A prospective controlled study on the impact of anterior temporal lobectomy on dream content

Author:

Joswig Holger1,Gui Chloe2,Arango Miguel3,Parrent Andrew G.4,MacDougall Keith W.4,Burneo Jorge G.456,Steven David A.45

Affiliation:

1. HMU Health and Medical University Potsdam, Ernst von Bergmann Hospital, Department of Neurosurgery, Potsdam, Germany;

2. Department of Surgery, Division of Neurosurgery, University of Toronto, Ontario; and

3. Departments of Anesthesia and Perioperative Medicine,

4. Clinical Neurological Sciences,

5. Epidemiology and Biostatistics, and

6. NeuroEpidemiology Unit, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada

Abstract

OBJECTIVE Changes of dream ability and content in patients with brain lesions have been addressed in only about 100 case reports. All of these reports lack data regarding prelesional baseline dream content. Therefore, it was the objective of this study to prospectively assess dream content before and after anterior temporal lobectomy. METHODS Using the Hall and Van de Castle system, 30 dreams before and 21 dreams after anterior temporal lobectomy for drug-resistant epilepsy were analyzed. Fifty-five dreams before and 60 dreams after stereoelectroencephalography served as controls. RESULTS After anterior temporal lobectomy, patients had significantly less physical aggression in their dreams than preoperatively (p < 0.01, Cohen’s h statistic). Dream content of patients undergoing stereoelectroencephalography showed no significant changes. CONCLUSIONS Within the default dream network, the temporal lobe may account for aggressive dream content. Impact of general anesthesia on dream content, as a possible confounder, was ruled out.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

Genetics,Animal Science and Zoology

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