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Sleep and dreams: A clinical neurological perspective 

Sleep and dreams: A clinical neurological perspective
Chapter:
Sleep and dreams: A clinical neurological perspective
Author(s):

Mark Solms

DOI:
10.1093/med/9780199682003.003.0034
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date: 23 February 2020

Despite the minimal attention that physicians typically pay to dreams, the assessment of dreaming can be of diagnostic interest and have management implications. This chapter reviews the world literature on dream abnormalities of clinical neurological significance, starting with the classical concept of the Charcot–Wilbrand syndrome (anoneira). This and the other recognized disorders are broadly classified here under headings of “deficits” and “excesses” of dreaming. Also reviewed are major trends in the neuroimaging and neurophysiological literature regarding dreams and their relationship to REM sleep. Lastly, the chapter reviews the putative role of microarousals and controversies regarding dopamine and acetylcholine in the generation of dreams.

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