Sleep and Its DerangementsHammond, William A. (William Alexander)
Science
Sleep and Its Derangements
Hammond, William A. (William Alexander)
Sleep -- Physiological aspects; Sleep disorders
With the view of ascertaining by ocular examination the vascular condition
of the brain during sleep, Durham placed a dog under the influence of
chloroform, and removed with a trephine a portion of bone as large as a
shilling from the parietal region; the dura mater was also cut away.
During the continuance of the anæsthetic influence, the large veins of
the surface of the pia mater were distended, and the smaller vessels were
full of dark-colored blood. The longer the administration of the
chloroform was continued, the greater was the congestion. As the effects
of this agent passed off, the animal sank into a natural sleep, and then
the condition of the brain was very materially changed. Its surface became
pale and sank down below the level of the bone; the veins ceased to be
distended, and many which had been full of dark blood could no longer be
distinguished. When the animal was roused, the surface of the brain became
suffused with a red blush, and it ascended into the opening through the
skull. As the mental excitement increased, the brain became more and more
turgid with blood, and innumerable vessels sprang into sight. The
circulation was also increased in rapidity. After being fed, the animal
fell asleep, and the brain again became contracted and pale. In all these
observations the contrast between the two conditions was exceedingly well
marked.
To obviate any possible effects due to atmospheric pressure, watch-glasses
were applied to the opening in the skull, and securely cemented to the
edges with Canada balsam. The phenomena observed did not differ from those
previously noticed; and, in fact, many repetitions of the experiment gave
like results.
Durham, in the next place, applied ligatures to the jugular and vertebral
veins, with the effect--as was to be expected--of producing intense
congestion of the brain, attended with coma. This last condition he very
properly separates from sleep, which is never caused by pressure from the
veins. He likens sleep to the state induced by preventing the access of
blood to the brain through the carotids, but does not allude to Fleming’s
researches on this point.
From his observations, Durham deduces the following conclusions:
“1. Pressure of distended veins upon the brain is not the cause of sleep,
for during sleep the veins are not distended; and when they are, symptoms
and appearances arise which differ from those which characterize sleep.
“2. During sleep the brain is in a comparatively bloodless condition, and
the blood in the encephalic vessels is not only diminished in quantity,
but moves with diminished rapidity.
Public-domain text, read in full here on John Shaqi.
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