Insomnia; and Other Disorders of SleepLyman, Henry M. (Henry Munson)
Science
Insomnia; and Other Disorders of Sleep
Lyman, Henry M. (Henry Munson)
Dreams; Insomnia; Sleepwalking
That analogous, though not identical, predisposition to unconsciousness
may also be rapidly induced by modifications of the cerebral circulation
is proved by the sudden reduction of cerebral excitability and
consciousness which occurs during the act of fainting. In this counterfeit
presentment of sleep the important part played by variations of the blood
current through the brain is so conspicuous that certain writers have
attempted to show that genuine sleep is the result of a diminution in the
flow of blood to the cortex of the brain. An ingenious physician has even
attempted to relieve insomnia very much as a surgeon might undertake to
cure a popliteal aneurism--by placing tourniquets on the arteries leading
to the affected part. But the mere fact that syncope produces
unconsciousness does not prove that “cerebral anæmia” should be elevated
to the rank of the principal cause of natural sleep. The nervous process
is the primary factor. The circulation of the blood is everywhere under
the immediate control of the nervous system. Consequently, every change in
the condition of the nervous structures is followed by a corresponding
change in the state of the circulating apparatus. Wherever an organ is
aroused to activity, so delicate are the adjustments by which it is
connected with the brain and with the heart that it is at once irrigated
by an increased flow of blood. When its functional activity subsides, the
same mechanism provides for a corresponding reduction in the supply of
blood to its tissues. The brain itself forms no exception to this law.
This has been admirably shown by the observations of Professor Mosso, of
Turin.[22] The learned professor enjoyed the rare opportunity of observing
three individuals who had suffered the loss of a considerable portion of
the bony walls of the cranium, exposing the surface of the cerebrum, and
affording a view of the pulsation of the vessels of the brain. With the
aid of the cardiograph, the sphygmograph, the hydrosphygmograph, and the
plethosphygmograph, it became possible to register the circulation of the
blood in the brain, and to compare that portion of its course with the
coincident circulation in other parts of the body. It was thus shown that
every increase of emotional or intellectual activity was attended by an
increase in the activity of the cerebral circulation. This increase was
procured at the expense of other portions of the body, which exhibited a
coincident reduction in the amount of blood received from the heart. The
occurrence of sleep caused a diminution in the number of respirations,
and a fall of six or eight beats in the pulse. The volume of the brain and
its temperature were at the same time slightly reduced, through the
diversion of blood from the head to other regions of the body. The
consequent dilatation of the vessels in the extremities was readily
demonstrated by the use of the plethosphygmograph. The extreme
Public-domain text, read in full here on John Shaqi.
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