sleep wave forms - weebly · 2019. 9. 11. · sleep wave forms dr. tripat deep singh (mbbs, md,...

38
SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) International Sleep Specialist (World Sleep Federation program)

Upload: others

Post on 04-Sep-2020

7 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

SLEEP WAVE FORMS

Dr. Tripat Deep Singh

(MBBS, MD, RPSGT, RST)

International Sleep Specialist

(World Sleep Federation program)

Page 2: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

Alpha Rhythm

The Amplitude of this alpha activity is about

40µV (3µV/horizontal line), but amplitude is not

part of the definition of alpha rhythm.

The Frequency of alpha activity is 8-13Hz (this

sample is at 11Hz).

The Waveform of alpha activity is regular and

sinusoidal.

The Distribution of alpha activity is mostly

occipital

9/25/2013 2

Page 3: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 4: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

9/25/2013 4

Page 5: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

Low amplitude mostly 4-7Hz activity

Irregular, unremarkable background activity

9/25/2013 5

Low Amplitude, Mixed Frequency Activity (LAMF)

Page 6: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

9/25/2013 6

Page 7: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 8: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

Pointed waves that last <0.5 seconds (a

frequency of ≥ 2Hz) biggest in the central

channel and large enough to stick out from the

background.

9/25/2013 8

Vertex Sharp Wave

Page 9: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

9/25/2013 9

Page 10: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

A negative (upward) sharp wave followed by a

positive wave sticking out from the background

EEG that lasts ≥ 0.5 seconds, usually biggest in

the frontal channel

9/25/2013 10

K-Complex

Page 11: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 12: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

A series of waves at 11-16 Hz lasting ≥0.5

seconds biggest in the central channel.

9/25/2013 12

Sleep Spindle

Page 13: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

9/25/2013 13

Page 14: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

9/25/2013 14

Page 15: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

9/25/2013 15

Page 16: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

slow wave (0.5-2 Hz and > 75 μV) EEG activity

over the frontal regions

Delta Waves

Page 17: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 18: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 19: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

Waves that look like the teeth of a handsaw, 2-6

Hz, biggest in the central channel. They are

often seen just before a burst of rapid eye

movements

9/25/2013 19

Saw Tooth Waves

Page 20: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 21: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

EYE MOVEMENTS

Page 22: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 23: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

Slow Eye Movements (SEM) - Conjugate,

reasonably regular, sinusoidal eye movements

with an initial deflection usually lasting >500

msec.

Page 24: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 25: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

Reading Eye Movements –

Trains of conjugate eye movements consisting of a

slow phase followed by a rapid phase in the

opposite direction as the subject reads

Rapid Eye Movements (REM) –

Conjugate irregular, sharply peaked eye movements

with an initial deflection usually lasting <500 msec.

while rapid eye movements are characteristic of

stage R sleep, they may also be seen in

wakefulness with eyes open when subjects scan the

environment.

Page 26: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 27: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 28: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 29: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 30: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

Eye Blinks –

Conjugate vertical eye movements at a

frequency of 0.5-2 Hz present in wakefulness

with the eyes open or closed.

Page 31: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 32: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest

BIO-CALIBRATIONS

Page 33: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 34: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 35: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 36: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 37: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest
Page 38: SLEEP WAVE FORMS - Weebly · 2019. 9. 11. · SLEEP WAVE FORMS Dr. Tripat Deep Singh (MBBS, MD, RPSGT, RST) ... Delta Waves Waves that look like the teeth of a handsaw, 2-6 Hz, biggest