1HMU Health and Medical University Potsdam, Ernst von Bergmann Hospital, Department of Neurosurgery, Potsdam, Germany.
2Department of Surgery, Division of Neurosurgery, University of Toronto, Ontario; and.
J Neurosurg. 2021 Sep 10;136(3):717-725. doi: 10.3171/2021.3.JNS21164. Print 2022 Mar 1.
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.
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.
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.
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.
关于脑损伤患者的梦境能力和内容的变化，仅在大约 100 份病例报告中有所提及。所有这些报告都缺乏关于术前基线梦境内容的数据。因此，本研究的目的是前瞻性评估前颞叶切除术前后的梦境内容。
使用 Hall 和 Van de Castle 系统，分析了 30 例药物难治性癫痫患者前颞叶切除术前后的 21 个梦境，以及 55 例立体脑电图前的 60 个梦境作为对照。
与术前相比，前颞叶切除术后患者的梦境中身体攻击行为明显减少（p<0.01，Cohen's h 统计量）。接受立体脑电图检查的患者的梦境内容没有明显变化。
在默认的梦境网络中，颞叶可能与攻击性行为的梦境内容有关。全麻对梦境内容的影响（可能的混杂因素）已被排除。
