Non-rapid eye movement sleep
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The sleep stages 1 through 4 are collectively referred to as NREM (non-rapid eye movement) sleep. Rapid eye movement (REM), or stage 5, is not included. There are distinct electroencephalographic characteristics seen in each stage. Unlike REM sleep, there is usually little or no eye movement during this stage. Dreaming is rare during NREM sleep, and the muscles are not paralyzed as in REM sleep.
In addition, there is a parasympathetic dominance during NREM.
Stages of NREM sleep
NREM sleep is divided into four stages:
- Stage 1 - occurs in the beginning of sleep, with slow eye movements. Disappearance of alpha waves and appearance of the theta wave. People in this stage often believe that they are fully awake. During the transition into Stage 1 sleep, it is common to experience hypnic jerks.
- Stage 2 - the person is unconscious, though awakened easily. No eye movements occur, and dreaming is very rare during this stage. EEG recordings tend to show characteristic "sleep spindles" and "K-complexes" during this stage.
- Stage 3 - transition between stage 2 and stage 4. Delta waves begin to occur which are associated with "deep" sleep.
- Stage 4 - slow-wave sleep (SWS) refers to the "deepest" stage of sleep in which there is a continuation of the delta wave. Dreaming is more common in this stage than in other stages of NREM sleep though not as common as in REM sleep. The content of SWS dreams tends to be disconnected and not as vivid as those that occur during REM sleep. This is also the most common stage in which parasomnias occur.
Polysomnography
Polysomnography (PSG) is a test used in the study of sleep; the test result is called a polysomnogram. Below are images of each stage of NREM.
The figures represent 30 second epochs (30 seconds of data). They represent data from both eyes, chin, EEG, legs, microphone, intercostal EMG, sternocleidomastoid activity, nasal/oral air flow, thoracic effort, abdominal effort, EKG, oxymetry, and body position, in that order. EEG is highlighted by the red box. Sleep spindles in the stage 2 figure are underlined in red.
Stage 1:
Image:Sleep EEG Stage 1.jpg
Stage 2: Image:Stage2.jpg
Stage 4:
See also
Articles on Sleep | |
|---|---|
| Sleep Stages | Rapid eye movement sleep • Beta wave sleep • Gamma wave sleep • Non-rapid eye movement sleep • Slow-wave sleep • Theta wave sleep • Delta wave sleep |
| Sleep disorders | Sleep deprivation • Insomnia • Parasomnia • Sleepwalking • Sleeptalking • Night terror • Dyssomnia • Hypersomnia • Narcolepsy • Sleep apnea • Ondine's curse • Nocturnal myoclonus • Circadian rhythm sleep disorder • Nocturia • Automatic behavior • Sleeping sickness |
| Benign Phenomena | Dream • Nightmare • Exploding head syndrome • Lucid dream • False awakening • Sleep paralysis • Hypnagogia • Hypnic jerk • Nocturnal emission • Somnolence |
| Other Sleep-related Topics | Bed bug • Sleep and learning • Snoring • Jet lag • Sleep debt • Power nap • Polyphasic sleep • Siesta • Bedtime • Bedtime story |
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
