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Published in: Neurocritical Care 2/2019

01-10-2019 | Neurocritical Care Through History

The Ascending Reticular Activating System

Author: Eelco F. M. Wijdicks

Published in: Neurocritical Care | Issue 2/2019

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Abstract

Discovery of the ascending reticular activating system (ARAS) can be attributed to work done in research neuroscientist Horace Magoun’s laboratory. Before this finding, most scientists would focus on the diencephalon (and anterior midbrain) but not more caudally. Stimulation of the medial bulbar reticular formation in the pontine and midbrain tegmentum resulted disappearance of synchronized discharge and low-voltage fast activity. The effects were mediated by a thalamic projection system. This finding was a dramatic departure from the early philosophers’ ascription of the awake soul to the ventricles (Galen), lumbosacral cord (Plato), pineal gland (Descartes), and even from more modern nineteenth- and twentieth-century hypotheses that the corpus striatum or periaqueductal gray matter housed the “seat of awareness.” Magoun and his collaborators closed in on its true location in the cephalic brainstem—clinicians and neuropathologists would soon follow.
Literature
1.
go back to reference Head H, Holmes G. Sensory disturbances from cerebral lesions. Brain. 1911;34(2–3):102–254.CrossRef Head H, Holmes G. Sensory disturbances from cerebral lesions. Brain. 1911;34(2–3):102–254.CrossRef
2.
go back to reference Bremer F. Cerveau isole et physiologie du sommeil C. R Soc Biol (Paris). 1935;118:1235–41. Bremer F. Cerveau isole et physiologie du sommeil C. R Soc Biol (Paris). 1935;118:1235–41.
3.
go back to reference von Economo K. Encephalitis lethargica. Wien Klin Wochenschr. 1917;30:581–5. von Economo K. Encephalitis lethargica. Wien Klin Wochenschr. 1917;30:581–5.
4.
go back to reference Magoun HW. The waking brain. 1st ed. Springfield: Charles C. Thomas; 1958. p. 119.CrossRef Magoun HW. The waking brain. 1st ed. Springfield: Charles C. Thomas; 1958. p. 119.CrossRef
5.
go back to reference Dandy WE. The location of the conscious center in the brain; the corpus striatum. Bull Johns Hopkins Hosp. 1946;79:34–58.PubMed Dandy WE. The location of the conscious center in the brain; the corpus striatum. Bull Johns Hopkins Hosp. 1946;79:34–58.PubMed
6.
go back to reference Bailey P, Davis EW. Effects of lesions of the periaqueductal gray matter in the cat. Proc Soc Exp Biol Med. 1942;51:305–6.CrossRef Bailey P, Davis EW. Effects of lesions of the periaqueductal gray matter in the cat. Proc Soc Exp Biol Med. 1942;51:305–6.CrossRef
7.
go back to reference Sherrington CS. Decerebrate rigidity, and reflex coordination of movements. J Physiol. 1898;22(4):319–32.CrossRef Sherrington CS. Decerebrate rigidity, and reflex coordination of movements. J Physiol. 1898;22(4):319–32.CrossRef
8.
go back to reference Berger H. Ueber das Elektroenkephalogramm des Menschen. Arch Psych Nervenkrankh. 1929;87(1):527–70.CrossRef Berger H. Ueber das Elektroenkephalogramm des Menschen. Arch Psych Nervenkrankh. 1929;87(1):527–70.CrossRef
9.
go back to reference Bremer F. Nouvelles recherches sur le mécanisme du sommeil. Bull Acad R Med Belg. 1936;2:68–86. Bremer F. Nouvelles recherches sur le mécanisme du sommeil. Bull Acad R Med Belg. 1936;2:68–86.
10.
go back to reference French JD, Magoun HW. Effects of chronic lesions in central cephalic brain stem of monkeys. AMA Arch Neurol Psychiatry. 1952;68(5):591–604.CrossRef French JD, Magoun HW. Effects of chronic lesions in central cephalic brain stem of monkeys. AMA Arch Neurol Psychiatry. 1952;68(5):591–604.CrossRef
11.
go back to reference Segundo JP, Arana R, French JD. Behavioral arousal by stimulation of the brain in the monkey. J Neurosurg. 1955;12(6):601–13.CrossRef Segundo JP, Arana R, French JD. Behavioral arousal by stimulation of the brain in the monkey. J Neurosurg. 1955;12(6):601–13.CrossRef
12.
go back to reference Moruzzi G, Magoun HW. Brain stem reticular formation and activation of the EEG. Electroencephalogr Clin Neurophysiol. 1949;1(4):455–73.CrossRef Moruzzi G, Magoun HW. Brain stem reticular formation and activation of the EEG. Electroencephalogr Clin Neurophysiol. 1949;1(4):455–73.CrossRef
13.
go back to reference Marshall LH, Magoun HW. Neuroscience history in words and pictures discoveries in the human brain: neuroscience prehistory, brain structure, and function. Totowa: Humana Press; 1998.CrossRef Marshall LH, Magoun HW. Neuroscience history in words and pictures discoveries in the human brain: neuroscience prehistory, brain structure, and function. Totowa: Humana Press; 1998.CrossRef
14.
go back to reference Starzl TE, Taylor CW, Magoun HW. Collateral afferent excitation of reticular formation of brain stem. J Neurophysiol. 1951;14(6):479–96.CrossRef Starzl TE, Taylor CW, Magoun HW. Collateral afferent excitation of reticular formation of brain stem. J Neurophysiol. 1951;14(6):479–96.CrossRef
15.
go back to reference Edlow BL, Haynes RL, Takahashi E, et al. Disconnection of the ascending arousal system in traumatic coma. J Neuropathol Exp Neurol. 2013;72(6):505–23.CrossRef Edlow BL, Haynes RL, Takahashi E, et al. Disconnection of the ascending arousal system in traumatic coma. J Neuropathol Exp Neurol. 2013;72(6):505–23.CrossRef
16.
go back to reference Edlow BL, Takahashi E, Wu O, et al. Neuroanatomic connectivity of the human ascending arousal system critical to consciousness and its disorders. J Neuropathol Exp Neurol. 2012;71(6):531–46.CrossRef Edlow BL, Takahashi E, Wu O, et al. Neuroanatomic connectivity of the human ascending arousal system critical to consciousness and its disorders. J Neuropathol Exp Neurol. 2012;71(6):531–46.CrossRef
17.
go back to reference Saper CB, Fuller PM. Wake-sleep circuitry: an overview. Curr Opin Neurobiol. 2017;44:186–92.CrossRef Saper CB, Fuller PM. Wake-sleep circuitry: an overview. Curr Opin Neurobiol. 2017;44:186–92.CrossRef
Metadata
Title
The Ascending Reticular Activating System
Author
Eelco F. M. Wijdicks
Publication date
01-10-2019
Publisher
Springer US
Published in
Neurocritical Care / Issue 2/2019
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-019-00687-7

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