Sleep and Its DerangementsHammond, William A. (William Alexander)
Science
Sleep and Its Derangements
Hammond, William A. (William Alexander)
Sleep -- Physiological aspects; Sleep disorders
“‘There was no more disturbance that night of which, at least, I was
conscious, but when morning came fever was on me in unmistakable force in
its worst form, and partial delirium set in the same night. I was reduced
to the last extremity about the third or fourth night of my illness, when
a conviction seized on my mind that it was absolutely essential to my life
that I should not pass another night in Cape Coast Castle. I caused the
negro servant I had fortunately brought out with me from England to have a
litter prepared for me at dawn, and stretched on this litter, hardly able
to lift hand or foot, I was carried out of my bed by four native soldiers,
and was conveyed to the house of a merchant, and countryman of mine, to
whose care and kindness I owe my life. So much for a visionary precursor
of fever on the west coast of Africa.’
“In neuralgia, disturbed dreaming is occasionally a prominent symptom. In
an obscure case I was led to make what I believe to be a true diagnosis
from the indications furnished by the patient’s dreams. The individual in
question is a man, aged about 45, of an anemic habit, confined by a
sedentary occupation, who, for many years, had suffered from hemicrania,
which lately had become more intense, and the intervals shorter. A couple
of days before the attack his sleep becomes broken by unpleasant dreams,
and when the paroxysm has attained its height, he invariably dreams that
he is the helpless victim of a persecutor, who finishes a series of
torments by driving a stake through his skull. During his recovery from
each attack, he states that his dreams are of a most agreeable character,
though so vague that he cannot give any account of them. The frequent
repetition of his dreams leads me to conclude that there is some osseous
growth within the cranium, and that the vascular distention accompanying
the neuralgic attack occasions pressure upon this, giving rise to the
sensation I have referred to, while the subsequent feeling of comfort
results from that pressure being removed.”
A case has been recently published[95] in which the dream immediately
preceded, or perhaps even accompanied, the morbid action. A German, aged
45, of a nervo-sanguineous temperament, went to bed at 11 P. M., feeling
as well as usual. Between 12 and 1 o’clock he dreamed that he saw his
child lying at his side, dead. He was very much frightened, and at once
awoke, to find that his tongue was paralyzed, and that he could not talk.
The faculty of speech and the ability to move the tongue remained impaired
for four months.
For several years past I have made inquiries of patients and others
relative to their dreams, and have thus collected a large amount of
material bearing upon the subject. With reference to the point under
consideration, the data in my possession are exceedingly important and
interesting. Among the cases which have come under my observation of
diseases being preceded by morbid dreams, are the following:
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