Forensic Medicine

Tuesday, September 1, 2015

Sleep

·         Theta wave: curved on the top
·         REM Sleep: Sawtooth waves seen (to differentiate it from beta wave)
·         Elderly people have decreased Delta.
·         In both adults and children, during the first 3 hours of sleep:
  1. There is a very large output of human growth hormone (related to Stage 4 sleep). This is by far the greatest release of this hormone in a 24-hour period.
  2. Prolactin rises rapidly and dopamine falls, in both sexes.
  3. Serotonin (5-HT) rises.
  4. Sleep inhibits the release of thyroid-stimulating hormone (TSH)


·         Neurotransmitters Associated With Sleep:"SANDman"
  1. Serotonin: helps initiate sleep
  2. Acetylcholine (ACh): higher during REM sleep (associated with erections in men)
  3. Norepinephrine (NE): lower during REM sleep
  1. Ratio of ACh and NE is the biochemical trigger for REM sleep.
  2. NE pathway begins in the pons, which regulates REM sleep.
Dopamine: produces arousal and wakefulness. Rises with waking

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