Total dream loss: a distinct neuropsychological dysfunction after bilateral PCA stroke.

Abstract:

:The term Charcot-Wilbrand syndrome (CWS) denotes dream loss following focal brain damage. We report the first case of CWS, in whom neuropsychological functions, extension of the underlying lesion, and sleep architecture changes were assessed. A 73-year-old woman reported a total dream loss after acute, bilateral occipital artery infarction (including the right inferior lingual gyrus), which lasted for over 3 months. In the absence of sleep-wake complaints and (other) neuropsychological deficits, polysomnography demonstrated an essentially normal sleep architecture with preservation of REM sleep. Dreaming was denied also after repeated awakenings from REM sleep. This observation suggests that CWS (1) can represent a distinct and isolated neuropsychological manifestation of deep occipital lobe damage, and (2) may occur in the absence of detectable REM sleep abnormalities.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Bischof M,Bassetti CL

doi

10.1002/ana.20246

keywords:

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

583-6

issue

4

eissn

0364-5134

issn

1531-8249

journal_volume

56

pub_type

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