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[梦的神经学解读]

[[Neurological interpretation of dreams] ].

作者信息

Pareja J A, Gil-Nagel A

机构信息

Programa de Medicina del Sueño, Hospital Ruber Internacional, Mirasierra, Madrid.

出版信息

Neurologia. 2000 Oct;15(8):352-60.

Abstract

Cerebral cortical activity is constant throughout the entire human life, but substantially changes during the different phases of the sleep-wake cycle (wakefulness, non-REM sleep and REM sleep), as well as in relation to available information. In particular, perception of the environment is closely linked to the wake-state, while during sleep perception turns to the internal domain or endogenous cerebral activity. External and internal information are mutually exclusive. During wakefulness a neuronal mechanism allows attention to focus on the environment whereas endogenous cortical activity is ignored. The opposite process is provided during sleep. The function external attention-internal attention is coupled with the two modes of brain function during wakefulness and during sleep, providing two possible cortical status: thinking and dreaming. Several neurological processes may influence the declaration of the three states of being or may modify their orderly oscillation through the sleep-wake cycle. In addition, endogenous information and its perception (dreams) may be modified. Disturbances of dreaming may configurate in different general clinical scenarios: lack of dreaming, excess of dreaming (epic dreaming), paroxysmal dreaming (epileptic), nightmares, violent dreaming, daytime-dreaming (hallucinations), and lucid dreaming. Sensorial deprivation, as well as the emergence of internal perception may be the underlying mechanism of hallucinations. The probable isomorphism between hallucinations and dreaming is postulated, analyzed and discussed.

摘要

大脑皮层活动在人的一生中持续存在,但在睡眠-觉醒周期的不同阶段(觉醒、非快速眼动睡眠和快速眼动睡眠)以及与可用信息相关的情况下会发生显著变化。特别是,对环境的感知与觉醒状态密切相关,而在睡眠期间,感知转向内部领域或内源性大脑活动。外部和内部信息相互排斥。在觉醒期间,一种神经元机制使注意力集中在环境上,而内源性皮层活动则被忽略。睡眠期间则发生相反的过程。外部注意力-内部注意力功能与觉醒和睡眠期间的两种脑功能模式相结合,提供了两种可能的皮层状态:思考和做梦。几种神经学过程可能会影响三种存在状态的表现,或者可能通过睡眠-觉醒周期改变它们的有序振荡。此外,内源性信息及其感知(梦境)可能会被改变。梦境障碍可能会在不同的一般临床场景中出现:无梦、多梦(史诗性梦境)、阵发性梦境(癫痫性)、噩梦、暴力梦境、白日梦(幻觉)和清醒梦。感觉剥夺以及内部感知的出现可能是幻觉的潜在机制。幻觉与梦境之间可能的同构关系被提出、分析和讨论。

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