Of all the human cases I have studied, the observations made on this
boy gave me the greatest trouble. As I had to do with an idiot, the
least obstacles became great difficulties. No apparatus could be
applied without his becoming restless, snatching it from his head, and
breaking everything which fell into his hands. I had to confine myself
to a few observations which could be made by surprising him while
asleep. But he did not sleep regularly; I have often found him still
awake, even when I made my nightly visit at a very late hour. It was
more than sleeplessness, it was a nocturnal excitement, which presaged
the storm of an epileptic attack. I have seen him the victim of the
most terrible fits, while, on the nights following, his sleep was so
deep as to leave one in doubt whether it was a natural phenomenon.
In the period of exhaustion and stupor, the blood-vessels of the brain
seemed to relax, and at every contraction of the heart the pulsations
became stronger. A faint noise which did not wake the patient was
enough to produce a change in the brain and a more abundant gush of
blood. It sufficed to touch him, or to approach him with the lamp:
immediately, the volume of the brain increased, and a great elevation
appeared in the curve of the pulse.
Whenever we called him by name, it seemed as though an impetuous wave
of blood rushed into the brain, causing the convolutions to swell. As
this was invariably the case, there could be no doubt that the brain
was still sensitive to the impressions of the external world, even
during a heavy sleep. When the patient was shaken till he woke, I could
see the circulation changing little by little, as though the material
conditions of consciousness were being restored.
He often spoke a few indistinct words, opened his eyes, or moved his
hands, and then slowly fell back into the previous stupor, while we saw
the pulse grow weaker, the brain decrease in volume, the rhythm and
force of the breathing change.
It was one of the most interesting sights to observe in the stillness
of night, by the light of a little lamp, what was going on in his
brain, when there was no external cause to disturb this mysterious life
of sleep. The brain-pulse remained for ten or twenty minutes quite
regular and very weak, and then began suddenly, without any apparent
cause, to swell and beat more vigorously. Then the agitation subsided
and there was a second period of quiet; then came stronger blood-waves
which flooded the convolutions, raising the height of the pulsations,
which were automatically marked by the apparatus applied to the brain.
We scarcely dared breathe. The one who was observing the instruments
communicated with the other, who was watching over the patient, by
pressing his hand. Looks full of interrogation and wonder would meet,
and exclamations had to be forcibly repressed.
Public-domain text, read in full here on John Shaqi.
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