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Wakefulness ➔ Meaning “time-giver”

➔ Light is by far the dominant


zeitgeber for land animals while
tides are for the marine animals
Rhythms of Waking and Sleeping ➔ Include exercise, arousal of any
kind, meals and the temperature of
Research as early as that of Curt Richer the environment
(1922) implied that the body generates ➔ Social stimuli are ineffective unless
its own cycles of activity and inactivity. they use exercise or other vigorous
activity
Endogenous Rhythms
Endogenous circannual rhythm Jet Lag
➔ Endogenous means “generated → disruption of circadian rhythms due to
from within” crossing time zones
➔ Circannual comes from the Latin
words circum (about) and annum ● Most people find it easier to adjust to
(year) crossing time zones going west than
➔ Rhythm that prepares animals for east
seasonal changes ○ Going west: phase-delay
our circadian rhthyms
Endogenous circadian rhythms ○ Going east: phase-advance
➔ Circadian comes from the Latin our circadian rhythms
circum (about) and dies (day) ● Often leads to stress that elevates
➔ Last about a day blood levels of the adrenal hormone
➔ Activities correlates mainly with this cortisol
rhythms ○ Damage neurons in the
➔ Does not easily adjust to more hippocampus (brain area
severe departures from a 24-hour important for memory)
schedule ○ Example: flight attendants
➔ Affects more than just waking and
sleeping but also eating, drinking,
Shift Work
urination, hormone secretion,
➔ Night-shift workers have more
metabolism, sensitivity to drugs, and
accidents than day-shift workers
mood/emotion
➔ Night-shift workers have great
◆ The average young adult's
difficulty adjusting their circadian
most pleasant mood is in the
rhythm
late afternoon or early
➔ People adjust best to night work if
evening and the lease is
they sleep in a very dark room
around 5 to 7 a.m.
during the day and work under very
bright lights at night
Setting and Resetting the Biological Clock ➔ Short-wavelength (bluish) light helps
Zeitgeber (tsite-gay-ber) to reset the circadian rhythm better
➔ Stimulus that resets that circadian than long-wavelength light does
rhythm
circadian rhythms of action
Morning People and Evening People potentials
● A single isolated SCN cell can
Morning people (larks)
maintain a circadian rhythm,
● Awaken early, reach their peak of
although interactions among cells
productivity early and become less
sharpen the accuracy
alert later in the day
● Mutation in one gene causes
● Most impaired when working the
hamsters’ SCN to produce a 20-hour
night shift
instead of 24-hour rhythm
Evening people (owls)
● Warm up more slowly, both literally
and figuratively, reaching their peak
in the late afternoon or evening
● Most impaired when working the
morning shift

➔ Depends on: age, genetics and


several environmental factors,
including artificial light

Mechanisms of the Biological Clock


Biological clock
➔ Curt Richter introduced this concept:
Greater activity in SCN neurons of a rat injected
that the brain generates its own with radioactive 2-deoxyglucose during the day
rhythms
➔ A biological clock is insensitive to
most forms of interference
➔ The biological clock is a hardy,
robust mechanism

The Suprachiasmatic Nucleus (SCN)


➔ the main driver of rhythms for sleep
and body temperature
➔ Part of the hypothalamus
➔ After damage to the SCN, body’s
rhythms become erratic Less activity when Injected at night

● Generates circadian rhythms in a


genetically controlled manner
● If disconnected from the rest of the
brain/body and maintained tissue
culture, they continue to produce a
Two genes responsible for a circadian
rhythm:
● Period (PER)
● Timeless (TIM)

➔ Produce the proteins PER and TIM


➔ Promote sleep and inactivity

Morning
- PER and TIM start at low
concentration and increases during
Sagittal section through a human brain showing the day as they increase synthesis
the location of the SCN and the pineal gland. of the proteins.
- Protein concentrations lag behind
How Light Resets the SCN because the process takes time
Retinohypothalamic path
→ small branch of the optic nerve from the At night
retina to the SCN - PER and TIM concentrations are
→ alterns the SCN’s settings hight but the RNA concentrations
are declining
Melanopsin
● A special population of retinal Mammals
ganglion cells that have their own - Mutations in the genes producing
photopigment PER proteins lead to alterations of
● Receive some input from rods and sleep schedules
cones - Have a circadian rhythm
● Located mainly near the nose, from shorter than 24 hours
which they see toward the periphery - Get sleepy early in the
● They respond to the overall average evening and wake up early
amount of light, not for - Look forward to times when
instantaneous changes in light they can go to bed early
● Respond mainly to short-wavelength - Sleep impairments and depression
blue light are closely linked

➔ Exposure to television, video games,


computers, and so forth, all of which Melatonin
emit mostly short-wavelength light, ➔ The hormone that pineal gland
tends to phase-delay the circadian releases
rhythm and make it difficult to fall ➔ Widespread chemical found in
asleep at the usual time nearly all animals (except sponges)
➔ For diurnal: Increases sleepiness
➔ For nocturnal: increases
The Biochemistry of the Circadian Rhythm
wakefulness
Drosophila (fruit fly)
➔ Helps control the onset of puberty
and bodily adjustments to changes
of season (like hibernation)

Secretion
● Starts to increase about 2 or 3 hours
before bedtime
● Taking a melatonin pill in the vening
has little effect on sleepiness
because the pineal gland produces
melatonin at that time
● It shifts the circadian rhythm such
that the person starts to become
sleepy earlier than usual the next
day
Stages of Sleep and Brain Stages of Sleep
Mechanisms Electroencephalograph (EEG)
- Records an average of the electrical
potentioals of the cells and fibers in
the breain areas nearest to each
electrode on the scalp
Sleep and Other Interruptions of - Record rises or falls when most cells
Consciousness do the same thing at the same time
- Enables brain researches to monitor
Sleep
brain activity during sleep
- state that the brain actively
produces, characterized by
Polysomnograph
decreased activity and decreased
- A combination of EEF and eye-
response to stimuli
movement records
Coma
Alpha waves
- An extended period of
- Characterisitc of relaxation, not of all
unconsciousness caused by head
wakefulness
truma, stroke, or disease; has a low
level of brain activity and little/no
response to stimuli

Vegetative state
- Alternates between periods of sleep
and moderate arousal
- During the more aroused state, the
person shows no awareness of
surroundings and no purposeful
behavior
- Breathing is more regular and a
painful stimulus produces at least
the autonomic responses of
increased heart rate, breathing, and
sweating The top line is the EEG from one lectrode on the scalp. The
middle line is a record of eye movements. The bottom line is
a time marker, indicating 1-second units.
Minimally conscious state
- One stage higher, with brief periods K-complex
of purposeful actions and a limited - A sharp wave associated with
amount of speech comprehension temporary inhibition of neuronal
firing
Brain death
- A condition with no sign of brain Sleep spindle
activity and no response to any - Burst of 12- to 14-Hz waves for at
stimulus least half a second.
- Result from oscillating interactions - Paradoxical sleep: species that lack
between cells in the thalamus and eye movements
the cortex
- Increase in number after new Non-REM (NREM) sleep
learning and the number of sleep - Stages other than the REM
spindles correlates positively with
improvements in certain types of ● EEG shows irregular, low-voltage
memory fast waves (increased neuronal
- Represent activity related to the activity)
consolidation of memory ● Rem sleep is light and similar to
- Amount of spindle activity correlates stage 1 except for the eye
more than 0.7 with nonverbal tests movement
of IQ ● Postural muscles of the body are
more relaxed
Slow-wave sleep ● REM is deep sleep
- Heart rate, breathing rate, and brain ● Also associated with erections and
activity decrease vaginal moistening
- Slow, large-amplitude waves ● Heart rate, blood pressure, breathing
become more common rate, and facial twitches flunctuate
- Stage 3 sleep has few slow waves during REM
while stage 4 has more of them ● REM sleep combines aspect of deep
- Indicates that the neuronal activity is sleep, light sleep, and features that
highly synchronized are difficult to classify as deep or
- Input to cerebral cortex is greatly light
inhibited and most cells synchronize ● The amount of REM depends on
their activity time of day more than how long you
have been asleep
● Pattern of sleep stages varies as a
Paradoxical or REM Sleep function of age, health, and other
Paradoxical sleep factors
- Discovered by Michael Jouvet ● Frequency of awakening correlates
(1960) with loss of cells in the
- Deep sleep in some ways and light hypothalamus and with a tendency
in others toward cognitive decline
- “Apparently self-contradictory”

Rapid eye movement (REM) sleep


- Nathaniel Kleitman and Eugene
Aserinsky
- Periods of rapid eye movements
occur during sleep
- Synonymous with Jouvet’s
paradoxial sleep
- REM Sleep: humans
Older adult has less slow-wave sleep and more
frequent awakenings

Brain Mechanisms of Wakefulness, Arousal,


and Sleep
Brain Structures of Arousal and Attention
● A cut through the midbrain
decreases arousal by damaging he
reticular formation, a structure that
extends from the medulla into the
forebrain

Reticular formation
Green arrows: excitatory connections
- Reticular comes from the Latin word Red arrows: inhibitory connections
“rete” meaning “net”
Locus Coeruleus
Pontomesencephalon - “Dark blue place”
- Part of the reticular - Small structure in the pons that is
formatiuon that contributes to usually inactive (especially during
cortical arousal sleep)
- Emits burtsts of impulses in
● Axons from some of the cells response to meaningful events,
release GABA, which especially those that produce
inhibits/interrupts behavior and emotional arousal
promotes slow-wave sleep - Axons release nirepinephrine widely
● Transmitters produce wakefulness throughout the cortex
by regulating the levels of potassium - Output from this part increases
and other ions that produce a “gain” (the activity of the most active
constant state of arousal neurons and decreases the activity
● After the ions are in a state that of less active neurons)
supports arousal, they tend to - Result: enhanced attention and
remain at a stable concentration memory
● This makes waking up is generally
faster than falling asleep Axons pathway from the hypothalamus
releases:
● Histamine (the excitatory
neurotransmitter)
○ Enhances arousal and
alertness throughout the
brain
○ Many antihistamine drugs
conterract this transmitter
and produce drowsiness
● Orexin/Hypocretin (peptide - Brain is not alert enough to process
neurotransmitter) information and make reasonable
○ Enahnces wakefulness and decisions
activity
○ Responsible for staying Lucid dreaming
awake - Someone is dreaming but aware of
○ Drugs that block orexin being asleep and dreaming
receptors help people to go - Much activity around 40 Hz (cycles
to sleep (suvorexant) per second) occurs in the frontal and
● Basal forebrain temporal cortex
○ Area just anterior and dorsal - Can control the content of the dream
to the hypothalamus to some extent as well as eye
○ Provide axons that extend movements
throughout the thalamus and
cerebral cortex When you are awake but cannot move
○ Acetylcholine stimulates the your arms/legs
basal forebrain cells that - During REM sleep, cells in the pons
promote wakefulness and medulla send messages that
inhibit the spinal neurons that control
Sleep and the Inhibition of Brain Activity the body’s large muscles
- Most of the brain wakes up while the
● During the lighter stages of non-
pons remains in REM
REM sleep, the brain responds to
any meaninful speech
● During any stage, an intense enough Brain Activity in REM Sleep
stimulus produces arousal
PET
● During sleep, spotaneously active
- Determine which brain areas
neurons continue firing at only
increased or decreased their activity
slightly less than their usual rate
during REM
- Requires injecting a radioactive
Inhibition
chemical
- Why we remain unconscious in spite
- Yiels a clear imagine only if the head
of sustained neuronal activity
remains motionless during data
- During sleep, axons that relrease the
colelction
inhibitory neurotransmitter GABA
increase their activity, interfering
● REM sleep is associated with a
with the spread of information from
distinctive pattern of high-amplitude
one neuron to another
electrical potentials known as PGO
waves
Examples:
Somnambulism (sleepwalking)
- Asleep in much of the brain but
awake in the motor cortex and few
other areas
- Diet
- Medications
- Dieases: epilepsy, parkinson’s
disease, brain tumors, depression,
anxiety
- Milk-intolerant
- Use of sleeping pills

PGO waves start in the pons (P) and then show up in


the lateral geniculate (G) and the occipital cortex (O).
Each PGO wave is synchronized with an eye
movement in REM sleep.

● A path of axons from the ventral


medulla releasing GABA promotes
REM sleep
○ These axons initiate REM by
inhibiting other inhibitory
neurons (a case of excitaiton
by a double negative)
● Carbachol
○ Stimulates acetylcholine
(important for both
wakefulness and REM sleep,
states of brain arousal)
synapses, quickly move a
sleeper into REM sleep
● Serotonin and nirepinephrine
interrupt REM sleep

Sleep Disorders
Insomia Sleep deprivation
- Inadequate sleep - Impairs memory, attention, and
- Relate to shifts in circadian rhythms cognition
- Magnifies unplesant emotional
Causes of insomia: reactions and increases the risk of
- Noise depression
- Uncomfortable temperature
- Stress Sleep Apnea
- Pain - Type of insomia
- Impaired ability to breathe while - Related to the neurotransmitter
sleeping orexin
- Breathless periods of a minute or so - Lack the hypothalamic cells
from which they awaken gasping for that produce and release
breath orexin
- Increased risk of stroke, heart Treatment
problems and other disorders → stimulant drugs like methylphenidate
- Have multiple brain areas that (Ritalin) which enhance dopamine and
appear to have lost neurons norepinephrine activity
- Deficiencies of learning,
reasoning, attention, and Periodic Limb Movement Disorder
impulse control
- Repeated involuntary movement of
the legs and sometimes the arms
Causes
during sleep
- Genetics
- Legs kick once every 20 to 30
- Hormones
seconds for minutes or hours during
- Old-age deterioration of the brain
NREM sleep
mechanisms that regulate breathing
- Obesity (middle-aged men)
- Treatment: mask covering REM Behavior Disorder
the nose and delivers air - Move around vigorously during their
under enough pressure to REM periods, acting out their
keep the breathing passages dreams
open
Narcolepsy Night Terrors and Sleepwalking
- Frequent periods of sleepiness Night terrors
during the day - Experiences of intense anxiety from
which a person awakens screaming
Symptoms: in terror
1. Attacks of sleepiness during the day - More severe than a nightmare
2. Occasional cataplexy - Occurs during NREM sleep and
a. An attack of muscle more common in children
weakness while the person
remains awake Sleepwalking
b. Triggered by strong emotions - Runs in families and occurs mostly
(anger or great excitement) in children
3. Sleep paralysis - Have one or more additional sleep
a. An inability to move while difficulties such as chronic snoring,
falling asleep or waking up disordered sleep breathing, bed-
4. Hypnagogic hallucinations wetting, and night terrors
a. Dreamlike experiences that - Actions are poorly planned and not
the person has trouble remembered
distinguishing from reality
Cause: Causes:
- When people are sleep deprived
- Under unusual stress
- Most common during slow-wave
sleep early in the night and no
dreaming
Sexsomnia
- Sleep sex
- Sleeping people engaging in sexual
behavior (with partner or by
masturbation)
- Poses a threat to romances and
marriages
Why Sleep? ask how many hours the animal
needs to be awake
Why REM? ● Grazing animals get less sleep than
Why Dreams? carnivores that satisfy their
nutritional needs with a single mean
● Animals that need to be on the alaert
for predators get little sleep
Functions of Sleep ● Predators sleep easily
● Insect-eating bats are active in the
Sleep and Energy Conservation early evenin
● Sleep’s original function is to save ● Moths are most abundant and sleep
energy the rest of the day
● During sleep, a mammal’s body
temperature decreases by 1 or 2
celcius
● Muscle activity decreases, saving
more energy
● Sleep is analogous to hibernation

Analogous to Sleep: Hibernation


1. Bears sleep most of the winter,
lowering their body temperature a
few degrees and decreasing their
metabolism and heart rate
2. Hamsters also hibernate
3. Many reptiles and amphibians
become dormant during winter. They
remain inactive until spring.
4. Hibernating animals come out of
hibernation for a few hours, either
once every few days or once in a
few weeks, depending on the
species.
5. Hibernation retards or suspends the
aging process. Hibernation is also a
period of relative invulnerability to
infection and trauma. Sleep and Memory
→ another function of sleep is improved
Species Differences in Sleep memory.
→ one of the main functions of sleep is to
decrease activity at times of relative ● Sleep also helps people reanalyze
inefficiency. their memories
● Animal species vary in their sleep
habits in ways that make sense if we
● Nap that includes REM sleep
enhanced performance on certain
kinds of creative problem solving
● Afternoon nap also leaves someone
less alert than usual for the next half
hour
● REM sleep and slow-wave sleep
have been liked to strengthening of
memories

How does sleep enhance memory?


● Patterns that occured during sleep ● Infants get more REM and more
resembled those that had occured total sleep than adults do, confirming
during learning, except that they the pattern that more total sleep
were more rapid during sleep predicts a higher percentage of REM
○ The amount of hippocampal sleep
activity during sleep ● Those who sleep 9 or more hours
correlated highly with the per night have the highest
subsequent improve in percentage of REM sleep and those
performance who sleep 5 or less have the least
● As the brain replays its experiences percentage
during sleep, it forms new dendritic ● NREM is more tightly regulated than
branches and strengthens the REM
memories ○ The amount of NREM varies
○ Hippocampus also replays less among individuals and
recently learned patterns among species
during quiet waking periods ● REM occurs mostly toward the end
● By weeding out the less successful of the night’s sleep, when the fluid
connections behind the eyes would be the most
○ Weakening less appropriate stagnant
synapses emphasizes the ● Individuals who spend mor ehours
ones that were strengthened asleep devote a greater percentage
during wakefulness of sleep to REM
● Many people take antidepressants to
restrict REM sleep
Functions of REM Sleep
● The species with the most total
Biological Perspectives on Dreaming
sleep hours also have the highest
percentage of REM sleep The Activation-Synthesis Hypothesis
● A dream represents the brain’s effort
to make sense of sparse and
distorted information
○ Dreams begin with periodic
bursts of spontaneous
activity in the pons that ➔ Primary motor cortex is suprpressed
activate some parts of the (as well as the motor neurons of the
cortex spinal cord) so arousal cannot lead
○ The cortex combines this to action
haphazard input with ➔ Activity is suppressed in the
whatever other activity was prefrontal cortex (important for
working memory)
➔ Consequently, we forget most
dreams and lost track of what has
been happening within a dream
◆ Sudden scene changes are
comon
◆ We lost a sense of volition
(planning)
➔ Activity is relatively high in the
already occuring and does its inferior part of the parietal cortex
best to synthesize a story (area for visuospatial perception)
that makes sense of the ◆ If damage:
information ● people fail to bind
● During REM sleep, your motor body sensations with
cortex is inactive and your major vision
postural muscles are virtually ● No dreams
paralyzed. ● High activity found in
● Most dreams have no apparent the areas of the visual
connection to any current stimuli cortex other than the
primary visual cortex
● Activity is high in the
The Neurocognitive Hypothesis
hypothalamus,
- Regards dreams as thinking that
amygdala, and other
takes place under unusual
areas important for
conditions.
emotions and
- Emphasizes that dreams begin with
motivations
spontaneous brain activity related to
➔ The arousal develops into a
recent memories
hallucinatory perception, with no
sensory input from area V1 to
➔ During sleep, the brain gets
orreide
relatively little information from the
sense organs
◆ The primary visual and
auditory areas of the cortex
have lower than usual activity
➔ This makes other brain areas to be
free to generate imagines without
constraints
PPT NOTES - Conflicts between internal clocks
and external zeitgebers

Sleep Internal clocks


- A state that the brain actively Suprachiasmatic nucleus (SCN)
produces, characterized by - An area of the hypothalamus located
decreased activity and decreased above the optic chiasm, responsible
response to stimuli for maintaining circadian rhythms
- The body’s internal master clock
Circadian rhythm
- A repeating cycle of about 24 hours Retinohypothalamic pathway
- A pathway leading from the retina of
Zeitgeber the eye to the hypothalamus
- An external cue for setting biological - Provides light information necessary
rhythms for the maintenance of circadian
- Light is the most important zeitgeber rhythms
for human beings
Melanopsin
Free-running circadian rhythm - A photopigment used by non-image-
- A rhythm that is not synchronized to forming (NIF: non-image forming)
environmental time cues retinal cells

Entertainment → Hypothalamus tells the pineal gland to


- The resetting of internal biological secrete melatonin
clocks to the 24-hour cycle of the
earth’s rotation Melatonin
- Makes a person feel sleep
- An indoleamine secreted by the
Sleep variations pineal gland that participates in the
1. Larks regulation of circadian rhythms
2. Night owls
Cortisol
Shift maladaptation syndrome - A hormone released by the adrenal
- Disturbed sleep and a cluster of glands that promotes arousal
symptoms associated with changes
in the circadian rhythm due to work
schedule Seasonal Affective disorder
- Frequent health, personality, mood, - A type of depression that results
and interpersonal problems from insufficient amounts of daylight
during the winter months
Jetlag - Might also be influenced by
- Fatigue, irritability, and sleepiness disruptions in melatonin released
resulting from travel across time caused by uneven patterns of daily
zones light
- Serotonin levels typically drop in the Waking consciousness
fall and winter - State in which thoughts, feelings,
- Treated by exposure to bright lights, and sensations are clear, organized,
with or without melatonin and and the person feels alert
antidepressants
Altered state of consciousness
- Shift in a quality or pattern of your
Stages of wakefulness and sleep mental activity
Desynchronous
- Having different periods and phases Interruptions of consciousness
- In EEG, represents high levels of
Coma
brain activity
- An extended period of
unconsciousness caused by head
Synchronous
trauma, stroke or disease
- Having identical periods and phases
- Low level of brain activity and little or
- In EEG, represents relatively low
no response to stimuli
levels of brain activity
Vegetative state
Wakefulness - Alternates between periods of sleep
Beta wave and moderate arousal
- Brain waveform having 15 to 20 - No awareness of surroundings and
cycles per second, associated with no purposeful behaviour
high levels of alertness during
wakefulness Minimally conscious state
- Brief periods of purposeful actions
Alpha wave and a limited amount of speech
- A brain waveform having 9 to 12 comprehension
cycles per second, associated with
less alertness and more relaxation Brain death
than beta activity - A condition with no sign of brain
activity and no response to any
Ultradian cycle stimulus
- A cycle that occurs several times in
a single day 1st stage of sleep
Stage 1 (drowsy)
Consciousness - Light sleep: characterized by
→ Awareness of everything that is going on relatively rapid, low-amplitude brain
around you and inside your own head at any waves
given moment, which you use to organize your - Stage of transition between
behavior including your thoughts, sensations, wakefulness and sleep; only lasts
and feelings only a few minutes
- May experience:
- Hypnagogic images: - Deepest stage of sleep: 50%
hallucinations or vivid visual or more of waves are delta
events waves
- Hypnic jerk/myoclonia: - Body at lowest level of
knees, legs, or whole-body functioning
jerks - Time at which growth occurs

2nd stage of sleep Delta wave


- A brain waveform having 1 to 4
- K-complex
cycles per second that occurs during
- Is a sharp wave associated
stage 3 and 4 of NREM sleep
with temporary inhibition of
neuronal firing
- Sleep spindle Paradoxical (REM) sleep
- A burst of 12-to14 Hz waves - Paradoxical sleep
for at least half a second - Deep sleep in some ways
- Result from oscillating and light in others
interactions between cells in - “Apparently self-
the thalamus and the cortex contradictory”
- Increase in number after new - Rapid eye movement (REM) sleep
learning, and the number of - Stage of sleep in which the
sleep spindles correlates eyes move rapidly under the
positively with improvements eyelids and the person is
in certain types of memory typically experiencing a
- Slow waves sleep dream
- Indicate that neuronal activity - NREM (non-REM) sleep
is highly synchronized - Any of the stages of the
- Heart rate, breathing rate, sleep that do not include
and brain activity decrease, REM
whereas slow, large-
amplitude waves become Dreaming during REM and NREM
more common
- Dreaming behavior occurs during
both REM sleep and NREM
3rd and 4th Stage of sleep
- Stage 3, brain waves become slower - REM dreams
with higher peaks and lower valleys - Lengthy, complicated, vivid,
in the wave pattern and story-like providing us
- Stage 4, the pattern is even slower with the sense of first-hand
and more regular; people are at experience with the events
least responsive to outside taking place
stimulation
- Delta waves pronounced - NREM dreams
- Short episodes characterized influences the activity of the
by logical single images and cerebral cortex. The
a relative lack of emotion thalamus also receives input
- Nightmare from the midbrain reticular
- REM dream with frightening formation
content
- Lucid dreaming - Locus coeruleus
- Thoughtful dreaming; the - A small structure in the pons
dreamer is aware that she is that emits bursts of impulses
dreaming and can in response to meaningful
manipulate the experience events, especially those that
- Night terror produce emotional arousal
- An NREM episode in which - Result is enhanced attention
the individual is partially to important information and
aroused, disoriented, memory
frightened and inconsolable
- Histamine
- Enhances arousal and
Brain Mechanisms of Wakefulness and alertness throughout the
Sleep brain
- Staying awake requires the
cooperation of a complex network of 3. The lateral and posterior nuclei of
structures located in the brainstem the hypothalamus, releases a
and basal forebrain peptide neurotransmitter called
- No one structure is uniquely orexin/hypocretin
responsible for wakefulness
4. Basal forebrain cells provide axons
Two pathways originating in the reticular that extend throughout the thalamus
formation of the medulla are essential to and cerebral cortex, some of them
wakefulness increasing wakefulness and others
inhibiting it
1. Proceeds from the medulla to the
posterior hypothalamus and on tot Initiation and control of NREM sleep
the basal forebrain - One key to the initiation of sleep
appears to be found in the preoptic
- Pontomesencephalon - one part of area of the hypothalamus, which
the reticular formation that forms inhibitory feedback loops to
contributes to cortical arousal the wakeful pathways

2. Projects to a group of cells, known Sleep debts


as the cholinergic mesopontine - The homeostatic control of sleep, in
nuclei which sleep promotion is related to
a. These neurons project to the the preceding duration and intensity
thalamus, which in turn of wakefulness
a. Occurs when sleep is
- Neurons in the thalamus begin to frequently interrupted or early
synchronize the activity of cortical waking occurs
neurons, eventually leading to the Parasomnias
slow, large waves observed in the
- Interruptions that occur during sleep
deeper stages of NREM sleep
- Nightmares and night terrors
- Some of the same areas of the brain
are active during both wakefulness
1. Sudden infant death syndrome
and REM sleep
a. A syndrome in which an
otherwise healthy infant
PGO spike
stops breathing and dies
- An electrical wave form observed
during sleep
during REM sleep, originating in the
2. Somnambulism
pons and traveling to the thalamus
a. Sleep walking
and occipital cortex
3. REM behavior disorder
- Each PGO wave is associated with
a. A sleep disorder in which the
an eye movement
normal REM paralysis is
absent
REM-on
4. Restless leg syndrome (RLS)
- Active REM but not wakefulness
a. A sleep disorder in which a
lim, usually a leg, moves at
REM-off
regular intervals during sleep
- Active during wakefulness but not
during REM

Sleep disorders
1. Dyssomnia
a. Sleep disorder that involves
difficulty initiating or
maintaining sleep
2. Parasomnia
a. A sleep disorder that involves
the intrusion of unusual
behaviors into sleep
3. Insomnia
a. The inability to sleep a
normal amount of time
4. Onset insomnia
a. Occurs when a person is
unable to go to sleep
5. Maintenance insomnia

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