4.6 Review

The use of evoked potentials in sleep research

Journal

SLEEP MEDICINE REVIEWS
Volume 11, Issue 4, Pages 277-293

Publisher

W B SAUNDERS CO LTD
DOI: 10.1016/j.smrv.2007.05.001

Keywords

P300; P3a; deprivation; OSA; insomnia; narcolepsy; N350; N550; K-complex

Funding

  1. NHLBI NIH HHS [HL58585, R56 HL058585, R01 HL058585] Funding Source: Medline
  2. NIAAA NIH HHS [AA14211, R01 AA012388-09, AA12388, AA05965, R01 AA005965-10, R21 AA017320, R01 AA014211, R21 AA017320-01, R01 AA012388, R01 AA005965, R37 AA005965, R01 AA014211-05] Funding Source: Medline
  3. NIDA NIH HHS [R01 DA016427, R01 DA016427-05, DA16427] Funding Source: Medline

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Averaged event-related potentials (ERPs) represent sensory and cognitive processing of stimuli during wakefulness independent of behavioral responses, and reflect the underlying state of the CNS (central nervous system) during sleep. Components measured during wakefulness which are reflective of arousal state or the automatic switching of attention are sensitive to prior sleep disruption. Components reflecting active attentional influences during the waking state appear to be preserved in a rudimentary form during REM steep, but in a way that highlights the differences in the neurochemical environment between wakefulness and REM steep. Certain ERP components only appear within steep. These begin to emerge at NREM steep onset and may reflect inhibition of information processing and thus have utility as markers of the functional status of steep preparatory mechanisms. These large amplitude NREM components represent synchronized burst firing of large number of cortical cells and are a reflection of the nervous system's capacity to generate delta frequency EEG activity. As such they are useful in assessing the overall integrity of the nervous system in populations not showing substantial amounts of SWS as measured using traditional criteria. While requiring care in their interpretation, ERPs nonetheless provide a rich toot to investigators interested in probing the nervous system to evaluate daytime functioning in the face of steep disruption, the ability of the sleeping nervous system to monitor the external environment, and the ability of the nervous system to respond to stimuli in a manner consistent with the initiation or maintenance of steep. (c) 2007 Elsevier Ltd. All rights reserved.

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