Polysomnography - EEG - electroencephalogram - EOG ...

Report 6 Downloads 158 Views
Polysomnography - EEG - electroencephalogram

- EOG - Electrooculogram - eye movement

- EMG - Electromyogram

- EKG - Electrocardiogram

- RR - Respiration Rate

- O2/CO2 - Saturation/desaturation

Dual Sleep - Non REM Sleep

- Stage 1

- Stage 2

- Delta = Stage 3 & Stage 4

- delta waves most prominent in this stage

- brain waves are very slow

- REM Sleep

- Sleep goes from 1-2-3-4-3-2-REM

- Sleep cycles each are about 10 mins

Qualities of Dual Sleep - all mammals have dual sleep except - monotremes (anteaters, platypus) & cetaceans (whales, dolphins)

- Sleep wake cycle governed by an internal 25 hour clock circadian rhythm tuned to 24 hours by sun

- REM Periods alt with non-rem according to 90-100 min ultradian rhythm

- REM periods last longer as night progresses

- REM sleep can be exhausting

- Babies have most REM sleep and this slowly goes down with age

Sleep and Aging - Sleep bocmes lighter & wakefulness becomes sleepier

- people sleep less as older & proportion of time in REM decreases

- Aging is ofton accompanied by chronic sleep deprivation due to illness, pain, breathing, peeing

STAGES - 1 - transition between wakefulness and clear sleep

- 2 - first bona fide sleep stage point of no return at onset

- 3/4 - Delta

- deepest most relaxed sleep

- physiological relaxation

- slow rolling eye movement

- mundane talking dreams

- growth hormones secretions

- deficient thermoregultion

- REM

- reg similar to waking state

- heightened phisiologocal ctivity

- rapid jerky eye movements

- erection of sexual tissues

- vivid visual dreams

- secreting stress hormones

- reduced by nearly all RREM sleep

- sleep paralysis - cat atone

Cetacean Seep - dolphin - left hemisphere sleeps - right awake; then they switch places

- need this rather than Rem because they have to stay swimming or would die

Typical sleep 0 - go to bed 5-10 - hypnogogic hallucinigations - enter stage 1 sleep 10-15 point of no return bridge between stage 1 & 2; Myoclonic jerk 45 - transition from 2 to delta 70-90 - 1st REM period about 5 mins long; "REM latency; alternates with stage 2 every 90-100 mins 90-100 - succeeding REM periods 420 - 480 - Awakening 7-8 hours Brain Mechanisms in Sleep

- sleep onset i triggered by release of melatonin from pineal gland

- PG is controlled by Pacemaker neurons in Suprachiasmatic nucleus of the hypothalamus which regulates circa rhythm

- switches between REM and NREM sleep are controlled by multiple areas in hind brain (pons) and midbrain (reticular formation)

- dreams are initiated by the refrohtal lobe

Sleep theories

Anti predator adaptation - forces us to be quiet at certain times of day Restorative - sleep yeps us recover something depleted during wakefulness Facilitates learning - sleep (rem mostly) might help us consolidate memories Thermoregulatory - sleep keeps us from overheating and helps conserve energy all wrong

Dreams - We dream in Rem and Non Rem

- REM dream is more visual and active

- Dream time is real time - no dream condensation

- Few dreams are bizarre - usually daily preoccupations

- Themes of dreams vary little after little each year

- Dream have no known function

-

- fried said it was - dream fulfillment & daily recollection of events False

- Dreams can be controlled with practice - lucid dreaming

- Dreams contain more bad outcomes than good, more negative than positive, & aggressive vs friendl

be

- Children: fantastical dreams, more about animals than people, more likely to victims than aggressors

- Men tend to have more dreams about men (70%), typically about competition or fighting

- While women dream equal about women and men

- Most sex dreams are not pleasant, often involve people dreamers arent attracted to

- Aggression in mens dreams tends to be physical - much like mens life aggression

- In womens dreams Aggression is relational - just like in real life

- Women dreams otto about weddings & babies

Effects of Sleep Deprivation - Missing 1 night = sleepiness and slight cognitive impairment - no motor impairment

- Missing 2 nights = progressive cognitive & motor impairment, distractible,

- Microsleep - intrude upon wakefulness - forget whats real and daydream

- Doesnt cause lasting mental illness

- Can alleviate depression temporarily and cause mania

- Compromises immune function and increase risk of many illnesses

- rem rebound" on resuming sleep - making up for lost REM

- cant make up for lost sleep but can for lost REM which only makes you more tired

- Sleep deprivation refers to ones habitual sleep times - depends on how much you usually sleep

Elements of Sleep Hygiene - chronic, constant, moderate exersice

- no after dinner exercise - keeps you awake

- minimal stimulant use - want it to be gone by bed time

- constant sleep and wake up time

- minimal noise

- darkness

- stillness

- constant diet

Insomnia Disorder - cant go to sleep easily or wake up too soon - mental or physical illness

- aches pain discomfort of old age

- use of stimulant drugs - meds - food

- Muscle jerks - nocturnal myoclonus

- breathing problems - sleep apnea

- central pane

- airway apnea

- alcohol reduces sleep because rebound anxiety

- Lenthening of work week & multiple jobs

- Loss of extended family for childcare

- Overwhelmed more easily

Hypersomnia - always sleepy & sleep prone - Narcolepsy - in daytime peole suddenly have sleepy spells and they just fall asleep

- falls asleep fast straight to REM

- Sometimes Cataplexy - sudden loss of muscle function

- frequent bouts of sleep paralysis

- intense hallucinations while falling asleep

- 8-12% have 1st degree relative - genetic

- Treatment - schedule naps, adhd meds

- Sleep Paralysis

Parasomnia - abnormal events occur during sleep - sleep walking

- Occur in Non rem sleep

- Slow wave sleep

- Bed wetting

- teeth grinding

- head banging/rocking

- sleepwalking, sleep talking, sleep sex

- sleep terrors

- REM sleep

- isolated sleep paralysis - when not associated with narcolepsy

- REM sleep behavior disorder

- violent thrashing, yelling, jumping out of bed

- often representing acting out violent breakthroughs

- rem with no atonia