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Neuropsych
Chapter 13
71
Psychology
Undergraduate 4
12/10/2010

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Term
Consciousness
Definition
awareness, level of mental alertness, and level of attention
Term
Circadian Rhythms
Definition
Alternate levels of alertness and arousal throughout the day and night
Term
Seizures
Definition
consciousness disorders
Term
deep within the hypothalamus (biological clock)
Definition
along with the visual system calibrate the sleep-wake cycle
Term
1 neuron may recieve __________ messages from the neurons that synapse on it.
Definition
Excitatory and inhibitory
Term
Deepest stage of sleep
Definition
Delta wave (1/2 to 4 cycles per second)
Term
REM Sleep
Definition
Dreams occur. Usually forget the dream
Term
A lucid dreamer
Definition
Someone that can tell when they are dreaming and can alter their dream.
Term
Sleep Rhythm
Definition
90 minute cycle of descending and ascending states of cortical arousal
Term
2 general stages of sleep
Definition
REM and NREM
Term
Both REM and NREM
Definition
have characteristic EEG patterns and physiological correlates
Term
The EEG provides
Definition
dynamic view of activity in the sleeping brain
Term
Brain waves as sleep progresses
Definition
Slower, higher, and more rhythmic as each stage progresses
Term
Stage 4 Sleep
Definition
EEG shows 50% or more delta waves
Term
nocturnal myoclonus
Definition
restless leg syndrome
Term
REM and NREM breakdown for normal sleepers
Definition
75% in NREM and 25% in REM
Term
Events during Stage 4 Sleep
Definition
the hypothalamus tells the pituitary to release somatotrophin (growth hormone) and the immune system is active.
Term
Somatotrophin
Definition
(growth hormone) secreted by the pituitary gland in stage 4 sleep
Term
Stage 4 sleep is more necessary during....
Definition
rapid growth and development
Term
Stage 4 Sleep is also termed....
Definition
restorative sleep because it also increases in adults in response to intense physical exertion
Term
Location of the circadian clock
Definition
suprachiasmic nucleus (SCN) of the hypothalamus
Term
How the circadian clock works
Definition
2 halves of the SCN lie just above the optic chiasm and receive light via neural input from the two visual fields as they cross hemispheres to the opposite sides of the brain.
Term
How does the circadian clock signal sleep onset and awakening?
Definition
Scientists are not sure but perhaps through qualitatively different signals, or via a gradual change in the release of neurotransmitter molecules
Term
Reticular Activating System
Definition
primary mechanism for turning REM sleep on and off
Term
Other duties of the RAS
Definition
1. Maintain cortical arousal
2. Stimulation reaches the occipital cortex and gives rise to dream images
Term
Sleep paralysis
Definition
Occurs at the spinal cord so we do not act out our dream
Term
At the end of REM cycle
Definition
Cells "turn on" and activating at a higher level of serotonin and norepinephrine
Term
2 behavioral functions of REM sleep
Definition
1. memory consolidation
2. intrapsychic function of dreaming
Term
Memory Consolidation and REM Sleep
Definition
Hippocampus produces theta waves. People can remember more after sleep.
Term
Dreams reflect....
Definition
the mind looking in
Term
Sleep Anxiety Attack
Definition
Awakening from a particularly terrifying dream
Term
Sleep Apnea Syndrome
Definition
Serious disorder resulting from frequent episodes of apnea (cessation of airflow) during sleep
Term
Literal definition of "Apnea"
Definition
Lack of Breath
Term
Diagnosing criteria of Sleep Apnea
Definition
If Apnea and awakening occur more than five times an hour, they are diagnosed
Term
hypoxia
Definition
below-average levels of oxygenated blood, often below 60% (normal-95%)
Term
Controls Breathing
Definition
A reflex
Term
Sudden Infant Death Syndrome (SIDS)
Definition
possible cause-young children have not yet developed the reflex for breathing. Often occurs between the ages of 2 and 4 months.
Term
Obstructive Sleep Apnea
Definition
more common. Often occur in REM sleep when the upper airway collapses or the body weight of the patient on the chest compromises respiratory effort
Term
Central Sleep Apnea
Definition
Breathing is related to the brain failing to send the necessary signals to breathe
Term
Risks for sleep apnea
Definition
age, obesity, and being male
Term
Treatment efforts for sleep apnea
Definition
surgical and mechanical means
Term
Most notable disorder resulting from impaired CNS control of the sleep-wake cycle
Definition
narcolepsy
Term
Greek definition of Narcolepsy
Definition
"a taking hole of numbness"
Term
what is narcolepsy
Definition
irresistible daytime "sleep attacks". Can last for a few seconds to more than 30 minutes.
Term
Where does narcolepsy take place?
Definition
CNS disorder of the region of the brain stem that controls and regulates sleep and wakefulness
Term
Most debilitating narcoleptic symptom
Definition
cataplexy
Term
What is cataplexy
Definition
brief (seconds to minutes) episode of muscle weakness &/or actual paralysis
Term
Hypnagogic hallucinations
Definition
a symptom of narcolepsy and occur in the transition between wakefulness and sleep onset. Can be mundane or nightmarish and can cause great anxiety
Term
Treatment of narcolepsy
Definition
counseling for patient and family, developing good sleep habits with frequent naps, and meds (typically stimulants-amphetamines) for sleepiness and tricyclics (imimpramine) for cataplexy
Term
Can narcolepsy be cured?
Definition
No, but the symptoms can be controlled
Term
Medications for narcolepsy
Definition
Stimulants (amphetamines) for sleepiness and tricyclics (imipramine) for cataplexy
Term
Partial seizure
Definition
if the abnormal rhythm is confined to a particular brain area
Term
Generalized seizure (grand mal)
Definition
involves the entire brain
Term
Epilepsy
Definition
(falling sickness) syndrome in which brain seizure activity is a primary symptom
Term
Grand mal (French-"big bad")
Definition
most violent motoric abnormalities of stiffening and jerking episodes and loss of consciousness
Term
Petit Mal (French- "little bad")
Definition
cause an altered state of consciousness, but don't result in violent physical loss of control
Term
2 classifications of seizures
Definition
generalized and partial
Term
aura (prodromal phase)
Definition
70% of people experience this before a seizure: nausea, dizziness, or numbness
Term
postictal phase
Definition
after a seizure-gradually emerges into full consciousness. May have confusion, disorientation, depression, headache, or fatigue
Term
Generalized Seizures (grand mal)
Definition
violent. stiffening of limbs, jaw clenching, blue face, rhythmic jerking. Followed by abrupt limpness (atonia) and gradual regaining of conscious awareness.
Term
Atonia
Definition
happens after the grand mal seizure- abrupt limpness
Term
A few conditions that may lead to partial seizures:
Definition
head trauma, stroke, viral brain disease-meningitis and encephalitis
Term
3 Types of Partial Seizures
Definition
1. Simple Seizures:
2. Secondarily generalized siezure
3. Complex Partial Seizures
Term
Simple Seizures
Definition
Partial seizure that may involve sensory-motor expression or psychic expression (mood, altered consciousness)
Term
Secondarily Generalized Seizures
Definition
Partial Seizure. Happens when simple seizure spreads. Can generalize through the whole brain like in JACKSONIAN Seizures
Term
Complex Partial Seizure
Definition
Partial Seizure. Most common-psychomotor or temporal lobe epilepsy. Emanate from the temporal lobes and are more complex than simple partial seizures because they have an element of altered psyche or awareness in addition to sensory or motor component
Term
Wada test
Definition
presurgery evaluation involving injection by radiologist of a barbiturate (sodium amytal) through patient's carotid artery to anesthetize one hemisphere at a time. Test the function of each hemisphere individually before temporal lobectomy.
Term
Treatment of Epilepsy
Definition
behavioral management, nutritional therapy, meds, neurosurgery
Term
Drug types for epilepsy
Definition
phenytoin (dilantin), carbamexepine (Tegretol), or sodium valproate (Depakote) barbiturates, and benzodiazepines
Term
Surgery for epilepsy
Definition
used when drugs have not controlled the seizures. The pathologic brain area is simply cut out if able to be localized.
Term
Do you have secretive fantasies about Dillon?
Definition
Yes, many.
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