[Total dream loss secondary to left temporo-occipital brain injury].

INTRODUCTION

Recently the case of a woman who reported cessation of dreaming after a bilateral PCA stroke but without REM sleep loss has been reported, suggesting that deep bilateral occipital lobe damage including the right inferior lingual gyrus may represent the "minimal lesion extension" necessary for dream loss.

CASE REPORT: We report the case of a 24-year-old man who ceased dreaming after a unilateral left temporo- occipital hematoma. The polysomnographic characteristics in rapid eyes movements (REM) sleep were otherwise normal.

CONCLUSION

Our patient demonstrates that a unilateral left temporo-occipital injury could be sufficient for losing dreams.