Lindsley D B, Bowden J W, Magoun H W
Electroencephalogr Clin Neurophysiol. 1949 Nov;1(4):475-86.
The effect upon the EEG in the unanesthetized "ecéphale isolé" of acute brain stem lesions in a position to involve the ascending reticular activating system has been studied. Elimination of the bulbar segment was without marked effect. Some synchronization followed elimination of the pons, but the most pronounced and prolonged changes occurred as a result of mesencephalic transection, or of discrete injury to the midbrain tegmentum or basal diencephalon, following which the EEG activation pattern of low voltage fast activity was reduced or abolished and the cortical record became dominated by recurring bursts or spindles of high voltage slow waves like those of normal sleep or barbiturate anesthesia. Bursts could be recorded from the intralaminar and other nuclei of the thalamus and these thalamic bursts were abolished by acute decortication. Conversely, cortical bursts were abolished by acute thalamic lesions. Possible interrelations of these regions in this activity is discussed. These results offer an explanation for the clinical observation of somnolence following basal injury to the brain, and suggest that a maintained influence of the ascending brain stem activating system underlies wakefulness, while absence of this influence precipitates sleep.
研究了在未麻醉的“孤立脑”中,急性脑干病变累及上行网状激活系统时对脑电图(EEG)的影响。切除延髓部分无明显影响。切除脑桥后出现了一些同步化现象,但最显著和持久的变化是由于中脑横断,或中脑被盖或基底间脑的离散损伤所致,此后,低电压快活动的EEG激活模式减弱或消失,皮层记录被反复出现的高电压慢波爆发或纺锤波所主导,类似于正常睡眠或巴比妥类麻醉时的情况。可从丘脑板内核和其他核记录到爆发,急性去皮质后这些丘脑爆发消失。相反,急性丘脑损伤可消除皮层爆发。讨论了这些区域在这种活动中可能的相互关系。这些结果为脑底部损伤后嗜睡的临床观察提供了解释,并表明脑干上行激活系统的持续影响是清醒的基础,而这种影响的缺失会导致睡眠。