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Acceleration-Induced Loss of Consciousness, A Review of 500 Episodes
Arch Neurol 47:764-776, Whinnery,J.E.&Whinnery,A.M., 1990
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Article Abstract
Unconsciousness resulting from exposure to increased levels of head-to- foot(+Gz)acceleration stress(501 unconsciousness episodes)on a centrifuge in asymptomatic,healthy human subjects was investigated.Myoclonic convulsions were observed in approximately 70%of the unconsciousness episodes.The convulsions lasted 4 seconds and occurred following the return of CNS blood flow.The convulsions occurred after 8 seconds of unconsciousness and ended coincident with the return of consciousness.They occurred when the CNS insult was of greater magnitude.Memorable dreams occurred and were considered to occur during the terminal portion of the convulsion period.The dreams occurred with exposures having longer unconsciousness.The length of unconsciousness and incapacitation was affected by the wearing of an anti-G suit,with unconsciousness and incapacitation being reduced if the suit were worn.Performance of an Anti- G straining maneuver resulted in an increased length of incapacitation by allowing the subject to get to higher levels of+Gz-stress and to sustain a greater amount of acceleration exposure.The results of this 11-year study of human unconsciousness provide a quantitative kinetic description of the phenomenon in healthy humans that is completely documented on videotape. These results should be of interest to neuropsychophysiologists investigating unconsciousness,convulsive activity,and dream phenomenon. They also provide the basis for future research aimed at solving+Gz- induced loss-of-consciousness problems in fighter-aircraft aviation.
 
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acceleration-induced loss of consciousness
air travel
cerebral blood flow
confusion
myoclonic jerks
seizure
syncope

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