Sleep and Its DerangementsHammond, William A. (William Alexander)
Science
Sleep and Its Derangements
Hammond, William A. (William Alexander)
Sleep -- Physiological aspects; Sleep disorders
In M. Maury’s own case he finds that the hallucinations are more numerous
and more vivid when he experiences, as is frequent with him, a disposition
to cerebral congestion. Thus, when he has headache, nervous pains in the
eyes, the ears, and the nose, and vertigo, the hallucinations make their
appearance as soon as he closes his eyelids. Loss of sleep and severe
intellectual exertions invariably produce them, as do also _cafe noir_ and
champagne, which, by causing headache and insomnia, strongly predispose
him to the hypnagogic hallucinations. On the contrary, calmness of mind,
rest, and country air lessen his liability to them. From the inquiries
made of others by M. Maury, the results of his own experience, as well as
from my own observations, I am well convinced that the hypnagogic
hallucinations are directly the result of an increase in the amount of
blood circulating through the brain rather than to actual congestion as he
supposes. They therefore indicate the existence of a condition unfavorable
to sound sleep. In the chapter devoted to the consideration of wakefulness
the phenomena accompanying cerebral hyperæmia will be more fully
considered.
The theory which M. Maury proposes in order to account for the existence
of hypnagogic hallucinations further presupposes that as the power of the
attention immediately before sleep begins to be diminished, and the mind
cannot therefore voluntarily and logically arrange its thoughts, it
abandons itself to the imagination, and that thus fancies arise and
disappear unchecked by the other mental faculties. This absence of the
attention need not be of long duration, a second, or even a shorter period
being sufficient. Thus he lay down, and the attention which had been
fully aroused soon became weakened; images appeared, and these partially
reawakened the attention, and the current of his thoughts was resumed, to
be replaced again by hallucinations, and this continued till he was fully
asleep. As an example, he states that on the 30th of November, 1847, he
was reading aloud the _Voyage dans la Russie Méridionale_, by M. Hommaire
de Hell. He had just finished a line when he closed his eyes
instinctively. In this short instant of sleep he saw hypnagogically, but
with the rapidity of light, the figure of a man clothed in a brown robe,
and with a hood on his head like a monk. The appearance of this image
reminded him that he had shut his eyes and ceased reading. He immediately
opened his eyelids and resumed his book. The interruption was practically
nothing, for the person to whom he was reading did not perceive it.
M. Maury gives numerous examples of these hypnagogic hallucinations, all
tending to show that they are induced by a congested condition of the
cerebral vessels, and that thus, according to the views I have set forth
relative to the condition of the brain in sleep, they are not to be
regarded as precursors of that state, but of stupor.
Public-domain text, read in full here on John Shaqi.
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