Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna and IRCCS delle Scienze Neurologiche, Bologna, Italy.
Sleep Med. 2013 Nov;14(11):1221-3. doi: 10.1016/j.sleep.2013.07.005. Epub 2013 Sep 8.
Sleep, sleepiness, and dreaming are expressed throughout Dante Alighieri's (1265-1321) the Divine Comedy from the start of his journey through the afterlife. In the book, Dante complains that he is "full of sleep," and he experiences sudden wake-dreaming transitions, short and refreshing naps, visions and hallucinations, unconscious behaviors, episodes of muscle weakness, and falls which are always triggered by strong emotions. Taken together these signs are highly reminiscent of narcolepsy, a term coined in 1880 by Gélineau to define a disease consisting of daytime irresistible sleep episodes with remarkable dream mentation, sleep paralysis, hallucinations, and cataplexy (falls triggered by strong emotions). Sleep, sleepiness, and episodes of sudden weakness triggered by emotions are Dante's literary fingerprints from his earliest works, pointing to a lifelong autobiographic trait. In the 19th century, Cesare Lombroso speculated that Dante had epilepsy, as he had suffered from frequent spells and hallucinations. However, the multiple emotionally triggered falls Dante experienced in the Divine Comedy contrast with the epileptic seizure he depicted in one of the damned individuals. It is possible that Dante may have intuitively grasped the main features of narcolepsy, but it also is plausible that Dante's sleep, dreams, hallucinations, and falls are clues to a lifelong pathologic trait and that Dante may have known of or had narcolepsy.
睡眠、困倦和做梦是贯穿但丁·阿利吉耶里(Dante Alighieri,1265-1321 年)的《神曲》的始终的主题。在书中,但丁抱怨自己“充满了睡意”,并经历了突然的清醒梦转变、短暂而提神的小睡、幻象和幻觉、无意识行为、肌肉无力发作以及总是由强烈情绪触发的跌倒。这些迹象使人联想到发作性睡病,这个术语是 1880 年由热里诺(Gélineau)创造的,用于定义一种疾病,其特征包括白天不可抗拒的睡眠发作、显著的梦境思维、睡眠瘫痪、幻觉和猝倒(强烈情绪触发的跌倒)。睡眠、困倦和由情绪引发的突然虚弱发作是但丁在其最早的作品中留下的文学印记,指向其终身的自传特征。19 世纪,切萨雷·隆布罗索(Cesare Lombroso)推测但丁患有癫痫,因为他经常发作和出现幻觉。然而,但丁在《神曲》中经历的多次由情绪触发的跌倒与他所描绘的一个被诅咒的个体中的癫痫发作形成了对比。但丁可能凭直觉掌握了发作性睡病的主要特征,但也有可能但丁的睡眠、梦境、幻觉和跌倒是其终身病理性特征的线索,而且但丁可能了解或患有发作性睡病。