Lucid dreams, an atypical sleep disturbance in anterior and mediodorsal thalamic strokes.
BACKGROUND
Cognitive, affective, and behavioural disturbances are commonly reported following thalamic strokes. Conversely, sleep disorders are rarely reported in this context.


METHODS
Herein, we report the cases of two young patients admitted for an ischemic stroke located in the territories of the left pre-mammillary and paramedian arteries. Together with aphasia, memory complaint, impaired attention and executive functions, they reported lucid dreams with catastrophic content or conflicting situations.


CONCLUSIONS
Lucid dreams are an atypical presentation in thalamic strokes. These cases enlarge the clinical spectrum of sleep-wake disturbances potentially observed after an acute cerebrovascular event.
Unité neurovasculaire, CHU de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux, France; Unité neurovasculaire, pôle de neurosciences cliniques, hôpital Pellegrin, université Bordeaux-Segalen, CHU de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux, France.
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Sagnier
Service d'explorations fonctionnelles du système nerveux, clinique du sommeil, CHU de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux, France.
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Coulon
Unité neurovasculaire, pôle de neurosciences cliniques, hôpital Pellegrin, université Bordeaux-Segalen, CHU de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux, France; Service d'explorations fonctionnelles du système nerveux, clinique du sommeil, CHU de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux, France.
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Chaufton
Unité neurovasculaire, CHU de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux, France.
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Poli
Unité neurovasculaire, CHU de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux, France.
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Debruxelles
Unité neurovasculaire, CHU de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux, France.
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Renou
Unité neurovasculaire, CHU de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux, France.
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Rouanet
Unité neurovasculaire, CHU de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux, France.
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Olindo
Unité neurovasculaire, CHU de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux, France; Unité neurovasculaire, pôle de neurosciences cliniques, hôpital Pellegrin, université Bordeaux-Segalen, CHU de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux, France. Electronic address: igor.sibon@chu-bordeaux.fr.
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Sibon
D000328:Adult; D001288:Attention; D002536:Cerebral Arteries / Q000473:pathology; D003072:Cognition Disorders / Q000209:etiology / Q000523:psychology; D038524:Diffusion Magnetic Resonance Imaging; D004325:Dreams / Q000523:psychology*; D056344:Executive Function; D005260:Female; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D012893:Sleep Wake Disorders / Q000209:etiology* / Q000473:pathology* / Q000523:psychology; D020521:Stroke / Q000150:complications* / Q000473:pathology* / Q000523:psychology; D013786:Thalamic Diseases / Q000503:physiopathology* / Q000523:psychology
Cortico-thalamo-limbic network; Infarctus thalamique; Lucid dreams; Réseau cortico-thalamo-limbique; Rêves lucides; Sleep-wake disturbances; Thalamic stroke; Troubles du cycle veille–sommeil