Ganong's Review of Medical Physiology, 23rd Edition

(Chris Devlin) #1
229

CHAPTER

15


Electrical Activity of the

Brain, Sleep–Wake States,

& Circadian Rhythms

OBJECTIVES

After studying this chapter, you should be able to:

Describe the primary types of rhythms that make up the electroencephalogram
(EEG).

List the main clinical uses of the EEG.

Summarize the behavioral and EEG characteristics of each of the stages of nonrap-
id eye movement (NREM) and rapid eye movement (REM) sleep and the mecha-
nisms responsible for their production.

Describe the pattern of normal nighttime sleep in adults and the variations in this
pattern from birth to old age.

Discuss the circadian rhythm and the role of the
suprachiasmatic nuclei (SCN) in its
regulation.

Describe the diurnal regulation of synthesis of melatonin from serotonin in the pi-
neal gland and its secretion into the bloodstream.

INTRODUCTION


Most of the various sensory pathways described in Chapters


11–14 relay impulses from sense organs via three- and four-


neuron chains to particular loci in the cerebral cortex. The


impulses are responsible for perception and localization of


individual sensations. However, they must be processed in the


awake brain to be perceived. At least in mammals, there is a


spectrum of behavioral states ranging from deep sleep through


light sleep, REM sleep, and the two awake states: relaxed


awareness and awareness with concentrated attention. Discrete


patterns of brain electrical activity correlate with each of these
states. Feedback oscillations within the cerebral cortex and
between the thalamus and the cortex serve as producers of this
activity and possible determinants of the behavioral state.
Arousal can be produced by sensory stimulation and by
impulses ascending in the reticular core of the midbrain. Many
of these activities have rhythmic fluctuations that are approxi-
mately 24 h in length; that is, they are
circadian.

THALAMUS, CEREBRAL CORTEX,


& RETICULAR FORMATION


THALAMIC NUCLEI


The thalamus is a large collection of neuronal groups within
the diencephalons; it participates in sensory, motor, and lim-


bic functions. Virtually all information that reaches the cortex
is processed by the thalamus, leading to its being called the
“gateway” to the cerebral cortex.
The thalamus can be divided into nuclei that project dif-
fusely to wide regions of the neocortex and nuclei that project
to specific discrete portions of the neocortex and limbic sys-
tem. The nuclei that project to wide regions of the neocortex
are the
midline and intralaminar nuclei.
The nuclei that
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