Insomnia; and Other Disorders of Sleep — John Shaqi
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
sensitiveness of the nervous centers was further illustrated by the fact
that if, during sleep, a ray of light were directed upon the eyelids, or
if any organ of sense were moderately excited without waking the patient,
his respiration was at once accelerated; the heart began to beat more
rapidly, the vessels of the extremities contracted, and the blood flowed
more freely into the brain. Similar results accompanied the act of
dreaming. The return of full consciousness on waking was followed by an
immediate increase in the activity of the intra-cranial circulation.
The extreme susceptibility of the brain to influences proceeding from
artificial disturbances in the circulation, was exhibited in the case of
one of Professor Mosso’s patients. By compression of the carotid arteries,
unconsciousness was induced, and an attack of convulsions was aroused. In
no other part of the body can a corresponding disturbance of function be
so quickly produced by similar means. A limb may be rendered bloodless for
nearly half an hour, by the application of an elastic bandage, and yet its
sensory nerves will remain capable of transmitting impressions from the
periphery. But in this case, compression of the carotids for only eight
seconds was sufficient to abolish consciousness and to excite convulsive
movements.
In all such observations it is worthy of note that the nervous impression
is the primary event so long as artificial disturbances are not intruded.
The changes of blood-pressure and circulation were invariably secondary to
the excitement of nerve tissue. Sleep, therefore, must be regarded as the
cause, rather than the consequence, of the so-called cerebral anæmia which
obtains in the substance of the brain during repose. This condition of
“anæmia” is nothing more than the relatively lower state of circulation
which may be remarked in every organ of the body during periods of
inactivity. Every impression upon the sensory structures of the brain
occasions a corresponding liberation of motion in those structures. The
movement thus initiated arouses the vaso-dilator nerves of the cerebral
vessels and excites the vaso-constrictor nerves of all other portions of
the vascular apparatus. Hence the superior vascularity of the brain so
long as the organs of sense are fresh and receptive. Hence the diminishing
and varying vascularity of the different departments of the brain as sleep
becomes more or less profound. These modifications of the brain and of its
circulation are well illustrated by the effects of a moderate degree of
cold applied to the cutaneous nerves of the body, as not unfrequently
happens when the night grows cool towards morning. The disturbance of the
sensitive nerves of the skin is transmitted to the brain. The excitement
of this organ causes dilatation of its vessels, and increased irritability
of the cortical instrument of perception. This becomes the starting point
for the projection of impulses upon the field of consciousness, producing
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