The REM Sleep Behavior Disorder
The REM Sleep Behavior Disorder (RBD) is characterized clinically by a history of changes in the nature of the patients' dreams
(they are more action-packed) and motor behavior (its is more action packed) during REM sleep that correlate with the
simultaneously occurring dream-mentation. The polysomnographic (PSG) findings consist of the intermittent appearance of
markedly increased tonic and phasic EMG activity during REM sleep Clinically, RBD usually responds exquisitely and persistently
to the nightly administration of clonazepam. While taking clonazepam, patients report that their dreams have reverted to a less
action-packed variety, and that their dream-enacting motor and verbal behaviors have ceased or are much less bothersome.
However, aside from some relatively subtle phasic EMG reduction,[2] the REM sleep-related EMG activity remains relatively
unchanged following clonazepam administration. It is often impossible, by PSG study before and after clonazepam, to identify
which PSG is baseline, and which was performed following the administration of clonazepam.
It is clear from both animal experiments[3] and from human conditions (notably narcolepsy and multi-system degenerative
disorders)[4] that REM sleep may be associated with a lack of tonic or phasic atonia (REM without atonia) without there being
clinical symptoms of dream-enacting behaviors. Therefore, REM without atonia appears to be necessary, but not sufficient, for the
appearance of the full-blown RBD syndrome.
This raises an interesting question: What and/or where is the mechanism of action of clonazepam in the reduction of the
dream-related motor behavior during REM sleep? Is at the locomotor center, or s...
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...us. There is a lot of literature available on how various conditions or chemicals effect the amount of time we spend in
either Slow-Wave or REM sleep, and I hope future essays will delve more fully into these subjects. Luckily for researchers
studying the subject, the origins in the brain responsible for sleep are still not fully understood and thus, facilitate continual probes
into how different parts of the brain are behaving during sleep and how to influence those parts to give us the best or worst
possible night of sleep. In the next section, I will look at a couple of hypotheses on:
There is nothing better for getting the day started off right than waking up in a good mood. This is especially true if we weren't in
the best of moods when we went to sleep. To view the rest of this essay you must be a screwschool member click here to become
a member.
As we all know, sleep is an important part of our lives. Without the proper amounts and type of sleep, fatigue and other problems can arise. Generally, we can clearly distinguish between a sleeping person and a person that is awake. With sleeping disorders, the distinction between an awake person and a sleeping person becomes more intriguing. What is the difference, how does it relate to the I-function and consciousness? Each sleeping disorder has its own unique answer to this question. It is essential to understand sleep to fully appreciate it. However, many aspects of it remain a mystery. We do have some degree of understanding of sleep. Within our sleep cycle a type of unusual sleep occurs, REM sleep. During this cycle the periods of REM sleep are interspersed with slow wave sleep in alternation. Each period of REM sleep (there are usually 4 or 5 periods a night) lasts for approximately 5 to 30 minutes. During these periods a sleep paradox occurs. An enormous amount of brain activity takes place; this is sometimes even more activity then when awake. This clearly indicates that sleep is not simply to rest our mind and not to think. So, during this period our brains are extremely active, yet there is usually no input or output. During this period, along with the random eye movement (REM), there is a complete loss of muscle tone. Essentially, at this point, the motor system is paralyzed (normally the body inhibits any movement). The autonomic nervous system also alters its behavior. The regulation of body temperature is lost and the blood pressure, heart rate, respiratory rates shows increased variability. REM sleep can be detected by measuring the electrical activity of the brain with an electroencephalogram. At this point, the EEG will show the same pattern of activity as when the brain is awake.
We live our entire life in two states, sleep and awake1. These two states are characterized by two distinct behaviors. For instance, the brain demonstrates a well-defined activity during non-REM sleep (nREM) that is different when we are awake. In the study of sleep by Huber et. al., the authors stated that sleep is in fact a global state2. It is unclear whether this statement means that sleep is a state of global behavioural inactivity or the state of the global nervous system. The notion that sleep is a global state of the nervous system served as basis for sleep researchers to search for a sleep switch. The discovery of the sleep switch, in return, provided evidence and enhanced the notion that sleep is a global state of the nervous system. The switch hypothesis developed from the fact that sleep can be initiated without fatigue and it is reversible1. It was hypothesized that there is something in the brain that has the ability to control the whole brain and initiate sleep. Studies have found a good candidate that demonstrated this ability3. They found a group of neurons in the Ventrolateral Preoptic (VLPO) nucleus. It was a good candidate because it was active during sleep, has neuronal output that can influence the wakefulness pathway, and lesion in the area followed reduce sleep3. The idea that there is something that can control the whole brain and result sleep state supports the idea that sleep is a global state of the nervous system.
In normal sleeping patterns a person usually passes through five phases of sleep, the fifth being REM. The sleeping human passes cyclically through these five phases throughout a night's rest. These phases can be defined in electrical activity of the brain; much like the activity of the heart is often defined. The technique of measuring the electrical activity of the brain is call Electro-encephalogram, or EEG. When the electrical events of a person's brain are graphed on a electrical magnitude versus time axis the graph of a person who is in different stages of being asleep or awake appear to have different levels of electrical activity occurring in the brain. (See (14))
Sleepiness, whether due to sleep apnea, heavy snoring, idiopathic hypersomnolence, narcolepsy or insomnia from any number of sleep-related disorders, threatens millions of Americans' health and economic security (1). Perhaps somewhat most concerning of these disorders are those that allow sleep without having any control over when it happens-idiopathic hypersomnolence and narcolepsy. The two are closely related in that both cause individuals to fall asleep without such control, yet narcolepsy occurs without any dreaming during naps (2). For years, narcoleptic people have been falling asleep in corners, concerned, as they have given numerous attempts to try to stay focused and awake. But besides the excessive fatigue that people experience, there surely must be more that can be associated with causing such sleepiness among people at an uncontrolled level. There might especially not be a reason involving the I-function of the brain, as people are not aware of when necessarily they will fall into their deep sleep.
Kales, A. (1972). The evaluation and treatment of sleep disorders : Pharmacological and psychological studies. In M. Chase (ed.)The Sleeping Brain. Los Angeles : Brain Information Service.
A restorative theory claims that sleep is used to repair the body including the brain. Oswald suggests that slow wave sleep is when body repair occurs and REM sleep is when the brain is repaired. This is supported by the fact that there is an increase in the secretion of growth hormones during SWS. This could also explain why brain activity levels are high during REM sleep, and similar to when awake.
Exploringn a Neurobiological Theory of Dreaming Neurobiological theory of dreaming focuses on the brain and the nervous system. The activation synthesis theory which is one of the theories put forward by Hobson and Mcarley (1998) said sleep is controlled by mechanism in the brainstem. When activated this inhibits activity in the skeletal muscles and increases activity in the forebrain. This theory seems dreaming as an automatic part of the sleep process that may have no significance beyond the need to organize the material into coherent forms. Hobson points out that injection of a drug that increases the action of acetylcholine both increases REM sleep and dreaming.
Sleep deprivation is a commonplace occurrence in modern culture. Every day there seems to be twice as much work and half as much time to complete it in. This results in either extended periods of wakefulness or a decrease in sleep over an extended period of time. While some people may like to believe that they can train their bodies to not require as much sleep as they once did this belief is false (1). Sleep is needed to regenerate certain parts of the body, especially the brain, so that it may continue to function optimally. After periods of extended wakefulness or reduced sleep neurons may begin to malfunction, visibly effecting a person's behavior. Some organs, such as muscles, are able to regenerate even when a person is not sleeping so long as they are resting. This could involve lying awake but relaxed within a quite environment. Even though cognitive functions might not seem necessary in this scenario the brain, especially the cerebral cortex, is not able to rest but rather remains semi-alert in a state of "quiet readiness" (2). Certain stages of sleep are needed for the regeneration of neurons within the cerebral cortex while other stages of sleep seem to be used for forming new memories and generating new synaptic connections. The effects of sleep deprivation on behavior have been tested with relation to the presence of activity in different sections of the cerebral cortex.
Sleeping is something that is an essential part of human nature and is a must in order for one to be a functional human being. Sleep is an idea that is accompanied by many wives’ tales, including the idea that one needs seven to eight hours of sleep each night and alcohol helps one fall asleep and sleep more soundly. One myth about sleep is that during sleep, one is in a state of nothingness. In truth, however, it has been discovered that during sleep the brain is active, variations in heartbeat and breathing occur, and the eyes and ears are active throughout the time of sleep. These activities during a person’s sleep are important because they help that person be more aware, awake, and alert during sleep.
In this Forum on Sleep and Dreams, we will see how the diversity of academic disciplines can help to answer important questions about sleep and dreaming—questions that may touch the basis of human intellect. The Forum is fortunate in...
From the study, Aserinsky and Klietman (1953) concluded that the “the ability to recall dreams is significantly associated with the presence of eye movements” (p.274). In other words, when REM occurs during sleep, it is likely that a person is
Brain waves are fundamental in that they enable a sleep researcher to understand the process of sleep. The main brain wave considered is referred to as gross brain wave activity which is measured using an electroencephalogram because brain waves vary from one area of the brain to another. There are two types of waves namely beta waves and alpha waves with the former being associated with the state of being wakeful with them having high frequency but low amplitude while alpha waves being associated with not only the state of relaxation but also the state of peacefulness with them being characterized by lower frequency but with increased amplitude. As a result, beta waves are desynchronous while alpha waves are synchronous. Sleep occurs in different stages with these stages exhibiting different forms of alpha and beta waves with stage one and two of sleep being characterized by theta waves while stage three and four of sleep being characterized by delta
Vandekerckhove, M., & Cluydts, R. (2010). The emotional brain and sleep: An intimate relationship. Sleep Medicine Reviews, 14(4), 219-226. doi:10.1016/j.smrv.2010.01.002
Rasch, Björn, and Jan Born. "About Sleep 's Role in Memory." Physiological Reviews. American Physiological Society, n.d. Web. 06 May 2016.