K-complexes and sleep spindles: stage N2 sleep on EEG

K-complexes and sleep spindles · Normal

K-complex followed by a 13–14 Hz spindle over the vertex: stage N2. Simulated trace, longitudinal bipolar channels. Open in the interactive viewer

What it looks like

N2 is defined by K-complexes (a sharp negative wave followed by a slower positive one, lasting at least 0.5 s, maximal frontocentrally) and sleep spindles (11–16 Hz bursts of at least 0.5 s, maximal centrally). 10

What it means at the bedside

Normal sleep architecture in a comatose or encephalopathic patient is a reassuring background feature. Vertex waves and K-complexes are symmetric and midline; a consistently one-sided "vertex wave" is not one.

NormalSleepVertex

Sources

  1. American Academy of Sleep Medicine. The AASM Manual for the Scoring of Sleep and Associated Events. aasm.org/clinical-resources/scoring-manual/

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