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June 1967

Body Image Alterations During Seizures and Dreams of Epileptics

Author Affiliations

New Orleans
From the Department of Psychiatry and Neurology, Tulane University School of Medicine, New Orleans.

Arch Neurol. 1967;16(6):613-619. doi:10.1001/archneur.1967.00470240051006

Previous communications1,2 demonstrated the relationship, at times the identity, of recurrent dreams and seizures in some patients with temporal lobe epilepsy. Further exploration of this relationship should help clarify the cerebral bases of dreaming.

Two additional patients with epilepsy and recurrent dreams, assumed on clinical grounds to arise from the temporal or temporoparietal area, provide the data for the present paper. In both, the content of recurrent dreams and of some seizures, involve alterations in body image and position. The cases are presented with particular emphasis on the role of the epileptic process in shaping the content of the dreams. Of the two patients, the first was seen at regular intervals (56 one-hour interviews) over a five-year period; the second, for only several interviews, and her hospital chart reviewed.

Report of Cases  CASE 1.—A woman, 41 years of age, has had seizures since infancy. The seizures at first were

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