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Sleep Disorders
What is sleep? 
• behavior with a circadian rhythm. 
• organized into cycles. 
• four criteria of sleep: reduced motor 
activity, decreased response to activity, 
stereotypic postures, reversibility
Stages of sleep
We spend: 
• 50% of our sleep time in stage 2, 
• 20% in REM sleep 
• 30% in the other stages. 
• Experts say if you feel drowsy during the day, 
you haven’t had enough sleep. 
• Most adults need 7-8 hours of sleep, 
teenagers about 9, and infants require about 
16 hours a day.
• Sleep gives neurons a chance to 
shut down and repair themselves. 
• Sleeping may also help learning because it 
gives the brain a chance to exercise neural 
connections that might deteriorate 
otherwise.
REM Sleep 
• Accounts for about 25% of sleep. 
• occurs once every 90 minutes. 
• Brain activity is high during REM.
Narcolepsy 
• Usually occurs in people ages 
15-30. 
• The exact cause is unknown 
but it is linked to reduced 
amounts of a protein made in 
the brain called hypocretin.
Narcolepsy Symptoms 
• Sleep paralysis – a person cannot move as 
they start falling asleep or when they wake 
up, may last 15 min. 
• Cataplexy – Sudden loss of muscle tone 
when awake that makes you unable to 
move.
Narcolepsy Video
Sleep Apnea 
– Obstructive Sleep Apnea (OSA), caused by 
blockage of the airway, usually when the soft 
tissue in the back of throat collapses during sleep. 
– Central Sleep Apnea (CSA), the brain fails to signal 
the muscles to breathe due to instability in the 
respiratory control center.
Sleep Apnea 
• Breathing pauses can last a 
few seconds to a few 
minutes, typically when 
normal breathing starts 
again, it starts with a loud 
snort or a choking sound. 
• Disturbs nightly sleep 
making the person 
excessively sleepy during the 
daytime. 
*Interesting Fact* 
Some very young infants 
experience a kind of apnea due 
to immaturity of the brain 
stem.
Insomnia 
• is characterized by difficulty falling asleep, 
staying asleep, or getting good quality sleep. 
• can be acute (short-term) or chronic 
(ongoing). 
• can cause daytime sleepiness, lack of energy 
and trouble learning.
Restless Leg Syndrome 
• is characterized by unpleasant sensations of 
legs and an urge to move them when at the 
rest. 
• Effects about 12 million Americans. 
• Causes: Mostly unknown (idiopathic) 
• Treatment: underlying cause, some meds, and 
exercise.
REM Behavior Disorder 
• During REM sleep the electrical activity in the brain is 
similar to the electrical activity that occurs when awake, but 
when in REM sleep, one experiences muscle paralysis. 
People with REM Behavior Disorder lack this muscle 
paralysis, permitting them to act out their dramatic or 
violent dreams.
REM Behavior Disorder 
“Murder while Sleepwalking” 
“In 2001 Stephen Reitz claimed to be sleepwalking when he 
stabbed and beat his married girlfriend to death in their hotel 
room and later walked to the police station to turn himself in. 
Reitz claimed to be dreaming of attacking a male intruder in 
‘flashbacks’, although he also claimed to remember nothing of 
the attack. Although Reitz had no apparent motive, he did 
have a history of violence and abuse. In 2004, Stephen Reitz 
was convicted of first-degree murder.” (Ciccarelli, 2010). 
Can watch story at: 
http://www.msnbc.msn.com/id/29658353/ns/dateline_nbc-crime_ 
reports/t/deadly-dreams/ 
“In 2003, Jules Lowe of Manchester, England, attacked and killed 
his 82-year old father while sleepwalking. Lowe had a history of 
sleepwalking, was under great stress, and had no motive to kill his 
father. Sleep expert Dr. Irshaad Ebrahim testified that tests showed 
Lowe to be sleepwalking at the time of the attack. In 2005, Lowe 
was acquitted.” (Ciccarelli, 2010).
REM Behavior Disorder 
– A 77-year old minister had been behaving violently in his 
sleep for 20 years, sometimes even injuring his wife. 
– A 60-year old surgeon would jump out of bed during 
nightmares of being attacked by "criminals, terrorists and 
monsters." 
– A 62-year old industrial plant manager who was a war veteran 
dreamt of being attacked by enemy soldiers and fights back in 
his sleep, sometimes injuring himself. 
– A 57-year old retired school principal was inadvertently 
punching and kicking his wife for two years during vivid 
nightmares of protecting himself and family from aggressive 
people and snakes. (National Sleep Foundation, 2011)
THANK YOU!

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Sleep disorders

  • 2. What is sleep? • behavior with a circadian rhythm. • organized into cycles. • four criteria of sleep: reduced motor activity, decreased response to activity, stereotypic postures, reversibility
  • 4. We spend: • 50% of our sleep time in stage 2, • 20% in REM sleep • 30% in the other stages. • Experts say if you feel drowsy during the day, you haven’t had enough sleep. • Most adults need 7-8 hours of sleep, teenagers about 9, and infants require about 16 hours a day.
  • 5. • Sleep gives neurons a chance to shut down and repair themselves. • Sleeping may also help learning because it gives the brain a chance to exercise neural connections that might deteriorate otherwise.
  • 6. REM Sleep • Accounts for about 25% of sleep. • occurs once every 90 minutes. • Brain activity is high during REM.
  • 7.
  • 8. Narcolepsy • Usually occurs in people ages 15-30. • The exact cause is unknown but it is linked to reduced amounts of a protein made in the brain called hypocretin.
  • 9. Narcolepsy Symptoms • Sleep paralysis – a person cannot move as they start falling asleep or when they wake up, may last 15 min. • Cataplexy – Sudden loss of muscle tone when awake that makes you unable to move.
  • 10.
  • 12. Sleep Apnea – Obstructive Sleep Apnea (OSA), caused by blockage of the airway, usually when the soft tissue in the back of throat collapses during sleep. – Central Sleep Apnea (CSA), the brain fails to signal the muscles to breathe due to instability in the respiratory control center.
  • 13. Sleep Apnea • Breathing pauses can last a few seconds to a few minutes, typically when normal breathing starts again, it starts with a loud snort or a choking sound. • Disturbs nightly sleep making the person excessively sleepy during the daytime. *Interesting Fact* Some very young infants experience a kind of apnea due to immaturity of the brain stem.
  • 14. Insomnia • is characterized by difficulty falling asleep, staying asleep, or getting good quality sleep. • can be acute (short-term) or chronic (ongoing). • can cause daytime sleepiness, lack of energy and trouble learning.
  • 15.
  • 16. Restless Leg Syndrome • is characterized by unpleasant sensations of legs and an urge to move them when at the rest. • Effects about 12 million Americans. • Causes: Mostly unknown (idiopathic) • Treatment: underlying cause, some meds, and exercise.
  • 17.
  • 18. REM Behavior Disorder • During REM sleep the electrical activity in the brain is similar to the electrical activity that occurs when awake, but when in REM sleep, one experiences muscle paralysis. People with REM Behavior Disorder lack this muscle paralysis, permitting them to act out their dramatic or violent dreams.
  • 19. REM Behavior Disorder “Murder while Sleepwalking” “In 2001 Stephen Reitz claimed to be sleepwalking when he stabbed and beat his married girlfriend to death in their hotel room and later walked to the police station to turn himself in. Reitz claimed to be dreaming of attacking a male intruder in ‘flashbacks’, although he also claimed to remember nothing of the attack. Although Reitz had no apparent motive, he did have a history of violence and abuse. In 2004, Stephen Reitz was convicted of first-degree murder.” (Ciccarelli, 2010). Can watch story at: http://www.msnbc.msn.com/id/29658353/ns/dateline_nbc-crime_ reports/t/deadly-dreams/ “In 2003, Jules Lowe of Manchester, England, attacked and killed his 82-year old father while sleepwalking. Lowe had a history of sleepwalking, was under great stress, and had no motive to kill his father. Sleep expert Dr. Irshaad Ebrahim testified that tests showed Lowe to be sleepwalking at the time of the attack. In 2005, Lowe was acquitted.” (Ciccarelli, 2010).
  • 20. REM Behavior Disorder – A 77-year old minister had been behaving violently in his sleep for 20 years, sometimes even injuring his wife. – A 60-year old surgeon would jump out of bed during nightmares of being attacked by "criminals, terrorists and monsters." – A 62-year old industrial plant manager who was a war veteran dreamt of being attacked by enemy soldiers and fights back in his sleep, sometimes injuring himself. – A 57-year old retired school principal was inadvertently punching and kicking his wife for two years during vivid nightmares of protecting himself and family from aggressive people and snakes. (National Sleep Foundation, 2011)