waves similar to wakefulness.
- Disorders like insomnia, narcolepsy, sleepwalking, bedwetting and nightmares can occur if there are issues with slow-wave sleep or REM sleep processes. Understanding normal sleep stages and changes in brain waves provides insight into these disorders.
The document discusses the neurology of sleep. It describes the two main types of sleep - NREM and REM sleep. NREM sleep involves synchronous cortical EEG, low muscle tone, and minimal dreaming. REM sleep is characterized by rapid eye movements, muscle atonia, and vivid dreaming. The document also discusses circadian rhythms and how the suprachiasmatic nucleus regulates sleep-wake cycles. Disruptions to circadian rhythms can lead to sleep disorders like jet lag.
This is very simple and very useful for the students of medical and nursing students .it will help you in enhancing your knowledge.i will be happy if you like and share my ppt
People need between 7 to 9 hours of sleep per night. Sleep serves important restorative functions such as rebuilding proteins, replenishing energy supplies, and facilitating learning and memory consolidation. Damage to the suprachiasmatic nucleus disrupts circadian rhythms. The suprachiasmatic nucleus regulates the pineal gland which secretes melatonin, increasing sleepiness. There are various stages of sleep including REM and non-REM sleep. Brain mechanisms such as the reticular formation, locus coeruleus, and basal forebrain regulate arousal and sleep cycles.
The document discusses sleep, its physiology, factors that affect sleep, sleep disorders, and parasomnias. The physiology of sleep involves two brain stem systems that control sleep-wake cycles and five sleep stages including REM and NREM sleep. Factors like physical activity, stress, diet, medications, and environmental factors can impact sleep. Common sleep disorders addressed are insomnia, hypersomnia, and narcolepsy. Parasomnias are arousals or activities that occur during sleep like sleepwalking, teeth grinding, and nightmares.
it explain about definition of sleep, normal sleep, sleep disturbance, causes of sleep disturbance, management therapy, nursing therapy and its effect om normal life.
This document summarizes sleep and circadian rhythms. It discusses that average healthy sleep is 7.5 hours and decreases with age. Circadian cycles regulate body temperature, growth hormone, and cortisol levels throughout the day and night. The suprachiasmatic nucleus contains a molecular clock that generates circadian rhythms in response to light signals from the retina. Melatonin production in the pineal gland increases at night and promotes sleep. There are four stages of non-REM sleep as well as REM sleep, which is characterized by rapid eye movements and desynchronized brain activity. Various brain regions and neurotransmitters regulate wakefulness, non-REM sleep, and REM sleep.
The document discusses biological rhythms and sleep stages, explaining that circadian rhythms operate on a 24-hour cycle and influence sleep and wakefulness, and describing the five distinct sleep stages that occur in a repeating cycle approximately every 90 minutes. It also reviews theories about why we sleep and dream, such as for physiological functions like neural development and information processing, and examines some common sleep disorders like insomnia, narcolepsy, and sleep apnea.
1) All animals have endogenous circadian rhythms that regulate sleep-wake cycles on a 24-hour basis, as well as annual rhythms. The suprachiasmatic nucleus controls circadian rhythms.
2) There are different stages of sleep characterized by different brain wave patterns. Slow-wave sleep predominates early in the night while REM sleep increases later in the night.
3) Various brain structures and neurotransmitters regulate arousal and sleep, including the reticular formation, basal forebrain, hypothalamus, and orexin. Disorders can result from imbalances.
Similar to Physiology of Sleep and its correlation with EEG waves (20)
Chemical kinetics is the study of the rates at which chemical reactions occur and the factors that influence these rates.
Importance in Pharmaceuticals: Understanding chemical kinetics is essential for predicting the shelf life of drugs, optimizing storage conditions, and ensuring consistent drug performance.
Rate of Reaction: The speed at which reactants are converted to products.
Factors Influencing Reaction Rates:
Concentration of Reactants: Higher concentrations generally increase the rate of reaction.
Temperature: Increasing temperature typically increases reaction rates.
Catalysts: Substances that increase the reaction rate without being consumed in the process.
Physical State of Reactants: The surface area and physical state (solid, liquid, gas) of reactants can affect the reaction rate.
Ventilation Perfusion Ratio, Physiological dead space and physiological shuntMedicoseAcademics
In this insightful lecture, Dr. Faiza, an esteemed Assistant Professor of Physiology, delves into the essential concept of the ventilation-perfusion ratio (V˙/Q˙), which is fundamental to understanding pulmonary physiology. Dr. Faiza brings a wealth of knowledge and experience to the table, with qualifications including MBBS, FCPS in Physiology, and multiple postgraduate degrees in public health and healthcare education.
The lecture begins by laying the groundwork with basic concepts, explaining the definitions of ventilation (V˙) and perfusion (Q˙), and highlighting the significance of the ventilation-perfusion ratio (V˙/Q˙). Dr. Faiza explains the normal value of this ratio and its critical role in ensuring efficient gas exchange in the lungs.
Next, the discussion moves to the impact of different V˙/Q˙ ratios on alveolar gas concentrations. Participants will learn how a normal, zero, or infinite V˙/Q˙ ratio affects the partial pressures of oxygen and carbon dioxide in the alveoli. Dr. Faiza provides a detailed comparison of alveolar gas concentrations in these varying scenarios, offering a clear understanding of the physiological changes that occur.
The lecture also covers the concepts of physiological shunt and dead space. Dr. Faiza defines physiological shunt and explains its causes and effects on gas exchange, distinguishing it from anatomical dead space. She also discusses physiological dead space in detail, including how it is calculated using the Bohr equation. The components and significance of the Bohr equation are thoroughly explained, and practical examples of its application are provided.
Further, the lecture examines the variations in V˙/Q˙ ratios in different regions of the lung and under different conditions, such as lying versus supine and resting versus exercise. Dr. Faiza analyzes how these variations affect pulmonary function and discusses the abnormal V˙/Q˙ ratios seen in chronic obstructive lung disease (COPD) and their clinical implications.
Finally, Dr. Faiza explores the clinical implications of abnormal V˙/Q˙ ratios. She identifies clinical conditions associated with these abnormalities, such as COPD and emphysema, and discusses the physiological and clinical consequences on respiratory function. The lecture emphasizes the importance of understanding these concepts for medical professionals and students, highlighting their relevance in diagnosing and managing respiratory conditions.
This comprehensive lecture provides valuable insights for medical students, healthcare professionals, and anyone interested in respiratory physiology. Participants will gain a deep understanding of how ventilation and perfusion work together to optimize gas exchange in the lungs and how deviations from the norm can lead to significant clinical issues.
Chair and Presenter, Stephen V. Liu, MD, Benjamin Levy, MD, Jessica J. Lin, MD, and Prof. Solange Peters, MD, PhD, prepared useful Practice Aids pertaining to NSCLC for this CME/MOC/NCPD/AAPA/IPCE activity titled “Decoding Biomarker Testing and Targeted Therapy in NSCLC: The Complete Guide for 2024.” For the full presentation, downloadable Practice Aids, and complete CME/MOC/NCPD/AAPA/IPCE information, and to apply for credit, please visit us at https://bit.ly/4bBb8fi. CME/MOC/NCPD/AAPA/IPCE credit will be available until July 1, 2025.
Why Does Seminal Vesiculitis Causes Jelly-like Sperm.pptxAmandaChou9
Seminal vesiculitis can cause jelly-like sperm. Fortunately, herbal medicine Diuretic and Anti-inflammatory Pill can eliminate symptoms and cure the disease.
Case presentation of a 14-year-old female presenting as unilateral breast enlargement and found to have a giant breast lipoma. The tumour was successfully excised with the result that the presumed unilateral breast enlargement reverting back to normal. A review of management including a photo of the removed Giant Lipoma is presented.
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EXPERIMENTAL STUDY DESIGN- RANDOMIZED CONTROLLED TRIALRishank Shahi
Randomized controlled clinical trial is a prospective experimental study.
It essentially involves comparing the outcomes in two groups of patients treated with a test treatment and a control treatment, both groups are followed over the same period of time. Prepare a plan of study or protocol
a. Define clear objectives
b. State the inclusion and exclusion criteria of case
c. Determine the sample size, place and period of study
d. Design of trial (single blind, double blind and triple blind method)
2. Define study population: Most often the patients are chosen from hospital or from the community. For example, for a study for comparison of home and sanatorium treatment, open cases of tuberculosis may be chosen.
3. Selection of participants by defined criteria as per plan:
Selection of participants should be done with precision and should be precisely stated in writing so that it can be replicated by others. For example, out of open cases of tuberculosis those who fulfill criteria for inclusion may be selected (age groups, severity of disease and treatment taken or not, etc.)
Randomization ensures that participants have an equal chance to be assigned to one of two or more groups:
One group gets the most widely accepted treatment (standard treatment/ gold standard)
The other gets the new treatment being tested, which researchers hope and have reason to believe will be better than the standard treatment
Subject variation: First, there may be bias on the part of the participants, who may subjectively feel better or report improvement if they knew they were receiving a new form of treatment.
Observer bias: The investigator measuring the outcome of a therapeutic trial may be influenced if he knows beforehand the particular procedure or therapy to which the patient has been subjected.
Evaluation bias: There may be bias in evaluation - that is, the investigator(Analyzer) may subconsciously give a favorable report of the outcome of the trial.
Co-intervention:
participants use other therapy or change behavior
Study staff, medical providers, family or friends treat participants differently.
Biased outcome ascertainment:
participants may report symptoms or outcomes differently or physicians
Investigators may elicit symptoms or outcomes differently
A technique used to prevent selection bias by concealing the allocation sequence from those assigning participants to intervention groups, until the moment of assignment.
Allocation concealment prevents researchers from influencing which participants are assigned to a given intervention group.
All clinical trials must be approved by Institutional Ethics Committee before initiation
It is mandatory to register clinical trials with Clinical Trials Registry of India
Informed consent from all study participants is mandatory.
A preclinical trial is a stage of research that begins before clinical trials, and during which important feasibility and drug safety data are collected.
Following points high.
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2. • Sleep ,Unconsciousness from which the
person can be aroused by sensory or other
stimuli.
• Coma, which is unconsciousness from which
the person cannot be aroused.
3. Two Types of Sleep
• (1) slow-wave sleep,
• because in this type of sleep the brain waves
are very strong and very low frequency,
• (2) rapid eye movement sleep (REM sleep),
• because in this type of sleep the eyes undergo
rapid movements despite the fact that the
person is still asleep.
4. • Most sleep during each night is of the slow-wave
variety; this is the deep, restful sleep that the
person experiences during the first hour of sleep
after having been awake for many hours.
• REM sleep, occurs in episodes that occupy about
25 per cent of the sleep time in young adults;
each episode normally recurs about every 90
minutes.
• This type of sleep is not so restful, and it is
usually associated with vivid dreaming.
5. Slow-Wave Sleep
• Decrease in both peripheral vascular tone and many
other vegetative functions of the body.
• There are 10 to 30 per cent decreases in blood
pressure, respiratory rate, and basal metabolic rate.
• Although slow-wave sleep is frequently called
“dreamless sleep,” dreams and sometimes even
nightmares do occur during slow-wave sleep.
• Dreams of slow-wave sleep usually are not
remembered.
• Consolidation of the dreams in memory does not
occur.
7. REM Sleep (Paradoxical Sleep,
Desynchronized Sleep)
• In a normal night of sleep, bouts of REM sleep
lasting 5 to 30 minutes usually appear on the
average every 90 minutes.
8. Important characteristics of REM
sleep
• 1. It is usually associated with active dreaming and
active bodily muscle movements.
• 2. The person is even more difficult to arouse by
sensory stimuli than during deep slow-wave sleep, and
yet people usually awaken spontaneously in the
morning during an episode of REM sleep.
• 3. Muscle tone throughout the body is exceedingly
depressed, indicating strong inhibition of the spinal
muscle control areas.
• 4. Heart rate and respiratory rate usually become
irregular, which is characteristic of the dream state.
9. • Irregular muscle movements do occur.
• These are in addition to the rapid movements of
the eyes.
• The brain is highly active in REM sleep, and
overall brain metabolism may be increased as
much as 20 per cent.
• This type of sleep is also called paradoxical sleep
because it is a paradox that a person can still be
asleep despite marked activity in the brain.
10. • Occurrence of large phasic potentials that
originate in the cholinergic neurons in the
pons and pass rapidly to the lateral geniculate
body and from there to the occipital cortex.
They are called pontogeniculo-occipital (PGO)
spikes.
11. • Positron emission tomography (PET) scans of
humans in REM sleep show increased activity
in the pontine area, amygdala, and anterior
cingulate gyrus, but decreased activity in the
prefrontal and parietal cortex.
• Activity in visual association areas is
increased, but there is a decrease in the
primary visual cortex.
12. • Organisms in REM sleep suspend
central homeostasis, allowing large
fluctuations in respiration, thermoregulation,
and circulation which do not occur in any
other modes of sleeping or waking.
• The body abruptly loses muscle tone, a state
known as REM atonia.
14. Basic Theories of Sleep
• An earlier theory of sleep was that the
excitatory areas of the upper brain stem, the
reticular activating system, simply fatigued
during the waking day and became inactive as
a result. This was called the passive theory of
sleep.
15. Sleep Is Believed to Be Caused by an
Active Inhibitory Process.
• There seems to be some center located below
the midpontine level of the brain stem that is
required to cause sleep by inhibiting other
parts of the brain.
16. • Neuronal Centers, Neurohumoral Substances,
and Mechanisms That Can Cause Sleep— A
Possible Specific Role for Serotonin
• Stimulation of several specific areas of the
brain can produce sleep with characteristics
near those of natural sleep.
17. • 1. The most conspicuous stimulation area for
causing almost natural sleep is the raphe nuclei in
the lower half of the pons and in the medulla.
• These nuclei are a thin sheet of special neurons
located in the midline.
• Nerve fibers from these nuclei spread locally in
the brain stem reticular formation and also
upward into the thalamus, hypothalamus, most
areas of the limbic system, and even the
neocortex of the cerebrum.
18. • Many nerve endings of fibers from these
raphe neurons secrete serotonin.
• When a drug that blocks the formation of
serotonin is administered to an animal, the
animal often cannot sleep for the next several
days.
• Therefore, it has been assumed that serotonin
is a transmitter substance associated with
production of sleep.
20. • 2. Stimulation of some areas in the nucleus of
the tractus solitarius can also cause sleep.
• 3. Stimulation of several regions in the
diencephalon can also promote sleep,
including
• (1) the rostral part of the hypothalamus,
mainly in the suprachiasmal area
• (2) an occasional area in the diffuse nuclei of
the thalamus.
21. • Lesions in Sleep-Promoting Centers Can
Cause Intense Wakefulness.
• Discrete lesions in the raphe nuclei lead to a
high state of wakefulness.
• This is also true of bilateral lesions in the
medial rostral suprachiasmal area in the
anterior hypothalamus.
22. • In both instances, the excitatory reticular
nuclei of the mesencephalon and upper pons
seem to become released from inhibition,
thus causing the intense wakefulness.
• Indeed, sometimes lesions of the anterior
hypothalamus can cause such intense
wakefulness that the animal actually dies of
exhaustion.
23. • muramyl peptide, a low-molecular-weight
substance that accumulates in the
cerebrospinal fluid and urine in animals kept
awake for several days.
24. Possible Cause of REM Sleep.
• Why slow-wave sleep is broken periodically
by REM sleep is not understood.
• However, drugs that mimic the action of
acetylcholine increase the occurrence of REM
sleep.
25. Cycle Between Sleep and Wakefulness
• When the sleep centers are not activated, the
mesencephalic and upper pontile reticular
activating nuclei are released from inhibition,
which allows the reticular activating nuclei to
become spontaneously active.
• This in turn excites both the cerebral cortex and
the peripheral nervous system, both of which
send numerous positive feedback signals back to
the same reticular activating nuclei to activate
them still further.
27. Physiologic Effects of Sleep
• We might postulate that the principal value of
sleep is to restore natural balances among the
neuronal centers.
• The specific physiologic functions of sleep
remain a mystery, and they are the subject of
much research.