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
Many examples of this disease have been afforded by the records of
apparent death. I am well acquainted with a lady who, in early childhood,
had been laid out for burial at the supposed termination of some infantile
illness. Her mother alone insisted that the child was still alive. After
some time spent in weeping and expostulation, she applied a blister to the
thorax of the babe. This soon excited evidences of painful irritation,
followed by a complete recovery. Still more instructive is the case,
narrated by Rosenthal,[27] of a young woman, twenty-four years of age,
who, in consequence of violent emotional excitement, became unconscious,
and presented no signs of life, though tested by placing a mirror before
the mouth, and by dropping melted sealing-wax upon the skin. On raising
her eyelids, the pupils gave no reaction to light; the limbs remained
perfectly flaccid, and the radial arteries were pulseless. Careful
auscultation, however, detected a very feeble and intermittent sound in
the cardiac region. The walls of the chest exhibited no movement, but the
lateral surfaces of the abdomen presented a slow and almost imperceptible
oscillation. Gentle faradization of the muscles and nerves of the face,
arm, and hand, excited definite muscular contractions. By this method
Rosenthal became satisfied that, although the patient had remained for
thirty-two hours in this condition, she was only apparently dead. In fact,
after continuing forty-four hours in a state of suspended animation, she
awoke spontaneously, made a rapid recovery, and seemed to enjoy as
comfortable health as an excitable, nervous temperament would permit.
Certain authors make a distinction between lethargy and apparent death;
but the difference is one of degree rather than of kind. The movements of
respiration and of circulation, though greatly enfeebled, are readily
observed in ordinary forms of lethargy; but in apparent death the pulse
can no longer be discovered, and nothing more than the faintest sound can
be distinguished in the region of the heart. It, therefore, becomes
important to have within reach a crucial test of the persistence of
general vitality. Such evidence, according to Rosenthal, is furnished by
the faradaic current. Within two or three hours after actual death, the
muscles cease to respond to the induced current; but in apparent death
this form of electro-muscular contractility never disappears. Every other
test that has been proposed has failed under certain circumstances.
Observation of the changes in muscular temperature during electrical
excitation is a method better adapted to the laboratory than for clinical
practice.
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