SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older...

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SLEEP DISORDERS A Pathophysiological Model by Allan Hobson Harvard Medical School

Transcript of SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older...

Page 1: SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older Men Act Out Dreams Loss of Muscle Inhibition Harbinger of Parkinson’s Disease.

SLEEP DISORDERS

A Pathophysiological Model

byAllan Hobson

Harvard Medical School

Page 2: SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older Men Act Out Dreams Loss of Muscle Inhibition Harbinger of Parkinson’s Disease.
Page 3: SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older Men Act Out Dreams Loss of Muscle Inhibition Harbinger of Parkinson’s Disease.
Page 4: SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older Men Act Out Dreams Loss of Muscle Inhibition Harbinger of Parkinson’s Disease.
Page 5: SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older Men Act Out Dreams Loss of Muscle Inhibition Harbinger of Parkinson’s Disease.
Page 6: SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older Men Act Out Dreams Loss of Muscle Inhibition Harbinger of Parkinson’s Disease.
Page 7: SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older Men Act Out Dreams Loss of Muscle Inhibition Harbinger of Parkinson’s Disease.
Page 8: SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older Men Act Out Dreams Loss of Muscle Inhibition Harbinger of Parkinson’s Disease.
Page 9: SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older Men Act Out Dreams Loss of Muscle Inhibition Harbinger of Parkinson’s Disease.
Page 10: SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older Men Act Out Dreams Loss of Muscle Inhibition Harbinger of Parkinson’s Disease.
Page 11: SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older Men Act Out Dreams Loss of Muscle Inhibition Harbinger of Parkinson’s Disease.
Page 12: SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older Men Act Out Dreams Loss of Muscle Inhibition Harbinger of Parkinson’s Disease.
Page 13: SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older Men Act Out Dreams Loss of Muscle Inhibition Harbinger of Parkinson’s Disease.
Page 14: SLEEP DISORDERS A Pathophysiological Model by Allan Hobson … · REM SLEEP BEHAVIOR DISORDER Older Men Act Out Dreams Loss of Muscle Inhibition Harbinger of Parkinson’s Disease.
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Normal Sleep is a Product of

Dynamic Neuronal Interaction

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Changes in the Balance of Neuronal Interaction Causes Abnormal Sleep

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BRAIN STEMas a set of Coupled OscillatorsCircadian-HypothalamusUltradian-PonsRespiratory-Medulla

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MEDIATING FACTORSSet point Changes Timing Errors

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NARCOLEPSYGelineau’s Tetrad

Sleep AttacksCataplexyHypnogogic HallucinationHypnopompic Hallucination

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SLEEP APNEA SYNDROMESCentral Factors

Peripheral FactorsInteraction

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REM SLEEP BEHAVIOR DISORDER

Older MenAct Out DreamsLoss of Muscle InhibitionHarbinger of Parkinson’s Disease