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Relationship Between Epilepsy and Dreaming: Current Knowledge, Hypotheses, and Perspectives.

Aurélien De la Chapelle, Birgit Frauscher, Amandine Valomon, Perrine Marie Ruby, Laure Peter-Derex

Frontiers in Neuroscience 2021 DOI: 10.3389/fnins.2021.717078 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Population Patients with epilepsy
Topics Dreaming
Keywords Dream Emotion Epilepsy Memory Seizures Sleep
Key findings Dream recall is decreased and dream content is more negative and familiar in epilepsy patients, with seizure symptoms sometimes incorporated into dreams.

Abstract

The interactions between epilepsy and sleep are numerous and the impact of epilepsy on cognition is well documented. Epilepsy is therefore likely to influence dreaming as one sleep-related cognitive activity. The frequency of dream recall is indeed decreased in patients with epilepsy, especially in those with primary generalized seizures. The content of dreams is also disturbed in epilepsy patients, being more negative and with more familiar settings. While several confounding factors (anti-seizure medications, depression and anxiety disorders, cognitive impairment) may partly account for these changes, some observations suggest an effect of seizures themselves on dreams. Indeed, the incorporation of seizure symptoms in dream content has been described, concomitant or not with a focal epileptic discharge during sleep, suggesting that epilepsy might directly or indirectly interfere with dreaming. These observations, together with current knowledge on dream neurophysiology and the links between epilepsy and sleep, suggest that epilepsy may impact not only wake- but also sleep-related cognition.

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