On the Timing & Duration of Sleep | New York Times

Loud crash at 3 a.m.? It may be your exploding head | The Body Odd

Posted on Wednesday, February 17, 2010 3:24 PM PT

By Diane Mapes, contributor

Marie Raymond sometimes wakes up in the middle of the night, heart pounding, freaked out by the sound of her name being shouted loud and clear. Other times she’ll be awakened by the sound of a huge crash, as if someone has broken a window or knocked over a set of dishes. 

“The sound is terrifying — super loud, like someone has broken in,” says Raymond, a 38-year-old arts administrator from Seattle. “But when I get up to look around, nothing’s amiss and everything’s quiet.” After dealing with it off and on for the last several months, Raymond believes she may have exploding head syndrome. She hasn’t seen a doctor about it, but has done some research online.


As strange as the name sounds, exploding head syndrome is actually a rare and relatively undocumented sleep phenomenon. While sleeping or dozing, a person with the condition hears a terrifically loud sound in their head, such as a bomb exploding, a clash of cymbals or a gun going off.

“It’s usually described as a loud bang or pop that occurs in the first third of the night,” says Dr. Neil Kline, sleep physician and representative of the American Sleep Association in Wilmington, Del. “It’s a sensory phenomenon. The individual senses that some type of explosion has occurred nearby, but ultimately realizes it’s in their head. It’s not associated with pain or with any disorder that we know of and there are no physiological medical consequences that are associated with it.”

Thought to be brought on by anxiety or extreme fatigue and occurring in clusters during stressful periods, exploding head syndrome is not dangerous, according to the American Sleep Association Web site.

It can be disconcerting, though, stirring up images of a David Cronenberg movie. “Individuals can develop an aversion to falling asleep,” says Kline. “They’ll develop insomnia because they’re concerned by these occurrences. But they’re usually rare. I’ve never heard of it occurring regularly.”

First described in 1920 as a “snapping of the brain,” there is little to be found on the phenomenon in medical literature. Some patients experience a bright flash of light along with the loud explosion or crash, according to a 1989 study in the Journal of Neurology, Neurosurgery and Psychiatry that looked at 50 patients suffering from the syndrome. In almost every case there are physical aftereffects, such as “a sense of alarm, together with a cold sweat, labored breathing and tachycardia” (a rapid heart rate).

Or as Raymond puts it, you suddenly wake up “feeling like a character out of Poe.”

As for the explosions themselves, patients have described them as a shotgun blast, a thunderclap, a loud metallic noise, the clash of cymbals, a lightning strike or the sound of every door in the house slamming. Luckily, the crash, bang, or boom lasts only a few seconds and disappears as soon as the person awakens. Episodes, which are usually clustered over the course of a few days, will then disappear for months — or years — on end.

It’s unclear why stress would bring on a crashing sound in your head, although some have speculated that it may be the result of a movement of the middle ear component or of the eustachian tube.

J.M.S. Pearce, the British neurologist who coined the term, calls it a “mystery” requiring further study. He also felt the phenomenon was not as rare as some believe, perhaps due to people’s hesitancy to discuss it. “Many [patients] said they had been ashamed to mention it to their doctors or that their complaint had been greeted with incredulity if not frank disbelief,” he wrote in his 1989 study “Clinical features of the exploding head syndrome.”  “It is entirely benign, and I suspect quite common, but underreported.”

Exploding head syndrome is said to happen more often after the age of 50 (although there have been reports of it happening in children) and believed to be more common among women. Due to the rarity of the syndrome, though, it’s hard to establish any kind of parameters, says Kline.

“I’m not convinced there’s good data that describes the demographic of this phenomenon,” he says. “I’ve only had a few patients during my career who have described it and no one has ever asked to be treated for it.”

Since the phenomenon is often linked to stress, sleep experts suggest relaxation techniques  like exercise, reading before bedtime or yoga to help alleviate the episodes. According to studies, a few patients have also found relief by taking certain types of antidepressants. A 2001 study in the journal Current Pain and Headache Reports found “most sufferers require only reassurance that the spells are benign in nature.” 

But hearing a sudden loud banging in the middle of the night can be very frightening. “So if an individual is experiencing this and it’s disrupting their sleep or causing them anxiety, they should talk to their doctor about it,” Kline advises.

Despite the sensational name, there’s no danger that your head will actually blow apart.
“When most people hear of it, they visualize an individual’s head exploding,” says Kline That’s not what happens.”

 

Dreams as Anticipation for the State of Being Awake | NYTimes.com

A Dream Interpretation: Tuneups for the Brain

Published: November 9, 2009

It’s snowing heavily, and everyone in the backyard is in a swimsuit, at some kind of party: Mom, Dad, the high school principal, there’s even an ex-girlfriend. And is that Elvis, over by the piñata?


Lou Beach

Uh-oh.

Dreams are so rich and have such an authentic feeling that scientists have long assumed they must have a crucial psychological purpose. To Freud, dreaming provided a playground for the unconscious mind; to Jung, it was a stage where the psyche’s archetypes acted out primal themes. Newer theories hold that dreams help the brain to consolidate emotional memories or to work though current problems, like divorce and work frustrations.

Yet what if the primary purpose of dreaming isn’t psychological at all?

In a paper published last month in the journal Nature Reviews Neuroscience, Dr. J. Allan Hobson, a psychiatrist and longtime sleep researcher at Harvard, argues that the main function of rapid-eye-movement sleep, or REM, when most dreaming occurs, is physiological. The brain is warming its circuits, anticipating the sights and sounds and emotions of waking.

“It helps explain a lot of things, like why people forget so many dreams,” Dr. Hobson said in an interview. “It’s like jogging; the body doesn’t remember every step, but it knows it has exercised. It has been tuned up. It’s the same idea here: dreams are tuning the mind for conscious awareness.”

Drawing on work of his own and others, Dr. Hobson argues that dreaming is a parallel state of consciousness that is continually running but normally suppressed during waking. The idea is a prominent example of how neuroscience is altering assumptions about everyday (or every-night) brain functions.

“Most people who have studied dreams start out with some predetermined psychological ideas and try to make dreaming fit those,” said Dr. Mark Mahowald, a neurologist who is director of the sleep disorders program at Hennepin County Medical Center, in Minneapolis. “What I like about this new paper is that he doesn’t make any assumptions about what dreaming is doing.”

The paper has already stirred controversy and discussion among Freudians, therapists and other researchers, including neuroscientists. Dr. Rodolfo Llinás, a neurologist and physiologist at New York University, called Dr. Hobson’s reasoning impressive but said it was not the only physiological interpretation of dreams.

“I argue that dreaming is not a parallel state but that it is consciousness itself, in the absence of input from the senses,” said Dr. Llinás, who makes the case in the book “I of the Vortex: From Neurons to Self” (M.I.T., 2001). Once people are awake, he argued, their brain essentially revises its dream images to match what it sees, hears and feels — the dreams are “corrected” by the senses.

These novel ideas about dreaming are based partly on basic findings about REM sleep. In evolutionary terms, REM appears to be a recent development; it is detectable in humans and other warm-blooded mammals and birds. And studies suggest that REM makes its appearance very early in life — in the third trimester for humans, well before a developing child has experience or imagery to fill out a dream.

In studies, scientists have found evidence that REM activity helps the brain build neural connections, particularly in its visual areas. The developing fetus may be “seeing” something, in terms of brain activity, long before the eyes ever open — the developing brain drawing on innate, biological models of space and time, like an internal virtual-reality machine. Full-on dreams, in the usual sense of the word, come much later. Their content, in this view, is a kind of crude test run for what the coming day may hold.

None of this is to say that dreams are devoid of meaning. Anyone who can remember a vivid dream knows that at times the strange nighttime scenes reflect real hopes and anxieties: the young teacher who finds himself naked at the lectern; the new mother in front of an empty crib, frantic in her imagined loss.

But people can read almost anything into the dreams that they remember, and they do exactly that. In a recent study of more than 1,000 people, researchers at Carnegie Mellon University and Harvard found strong biases in the interpretations of dreams. For instance, the participants tended to attach more significance to a negative dream if it was about someone they disliked, and more to a positive dream if it was about a friend.

In fact, research suggests that only about 20 percent of dreams contain people or places that the dreamer has encountered. Most images appear to be unique to a single dream.

Scientists know this because some people have the ability to watch their own dreams as observers, without waking up. This state of consciousness, called lucid dreaming, is itself something a mystery — and a staple of New Age and ancient mystics. But it is a real phenomenon, one in which Dr. Hobson finds strong support for his argument for dreams as a physiological warm-up before waking.

In dozens of studies, researchers have brought people into the laboratory and trained them to dream lucidly. They do this with a variety of techniques, including auto-suggestion as head meets pillow (“I will be aware when I dream; I will observe”) and teaching telltale signs of dreaming (the light switches don’t work; levitation is possible; it is often impossible to scream).

Lucid dreaming occurs during a mixed state of consciousness, sleep researchers say — a heavy dose of REM with a sprinkling of waking awareness. “This is just one kind of mixed state, but there are whole variety of them,” Dr. Mahowald said. Sleepwalking and night terrors, he said, represent mixtures of muscle activation and non-REM sleep. Attacks of narcolepsy reflect an infringement of REM on normal daytime alertness.

In study published in September in the journal Sleep, Ursula Voss of J. W. von_goethe/index.html?inline=nyt-per" title="More articles about Johann Wolfgang von Goethe.">Goethe-University in Frankfurt led a team that analyzed brain waves during REM sleep, waking and lucid dreaming. It found that lucid dreaming had elements of REM and of waking — most notably in the frontal areas of the brain, which are quiet during normal dreaming. Dr. Hobson was a co-author on the paper.

“You are seeing this split brain in action,” he said. “This tells me that there are these two systems, and that in fact they can be running at the same time.”

Researchers have a way to go before they can confirm or fill out this working hypothesis. But the payoffs could extend beyond a deeper understanding of the sleeping brain. People who struggle with schizophrenia suffer delusions of unknown origin. Dr. Hobson suggests that these flights of imagination may be related to an abnormal activation of a dreaming consciousness. “Let the dreamer awake, and you will see psychosis,” Jung said.

For everyone else, the idea of dreams as a kind of sound check for the brain may bring some comfort, as well. That ominous dream of people gathered on the lawn for some strange party? Probably meaningless.

No reason to scream, even if it were possible.

 

In Defense of a Good Night's Sleep | Psychology Today

It's so tempting to cut back on sleep when you can't figure out how to make it all fit. Many of us have an irregular sleep cycle, staying up and sleeping in some days, and trying to rise before the first respectable glimmer of dawn the next day.

But a new study presented at the 2009 meeting of the Society for Neuroscience shows how disrupting your sleep cycle can interfere with your health and cognitive function. (1) Researchers from Rockefeller University disrupted the circadian rhythms of mice by exposing them to 10 hours of light followed by 10 hours of darkness. After two months of this, the mice were in need of more than a little nap. They had difficulty learning. They were more impulsive. And they got fat, thanks in part to changes in appetite hormones and metabolism.

These changes all reflect a problem with one thing: self-regulation. Even at the most basic task of homeostasis-maintaining normal body temperature-these mice were messed up. One reason why: The researchers found changes in the animals' medial prefrontal cortex, the area of the brain most important for self-control. This area of the brain is especially sensitive to disruptions in sleep and diet.

This isn't the first study to show that interrupting natural sleep cycles is harmful. A previous study (whose mouse participants were even more unfortunate) found that chronic jet lag can be fatal. (2) Uh, yikes. Suddenly my frequent flier miles are looking less appealing. Another study, this time with hamsters in the unfortunate role of the sleep-disrupted, found that altering natural circadian rhythms results in systemic organ disease. (3)

Plenty of other studies have found that the more common sleep problem-not enough-interferes with stress management, emotion regulation, learning, and willpower.

In my Science of Willpower course at Stanford University, I make a strong case for sleep as the most powerful resource for greater self-control and better performance at whatever matters most to you. A recent article in the New York Times reported on a study from Stanford showing that sleeping 10 hours a night improved the performance of athletes. The interesting thing about this study was how great everyone felt sleeping 10 hours a day-as if they had never known what their actual potential was when they were sleep-deprived.

Getting enough sleep, on a regular cycle, may make us a better version of ourselves. And even though my greatest wish is usually more time in the day, I'd rather feel good and perform well than get to be a crankier, impulsive, sick version of myself for a few extra hours a day.

Studies Cited:
1. Society for Neuroscience presentation (October 28 2009). Disruption of circadian rhythms affects both brain and body, mouse study finds. ScienceDaily. Retrieved October 28, 2009, from http://www.sciencedaily.com¬ /releases/2009/10/091026225744.htm.
2. Davidson, A.J., et al. (2006). Chronic jet-lag increases mortality in aged mice. Current Biology, 16 (21), R914-R916.
3. Martino, T.A. (2008). Circadian rhythm disorganization produces profound cardiovascular and renal disease in hamsters. Am J Physiol Regul Integr Comp Physiol, 294(5):R1675-83.

 

Cheese, dreams and drugs | Mind Hacks

Cheese, dreams and drugs:

A common belief says that eating cheese causes vivid dreams or nightmares. However, I couldn't find any support for the idea in the scientific literature except for one bizarre case study.

Although the case report really tells us nothing about the link between cheese and dreaming, it's lovely to read because it's from a bygone day where doctors could write into medical journals with their strange and idiosyncratic observations.

From a 1964 edition of the British Medical Journal:

I have lately seen a patient with moderate essential hypertension who because of various side-effects with other drugs was changed to pargyline, 25 mg every morning; this gave satisfactory control and within a fortnight the patient volunteered that he felt much less depressed, but was having nightmares.

Inquiry produced the fact that he habitually ate one or two ounces (30-60 g) of Cheddar cheese with his supper every evening. The nightmares were of a horrifying nature, and curiously they were concerned not with his immediate family or friends but with people such as his workmates, with whom he was not in any particular emotional relationship. He dreamt of one, terribly mutilated, hanging from a meat-hook. Another he dreamt of falling into a bottomless abyss. When cheese was withdrawn from his diet the nightmares ceased.

I am, etc. J. CHARLES SHEE, Bulawayo, S. Rhodesia.

The mentioned drug, pargyline, as well as being used for hypertension is in the same class of drugs more commonly used as antidepressants.

These are monoamine oxidase B inhibitors (MAOIs) which prevent the breakdown of the monoamine neurotransmitters serotonin, epinephrine and norepinephrine. However, they also prevent the breakdown of the chemical tyramine which occurs naturally in some foods, such as cheese, some soy bean products, processed meats and some fruit and nuts.

A build up of tyramine can cause an increase in blood pressure which can cause headaches, heart problems and increases the chance of stroke (blood vessel blockage or bleeds in the brain). Hence, people taking MAOI antidepressants have to avoid foods high in tyramine to prevent these potentially lethal side-effects.

Interestingly, the fact that the UK Prime Minister, Gordon Brown, was apparently avoiding similar foods led to internet rumours that he was on these antidepressants, which caused a media flap when the BBC questioned him about his mental health and use of "pills" to "get through".


Link to PubMed entry for case study with full text option.

Lucky Mutants Need Less Sleep