摘要
The term Charcot Wilbrand syndrome (CWS) denotes dream loss following focal b rain damage. We report the first case of CWS, in whom neuropsychological functio ns, extension of the underlying lesion, and sleep architecture changes were asse ssed. A 73 year old woman reported a total dream loss after acute, bilateral o ccipital artery infarction (including the right inferior lingual gyrus), which l asted for over 3 months. In the absence of sleep wake complaints and (other) ne uropsychological deficits, polysomnography demonstrated an essentially normal sl eep architecture with preservation of REM sleep. Dreaming was denied also after repeated awakenings from REM sleep. This observation suggests that CWS (1) can r epresent a distinct and isolated neuropsychological manifestation of deep occipi tal lobe damage, and (2) may occur in the absence of detectable REM sleep abnorm alities.
The term Charcot Wilbrand syndrome (CWS) denotes dream loss following focal b rain damage. We report the first case of CWS, in whom neuropsychological functio ns, extension of the underlying lesion, and sleep architecture changes were asse ssed. A 73 year old woman reported a total dream loss after acute, bilateral o ccipital artery infarction (including the right inferior lingual gyrus), which l asted for over 3 months. In the absence of sleep wake complaints and (other) ne uropsychological deficits, polysomnography demonstrated an essentially normal sl eep architecture with preservation of REM sleep. Dreaming was denied also after repeated awakenings from REM sleep. This observation suggests that CWS (1) can r epresent a distinct and isolated neuropsychological manifestation of deep occipi tal lobe damage, and (2) may occur in the absence of detectable REM sleep abnorm alities.
