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Aitken CBA, Jentzsch I, O'Connor AR. Towards a conflict account of déjà vu: The role of memory errors and memory expectation conflict in the experience of déjà vu. Neurosci Biobehav Rev 2023; 155:105467. [PMID: 37979736 DOI: 10.1016/j.neubiorev.2023.105467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 10/22/2023] [Accepted: 11/13/2023] [Indexed: 11/20/2023]
Abstract
Déjà vu can be defined as conflict between a subjective evaluation of familiarity and a concurrent evaluation of novelty. Accounts of the déjà vu experience have not explicitly referred to a "conflict account of déjà vu" despite the acceptance of conflict-based definitions of déjà vu and relatively recent neuroimaging work that has implicated brain areas associated with conflict as underpinning the experience. Conflict monitoring functioning follows a similar age-related trajectory to déjà vu with a peak in young adulthood and a subsequent age-related decline. In this narrative review of the literature to date, we consider how déjà vu is defined and how this has influenced the understanding of déjà vu. We also review how déjà vu can be understood within theories of recognition memory and cognitive control. Finally, we summarise the conflict account of déjà vu and propose that this account of the experience may provide a coherent explanation as to why déjà vu experiences tend to decrease with age in the non-clinical population.
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Affiliation(s)
- Courtney B A Aitken
- School of Psychology & Neuroscience, University of St Andrews, United Kingdom.
| | - Ines Jentzsch
- School of Psychology & Neuroscience, University of St Andrews, United Kingdom
| | - Akira R O'Connor
- School of Psychology & Neuroscience, University of St Andrews, United Kingdom
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2
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Zorns S, Sierzputowski C, Pardillo M, Keenan JP. Oh it's me again: Déjà vu, the brain, and self-awareness. Behav Brain Sci 2023; 46:e383. [PMID: 37961797 DOI: 10.1017/s0140525x23000201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2023]
Abstract
Déjà vu and involuntary autobiographical memories (IAMs) are differentiated by a number of factors including metacognition. In contrast to IAMs, déjà vu activates regions associated with self-awareness including the right dorsolateral prefrontal cortex.
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Affiliation(s)
- Samantha Zorns
- Cognitive Neuroimaging Laboratory, Montclair State University, Montclair, NJ, USA www.cognitiveneuroimaginglab.com
| | - Claudia Sierzputowski
- Cognitive Neuroimaging Laboratory, Montclair State University, Montclair, NJ, USA www.cognitiveneuroimaginglab.com
| | - Matthew Pardillo
- Cognitive Neuroimaging Laboratory, Montclair State University, Montclair, NJ, USA www.cognitiveneuroimaginglab.com
| | - Julian Paul Keenan
- Cognitive Neuroimaging Laboratory, Montclair State University, Montclair, NJ, USA www.cognitiveneuroimaginglab.com
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3
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Ovalle Torres CS, Efe IE, Ramirez MDJE, Diaz Juarez E, Ruano Calderon A, Nurmukhametov R, Campero A, Ramirez Pena IJ, Montemurro N. Surgical Management of Temporal Lobe Epilepsy Secondary to Epidermoid Cysts: A Case Report With Review of the Literature. Cureus 2023; 15:e45360. [PMID: 37849566 PMCID: PMC10577610 DOI: 10.7759/cureus.45360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2023] [Indexed: 10/19/2023] Open
Abstract
Epidermoid cysts represent roughly 1% of all intracranial tumors. They are frequently located in the cerebellopontine angle but rarely extend to the supratentorial brain. Epilepsy is an extremely uncommon manifestation of this neoplasm. We suggest the surgical management of a 35-year-old male who presented with a six-month history of intractable temporal lobe epilepsy. His seizures were characterized by a focal onset in the form of déjà vu experiences, followed by a secondarily generalized tonic-clonic seizure. Imaging revealed a heterogeneous cystic mass in the right cerebellopontine angle, extending supratentorially causing a mass effect on the mesial temporal region. Gross total resection was achieved through a combined subtemporal-retrosigmoid approach. Histopathology revealed an epidermoid cyst. The patient was entirely seizure-free at the three-month follow-up. Epidermoid cysts may present with epileptic seizures. Seizure freedom can be achieved with surgical management in most cases. The patient's symptoms, imaging findings, and epileptogenic focus must be considered to select the appropriate surgical strategy.
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Affiliation(s)
| | - Ibrahim E Efe
- Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, DEU
| | | | | | | | | | - Alvaro Campero
- Neurosurgery, Hospital Ángel C. Padilla, San Miguel de Tucumán, ARG
| | | | - Nicola Montemurro
- Neurosurgery, Azienda Ospedaliero Universitaria Pisana (AOUP), Pisa, ITA
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4
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Zhang X, Breen N, Parratt K. Déjà vécu with recollective confabulation: an unusual presentation of Alzheimer's disease. BMJ Case Rep 2023; 16:e255411. [PMID: 37192782 PMCID: PMC10193085 DOI: 10.1136/bcr-2023-255411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/18/2023] Open
Abstract
A man in his 80s presented with gradual onset of a persistent and delusion-like perception that novel encounters are repetitions of previous experiences. Within 2 years of symptom onset, he had impaired verbal memory and executive dysfunction on neuropsychological assessment. Cerebrospinal fluid core Alzheimer's disease (AD) biomarkers analysis supported probable AD. Generalised and left temporal atrophy was seen on MRI of the brain. Neurological fludeoxyglucose-positron emission tomography (PET)/CT showed left temporal and bilateral frontal lobe hypometabolism. His presenting symptom is known as déjà vécu with recollective confabulation, a rare phenomenon associated with AD and other neurodegenerative disorders. While several potential mechanisms have been previously proposed, the fludeoxyglucose-PET/CT hypometabolism in the temporal and frontal lobes in this case suggests dual deficits in recognition memory and metacognition may be culprit mechanisms. Although uncommon, déjà vécu with recollective confabulation is a fascinating phenomenon that can provide a unique insight into memory and delusional processes in dementia.
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Affiliation(s)
- Xin Zhang
- Department of Neurology, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
- National Hospital of Neurology and Neurosurgery, University College London Hospitals, London, UK
| | - Nora Breen
- Macquarie University Hospital, Macquarie University, Sydney, New South Wales, Australia
| | - Kaitlyn Parratt
- Department of Neurology, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
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5
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Neisser J, Abreu G, Drane DL, Pedersen NP, Parsons TD, Cleary AM. Opening a conceptual space for metamemory experience. NEW IDEAS IN PSYCHOLOGY 2023; 69:100995. [PMID: 38223256 PMCID: PMC10786624 DOI: 10.1016/j.newideapsych.2022.100995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The experiences associated with remembering, including metamemory feelings about the act of remembering and attempts at remembering, are not often integrated into general accounts of memory. For example, David Rubin (2022) proposes a unified, three-dimensional conceptual space for mapping memory states, a map that does not systematically specify metamemory feelings. Drawing on Rubin's model, we define a distinct role for metamemory in relation to first-order memory content. We propose a fourth dimension for the model and support the proposal with conceptual, neurocognitive, and clinical lines of reasoning. We use the modified model to illustrate several cases, and show how it helps to conceptualize a new category of memory state: autonoetic knowing, exemplified by déjà vu. We also caution not to assume that memory experience is directly correlated with or caused by memory content, an assumption Tulving (1989) labeled the doctrine of concordance.
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Affiliation(s)
- Joseph Neisser
- Department of Philosophy, Grinnell College, 1120 Park St, Grinnell, IA, 50112, USA
| | - George Abreu
- Department of Philosophy, Grinnell College, 1120 Park St, Grinnell, IA, 50112, USA
| | - Daniel L Drane
- Department of Neurology, Emory University, 101 Woodruff Circle, Atlanta, GA, 30322, USA
- Department of Neurology, University of Washington School of Medicine, Seattle, WA, 98105, USA
| | - Nigel P Pedersen
- Department of Pediatrics, Emory University, 101 Woodruff Circle, Atlanta, GA, 30322, USA
- Department of Biomedical Engineering, The Georgia Institute of Technology, Atlanta, GA, 30332, USA
| | - Thomas D Parsons
- Simulation Science & Immersive Technology, Arizona State University, Tempe, AZ, 85281, USA
| | - Anne M Cleary
- Department of Psychology, Colorado State University, Fort Collins, CO, 80525, USA
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6
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Perrin D, Moulin CJ, Sant’Anna A. Déjà vécu is not déjà vu: An ability view. PHILOSOPHICAL PSYCHOLOGY 2023. [DOI: 10.1080/09515089.2022.2161357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Affiliation(s)
- Denis Perrin
- Centre for Philosophy of Memory, Institut de Philosophie de Grenoble, Université Grenoble Alpes, Grenoble, France
| | - Chris J.A. Moulin
- Laboratoire de Psychologie et NeuroCognition, Université Grenoble Alpes, Grenoble, France
| | - André Sant’Anna
- Department of Philosophy and Philosophy-Neuroscience-Psychology Program, Washington University in Saint-Louis, Saint Louis, MO, USA
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7
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Barzykowski K, Moulin CJA. Are involuntary autobiographical memory and déjà vu natural products of memory retrieval? Behav Brain Sci 2022; 46:e356. [PMID: 36111499 DOI: 10.1017/s0140525x22002035] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Involuntary autobiographical memories (IAMs) and déjà vu are phenomena that occur spontaneously in daily life. IAMs are recollections of the personal past, whereas déjà vu is defined as an experience in which the person feels familiarity at the same time as knowing that the familiarity is false. We present and discuss the idea that both IAMs and déjà vu can be explained as natural phenomena resulting from memory processing and, importantly, are both based on the same memory retrieval processes. Briefly, we hypothesise that both can be described as "involuntary" or spontaneous cognitions, where IAMs deliver content and déjà vu delivers only the feeling of retrieval. We map out the similarities and differences between the two, making a theoretical and neuroscientific account for their integration into models of memory retrieval and how the autobiographical memory literature can explain these quirks of daily life and unusual but meaningful phenomena. We explain the emergence of the déjà vu phenomenon by relating it to well-known mechanisms of autobiographical memory retrieval, concluding that IAMs and déjà vu lie on a continuum.
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Affiliation(s)
- Krystian Barzykowski
- Applied Memory Research Laboratory, Institute of Psychology, Faculty of Philosophy, Jagiellonian University, Kraków, Poland
| | - Chris J A Moulin
- Laboratoire de Psychologie et Neurocognition, Université Grenoble Alpes, Grenoble, France
- Institut Universitaire de France
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8
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Frankle L. Entropy, Amnesia, and Abnormal Déjà Experiences. Front Psychol 2022; 13:794683. [PMID: 35967717 PMCID: PMC9364811 DOI: 10.3389/fpsyg.2022.794683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Accepted: 05/30/2022] [Indexed: 11/13/2022] Open
Abstract
Previous research has contrasted fleeting erroneous experiences of familiarity with equally convincing, and often more stubborn erroneous experiences of remembering. While a subset of the former category may present as nonpathological “déjà vu,” the latter, termed “déjà vécu” can categorize a delusion-like confabulatory phenomenon first described in elderly dementia patients. Leading explanations for this experience include the dual process view, in which erroneous familiarity and erroneous recollection are elicited by inappropriate activation of the parahippocampal cortex and the hippocampus, respectively, and the more popular encoding-as-retrieval explanation in which normal memory encoding processes are falsely flagged and interpreted as memory retrieval. This paper presents a novel understanding of this recollective confabulation that builds on the encoding-as-retrieval hypothesis but more adequately accounts for the co-occurrence of persistent déjà vécu with both perceptual novelty and memory impairment, the latter of which occurs not only in progressive dementia but also in transient epileptic amnesia (TEA) and psychosis. It makes use of the growing interdisciplinary understanding of the fluidity of time and posits that the functioning of memory and the perception of novelty, long known to influence the subjective experience of time, may have a more fundamental effect on the flow of time.
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9
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Zatloukalova E, Mikl M, Shaw DJ, Marecek R, Sakalosova L, Kuratkova M, Mitterova K, Sklenarova B, Brazdil M. Insights into déjà vu: Associations between the frequency of experience and amplitudes of low-frequency oscillations in resting-state functional magnetic resonance imaging. Eur J Neurosci 2021; 55:426-437. [PMID: 34907615 DOI: 10.1111/ejn.15570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Revised: 10/31/2021] [Accepted: 11/30/2021] [Indexed: 11/28/2022]
Abstract
The phenomenon of déjà vu (DV) has intrigued scientists for decades, yet its neurophysiological underpinnings remain elusive. Brain regions have been identified in which morphometry differs between healthy individuals according to the frequency of their DV experiences. This study built upon these findings by assessing if and how neural activity in these and other brain regions also differ with respect to DV experience. Resting-state fMRI was performed on 68 healthy volunteers, 44 of whom reported DV experiences (DV group) and 24 who did not (NDV group). Using multivariate analyses, we then assessed the (fractional) amplitude of low-frequency fluctuations (fALFF/ALFF), a metric that is believed to index brain tissue excitability, for five discrete frequency bands within sets of brain regions implicated in DV and those comprising the default mode network (DMN). Analyses revealed significantly lower values of fALFF/ALFF for specific frequency bands in the DV relative to the NDV group, particularly within mesiotemporal structures, bilateral putamina, right caudatum, bilateral superior frontal cortices, left lateral parietal cortex, dorsal and ventral medial prefrontal cortex, and the posterior cingulate cortex. The pattern of differences in fALFF/ALFF measures between the brains of individuals who have experienced DV and those who have not provides new neurophysiological insights into this phenomenon, including the potential role of the DMN. We suggest that the erroneous feeling of familiarity arises from a temporary disruption of cortico-subcortical circuitry together with the upregulation of cortical excitability.
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Affiliation(s)
- Eva Zatloukalova
- Brno Epilepsy Center, 1st Department of Neurology, St Anne's University Hospital and Faculty of Medicine, Masaryk University, Full Member of the ERN EpiCARE, Brno, Czech Republic
| | - Michal Mikl
- Central European Institute of Technology, Faculty of Medicine, Masaryk University, Brno, Czech Republic
| | - Daniel Joel Shaw
- Central European Institute of Technology, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,School of Psychology, College of Health and Life Sciences, Aston University, Birmingham, UK
| | - Radek Marecek
- Brno Epilepsy Center, 1st Department of Neurology, St Anne's University Hospital and Faculty of Medicine, Masaryk University, Full Member of the ERN EpiCARE, Brno, Czech Republic.,Central European Institute of Technology, Faculty of Medicine, Masaryk University, Brno, Czech Republic
| | - Lenka Sakalosova
- Brno Epilepsy Center, 1st Department of Neurology, St Anne's University Hospital and Faculty of Medicine, Masaryk University, Full Member of the ERN EpiCARE, Brno, Czech Republic.,Central European Institute of Technology, Faculty of Medicine, Masaryk University, Brno, Czech Republic
| | - Marie Kuratkova
- Brno Epilepsy Center, 1st Department of Neurology, St Anne's University Hospital and Faculty of Medicine, Masaryk University, Full Member of the ERN EpiCARE, Brno, Czech Republic.,Central European Institute of Technology, Faculty of Medicine, Masaryk University, Brno, Czech Republic
| | - Kristyna Mitterova
- Brno Epilepsy Center, 1st Department of Neurology, St Anne's University Hospital and Faculty of Medicine, Masaryk University, Full Member of the ERN EpiCARE, Brno, Czech Republic.,Central European Institute of Technology, Faculty of Medicine, Masaryk University, Brno, Czech Republic
| | - Barbora Sklenarova
- Brno Epilepsy Center, 1st Department of Neurology, St Anne's University Hospital and Faculty of Medicine, Masaryk University, Full Member of the ERN EpiCARE, Brno, Czech Republic
| | - Milan Brazdil
- Brno Epilepsy Center, 1st Department of Neurology, St Anne's University Hospital and Faculty of Medicine, Masaryk University, Full Member of the ERN EpiCARE, Brno, Czech Republic.,Central European Institute of Technology, Faculty of Medicine, Masaryk University, Brno, Czech Republic
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10
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O'Connor AR, Wells C, Moulin CJA. Déjà vu and other dissociative states in memory. Memory 2021; 29:835-842. [PMID: 34372743 DOI: 10.1080/09658211.2021.1911197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | | | - Chris J A Moulin
- Université Grenoble Alpes, France.,Institut Universitaire de France
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11
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Curot J, Pariente J, Hupé JM, Lotterie JA, Mirabel H, Barbeau EJ. Déjà vu and prescience in a case of severe episodic amnesia following bilateral hippocampal lesions. Memory 2019; 29:843-858. [PMID: 31587614 DOI: 10.1080/09658211.2019.1673426] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Several studies pertaining to déjà vu have consistently made a connection with the perirhinal region, a region located below the hippocampus. This idea is strengthened by the fact that déjà vu is an erroneous sense of familiarity and that familiarity appears to largely depend on the perirhinal region in healthy subjects. In this context, the role of the hippocampus is particularly unclear as it is unknown whether or not it plays a role in the genesis of déjà vu. We report on the case of OHVR, an epileptic patient who suffers from severe episodic amnesia related to massive isolated bilateral damage to the hippocampus. In contrast, the perirhinal region is intact structurally and functionally. This patient reports frequent déjà vu but also another experiential phenomenon with a prominent feeling of prescience, which shows some of the characteristics of déjà vécu. She clearly distinguishes both. She also developed a form of synaesthesia by attributing affective valence to numbers. This study shows that déjà vu can occur in cases of amnesia with massively damaged hippocampi and confirms that the perirhinal region is a core region for déjà vu, using a different approach from previous reports. It also provides clues about a potential influence of hippocampal alterations in déjà vécu.
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Affiliation(s)
- Jonathan Curot
- Neurologie, Hôpital Purpan, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.,Centre de Recherche Cerveau et Cognition, Université de Toulouse, Université Paul Sabatier Toulouse, Toulouse, France.,CerCo, UMR 5549, Centre National de la Recherche Scientifique, Toulouse Mind and Brain Institute, Toulouse, France
| | - Jérémie Pariente
- Neurologie, Hôpital Purpan, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.,INSERM, U1214, TONIC, Toulouse Mind and Brain Institute, Toulouse, France
| | - Jean Michel Hupé
- Centre de Recherche Cerveau et Cognition, Université de Toulouse, Université Paul Sabatier Toulouse, Toulouse, France.,CerCo, UMR 5549, Centre National de la Recherche Scientifique, Toulouse Mind and Brain Institute, Toulouse, France
| | - Jean-Albert Lotterie
- INSERM, U1214, TONIC, Toulouse Mind and Brain Institute, Toulouse, France.,Radiochirurgie stéréotaxique, Hôpital Purpan, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Hélène Mirabel
- Neurologie, Hôpital Purpan, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Emmanuel J Barbeau
- Centre de Recherche Cerveau et Cognition, Université de Toulouse, Université Paul Sabatier Toulouse, Toulouse, France.,CerCo, UMR 5549, Centre National de la Recherche Scientifique, Toulouse Mind and Brain Institute, Toulouse, France
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12
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Brandt KR, Conway MA, James A, von Oertzen TJ. Déjà vu and the entorhinal cortex: dissociating recollective from familiarity disruptions in a single case patient. Memory 2018; 29:859-868. [DOI: 10.1080/09658211.2018.1543436] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
| | | | - Adele James
- Department of Psychology, Whitelands College, University of Roehampton, London, UK
| | - Tim J. von Oertzen
- Atkinson Morley Neuroscience Centre, St. George’s Hospital, London, UK
- Department of Neurology 1, Neuromed Campus, Kepler Universitaetsklinikum, Linz, Austria
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13
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Wells CE, O'Connor AR, Moulin CJA. Déjà vu experiences in anxiety. Memory 2018; 29:895-903. [PMID: 30384798 DOI: 10.1080/09658211.2018.1538418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Déjà vu occurs when a novel event is experienced with an erroneous sense of familiarity. Memory researchers theorise that this arises due to an error in the processes underlying the recognition memory system. Research has indicated that there may be a link between high levels of anxiety and increased frequency and intensity of déjà vu, however, there has been a comparatively little characterisation of déjà vu as experienced by individuals with clinical anxiety. We used an online questionnaire to collect data from individuals self-reporting a clinical diagnosis of anxiety, as well as from age-matched controls. The Anxiety Group reported a significantly higher frequency of déjà vu episodes over the previous month than controls. They also reported experiencing déjà vu more frequently and with higher intensity during periods of high anxiety. In addition, the Anxiety Group reported finding déjà vu episodes significantly more distressing than the Control Group. The findings indicate that there are differences in déjà vu experienced by people reporting high levels of anxiety compared to healthy controls without an anxiety diagnosis. We discuss structural and neural mechanisms thought to underpin déjà vu in relation to these results.
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Affiliation(s)
- Christine E Wells
- School of Social and Health Sciences, Leeds Trinity University, Leeds, UK
| | - Akira R O'Connor
- School of Psychology and Neuroscience, University of St Andrews, St Andrews, UK
| | - Chris J A Moulin
- Laboratoire de Psychologie et Neurocognition, LPNC CNRS 5105, Université Grenoble Alpes, Grenoble, France
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14
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Ernst A, Delrue G, Willems S. Overcoming familiarity illusions in a single case with persistent déjà vu. Memory 2018; 29:869-883. [PMID: 30136891 DOI: 10.1080/09658211.2018.1510965] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
While occasional déjà vu is benign in the general population, rare neuropsychological cases with persistent déjà vu have been described in the literature. We report the case of MN, a 25-year-old woman, who suffered a cerebral haemorrhage in the right thalamo-callosal region and experienced recurrent déjà vu episodes. Through clinical interviews and memory tasks related to déjà vu, we assumed that source memory errors and an inappropriate feeling of familiarity (measured by the number of false recognitions) were critically involved in MN's déjà vu. Based on this, we developed the first neuropsychological intervention dedicated to déjà vu. The rationale was to train MN to detect elements that could produce an inappropriate feeling of familiarity and to promote metacognitive awareness about déjà vu. This intervention was effective at reducing the frequency of déjà vu episodes in MN's daily life, as well as the number of false recognitions in memory tasks. In addition to its clinical contribution, this single-case study contributes to the limited literature on patients whose déjà vu is not related to epileptic abnormalities and medial temporal brain damage, and provide supportive evidence of the role of an erroneous feeling of familiarity and of metacognitive processes in déjà vu.
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Affiliation(s)
- Alexandra Ernst
- Department of Psychology, Psychology and Neuroscience of Cognition Research Unit, University of Liège, Liege, Belgium
| | - Gaël Delrue
- Unité de revalidation neuropsychologique de l'Adulte - CHU de Liège, Liege, Belgium
| | - Sylvie Willems
- Psychological and Speech Therapy Consultation Centre (CPLU), University of Liège, Liege, Belgium
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15
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Curot J, Valton L, Denuelle M, Vignal JP, Maillard L, Pariente J, Trébuchon A, Bartolomei F, Barbeau EJ. Déjà-rêvé: Prior dreams induced by direct electrical brain stimulation. Brain Stimul 2018; 11:875-885. [PMID: 29530448 PMCID: PMC6028740 DOI: 10.1016/j.brs.2018.02.016] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2017] [Revised: 02/09/2018] [Accepted: 02/22/2018] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND Epileptic patients sometimes report experiential phenomena related to a previous dream they had during seizures or electrical brain stimulation (EBS). This has been alluded to in the literature as "déjà-rêvé" ("already dreamed"). However, there is no neuroscientific evidence to support its existence and this concept is commonly mixed up with déjà-vu. We hypothesized that déjà-rêvé would be a specific entity, i.e., different from other experiential phenomena reported in epileptic patients, induced by EBS of specific brain areas. METHODS We collected all experiential phenomena related to dreams induced by electrical brain stimulations (EBS) in our epileptic patients (2003-2015) and in a review of the literature. The content of these déjà-rêvé and the location of EBS were analyzed. RESULTS We collected 7 déjà-rêvé in our database and 35 from the literature, which corresponds to an estimated prevalence of 0.3‰ of all EBS-inducing déjà-rêvé. Déjà-rêvé is a generic term for three distinct entities: it can be the recollection of a specific dream ("episodic-like"), reminiscence of a vague dream ("familiarity-like") or experiences in which the subject feels like they are dreaming (literally "a dreamy state"). EBS-inducing "episodic-like" and "familiarity-like" déjà-rêvé were mostly located in the medial temporal lobes. "Dreamy states" were induced by less specific EBS areas although still related to the temporal lobes. CONCLUSIONS This study demonstrates that déjà-rêvé is a heterogeneous entity that is different from déjà-vu, the historical "dreamy state" definition and other experiential phenomena. This may be relevant for clinical practice as it points to temporal lobe dysfunction and could be valuable for studying the neural substrates of dreams.
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Affiliation(s)
- Jonathan Curot
- Toulouse University Hospital, Department of Neurology, Toulouse, FR 31059, France; Centre de Recherche Cerveau et Cognition, CNRS, UMR5549, FR 31052, France.
| | - Luc Valton
- Toulouse University Hospital, Department of Neurology, Toulouse, FR 31059, France; Centre de Recherche Cerveau et Cognition, CNRS, UMR5549, FR 31052, France
| | - Marie Denuelle
- Toulouse University Hospital, Department of Neurology, Toulouse, FR 31059, France
| | | | - Louis Maillard
- Nancy University & CNRS, CRAN, UMR 7039, FR 54516, France; University Hospital of Nancy, Neurology Department Nancy, FR 54035, France
| | - Jérémie Pariente
- Toulouse University Hospital, Department of Neurology, Toulouse, FR 31059, France; INSERM, U1214, TONIC, Toulouse Mind and Brain Institute, FR 31024, France
| | - Agnès Trébuchon
- Aix Marseille Université, Institut de Neurosciences des Systèmes, Marseille, FR 13005, France; AP-HM, Hôpital de la Timone, Service de Neurophysiologie Clinique, Marseille, FR 13005, France
| | - Fabrice Bartolomei
- Aix Marseille Université, Institut de Neurosciences des Systèmes, Marseille, FR 13005, France; AP-HM, Hôpital de la Timone, Service de Neurophysiologie Clinique, Marseille, FR 13005, France
| | - Emmanuel J Barbeau
- Centre de Recherche Cerveau et Cognition, CNRS, UMR5549, FR 31052, France
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Pešlová E, Mareček R, Shaw DJ, Kašpárek T, Pail M, Brázdil M. Hippocampal involvement in nonpathological déjà vu: Subfield vulnerability rather than temporal lobe epilepsy equivalent. Brain Behav 2018; 8:e00996. [PMID: 29873197 PMCID: PMC6043696 DOI: 10.1002/brb3.996] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2018] [Accepted: 04/15/2018] [Indexed: 01/26/2023] Open
Abstract
INTRODUCTION Morphological correlates of nonpathological déjà vu (DV) have been identified recently within the human brain. Significantly reduced gray matter volume (GMV) within a set of cortical and subcortical regions reported in subjects experiencing DV seems to mirror the distribution of GMV reduction in mesial temporal lobe epilepsy (MTLE) patients but vary in terms of the hippocampus. Another condition associated with hippocampal GMV reduction and DV alike disturbance in memory processing is schizophrenia (SCH). Here, we tested the hypothesis that hippocampal involvement in nonpathological DV resembles more closely the pattern of GMV decrease observed in MTLE compared with that occurring in SCH. METHODS Using automated segmentation of the MRI data we compared the medians of GMV within 12 specific hippocampal subfields in healthy individuals that do (DV+; N = 87) and do not report déjà vu experience (DV-; N = 26), and patients with MTLE (N = 47) and SCH (N = 29). By Pearson correlation, we then evaluated the similarity of MTLE and SCH groups to DV+ group with respect to spatial distribution of GMV deviation from DV- group. RESULTS Significant GMV decrease was found in MTLE group in most of the subfields. There were just trends in the hippocampal GMV decrease found in DV+ or SCH groups. Concerning the spatial distribution of GMV decrease, we revealed statistically significant correlation for the left hippocampus for SCH vs DV+. Otherwise there was no statistically significant correlation. CONCLUSIONS Our findings reveal structural features of hippocampal involvement in nonpathological DV, MTLE, and SCH. Despite our expectations, the pattern of GMV reduction in the DV+ relative to the DV- group does not resemble the pattern observed in MTLE any more than that observed in SCH. The highly similar patterns of the three clinical groups rather suggest an increased vulnerability of certain hippocampal subfields; namely, Cornu Ammonis (CA)4, CA3, dentate gyrus granular cell layer (GC-DG), hippocampal-amygdaloid transition area (HATA) and subiculum.
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Affiliation(s)
- Eva Pešlová
- Department of NeurologyBrno Epilepsy CenterSt. Anne’s University Hospital and Medical Faculty of Masaryk UniversityBrnoCzech Republic
| | - Radek Mareček
- Department of NeurologyBrno Epilepsy CenterSt. Anne’s University Hospital and Medical Faculty of Masaryk UniversityBrnoCzech Republic
- Multi‐modal and Functional Neuroimaging Research GroupCEITEC ‐ Central European Institute of TechnologyMasaryk UniversityBrnoCzech Republic
| | - Daniel J. Shaw
- Behavioral and Social Neuroscience Research GroupCEITEC ‐ Central European Institute of TechnologyMasaryk UniversityBrnoCzech Republic
| | - Tomáš Kašpárek
- Behavioral and Social Neuroscience Research GroupCEITEC ‐ Central European Institute of TechnologyMasaryk UniversityBrnoCzech Republic
- Department of PsychiatryFaculty Hospital Brno and Medical Faculty of Masaryk UniversityBrnoCzech Republic
| | - Martin Pail
- Department of NeurologyBrno Epilepsy CenterSt. Anne’s University Hospital and Medical Faculty of Masaryk UniversityBrnoCzech Republic
| | - Milan Brázdil
- Department of NeurologyBrno Epilepsy CenterSt. Anne’s University Hospital and Medical Faculty of Masaryk UniversityBrnoCzech Republic
- Behavioral and Social Neuroscience Research GroupCEITEC ‐ Central European Institute of TechnologyMasaryk UniversityBrnoCzech Republic
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17
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Mumoli L, Tripepi G, Aguglia U, Augimeri A, Baggetta R, Bisulli F, Bruni A, Cavalli SM, D'Aniello A, Daniele O, Di Bonaventura C, Di Gennaro G, Fattouch J, Ferlazzo E, Ferrari A, Giallonardo A, Gasparini S, Nigro S, Romigi A, Sofia V, Tinuper P, Vaccaro MG, Zummo L, Quattrone A, Gambardella A, Labate A. Validation Study of Italian Version of Inventory for Déjà Vu Experiences Assessment (I-IDEA): A Screening Tool to Detect Déjà Vu Phenomenon in Italian Healthy Individuals. Behav Sci (Basel) 2017; 7:bs7030050. [PMID: 28783090 PMCID: PMC5618058 DOI: 10.3390/bs7030050] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Revised: 07/10/2017] [Accepted: 08/03/2017] [Indexed: 11/16/2022] Open
Abstract
The Inventory Déjà Vu Experiences Assessment (IDEA) is the only screening instrument proposed to evaluate the Déjà vu (DV) experience. Here, we intended to validate the Italian version of IDEA (I-IDEA) and at the same time to investigate the incidence and subjective qualities of the DV phenomenon in healthy Italian adult individuals on basis of an Italian multicentre observational study. In this study, we report normative data on the I-IDEA, collected on a sample of 542 Italian healthy subjects aging between 18-70 years (average age: 40) with a formal educational from 1-19 years. From September 2013 to March 2016, we recruited 542 healthy volunteers from 10 outpatient neurological clinics in Italy. All participants (i.e., family members of neurological patients enrolled, medical students, physicians) had no neurological or psychiatric illness and gave their informed consent to participate in the study. All subjects enrolled self-administered the questionnaire and they were able to complete I-IDEA test without any support. In total, 396 (73%) of the 542 healthy controls experienced the DV phenomenon. The frequency of DV was inversely related to age as well as to derealisation, jamais vu, precognitive dreams, depersonalization, paranormal activity, remembering dreams, travel frequency, and daydreams (all p < 0.012). The Italian version of IDEA maintains good properties, thus confirming that this instrument is reliable for detecting and characterising the DV phenomenon.
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Affiliation(s)
- Laura Mumoli
- Institute of Neurology, University Magna Græcia, 88100 Catanzaro, Italy.
| | - Giovanni Tripepi
- Institute of Clinical Physiology, National Research Council (IFC-CNR), Research Unit, 89100 Reggio Calabria, Italy.
| | - Umberto Aguglia
- Institute of Neurology, University Magna Græcia, 88100 Catanzaro, Italy.
- Regional Epilepsy Center, Bianchi Melacrino Morelli Hospital, 89100 Reggio Calabria, Italy.
| | - Antonio Augimeri
- Institute of Molecular Bioimaging and Physiology of the National Research Council (IBFM-CNR), 88100 Catanzaro, Italy.
| | - Rossella Baggetta
- Institute of Clinical Physiology, National Research Council (IFC-CNR), Research Unit, 89100 Reggio Calabria, Italy.
| | - Francesca Bisulli
- IRCCS Istituto delle Scienze Neurologiche, 40100 Bologna; Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy.
| | - Antonella Bruni
- Institute of Neurology, University Magna Græcia, 88100 Catanzaro, Italy.
| | | | | | - Ornella Daniele
- Experimental Biomedicine and Clinical Neuroscience Department (BioNeC), University of Palermo, 90100 Palermo, Italy.
| | - Carlo Di Bonaventura
- Department of Neuroscience, Neurology Unit, "Sapienza" University, 00100 Rome, Italy.
| | | | - Jinane Fattouch
- Department of Neuroscience, Neurology Unit, "Sapienza" University, 00100 Rome, Italy.
| | - Edoardo Ferlazzo
- Institute of Neurology, University Magna Græcia, 88100 Catanzaro, Italy.
- Regional Epilepsy Center, Bianchi Melacrino Morelli Hospital, 89100 Reggio Calabria, Italy.
| | - Alessandra Ferrari
- Clinical Neurophysiology, Department of Neuroscience, Ophthalmology and Genetics, University of Genoa, 16100 Genova, Italy.
| | | | - Sara Gasparini
- Institute of Neurology, University Magna Græcia, 88100 Catanzaro, Italy.
- Regional Epilepsy Center, Bianchi Melacrino Morelli Hospital, 89100 Reggio Calabria, Italy.
| | - Salvatore Nigro
- Institute of Molecular Bioimaging and Physiology of the National Research Council (IBFM-CNR), 88100 Catanzaro, Italy.
| | - Andrea Romigi
- Sleep Medicine Centre, Neurophysiopathology Unit, Department of Systems Medicine, "Tor Vergata" University of Rome, 00100 Rome, Italy.
| | - Vito Sofia
- Department "G. F. Ingrassia" University of Catania, Via S. Sofia 78, 95123 Catania, Italy.
| | - Paolo Tinuper
- IRCCS Istituto delle Scienze Neurologiche, 40100 Bologna; Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy.
| | | | - Leila Zummo
- Experimental Biomedicine and Clinical Neuroscience Department (BioNeC), University of Palermo, 90100 Palermo, Italy.
| | - Aldo Quattrone
- Institute of Neurology, University Magna Græcia, 88100 Catanzaro, Italy.
| | | | - Angelo Labate
- Institute of Neurology, University Magna Græcia, 88100 Catanzaro, Italy.
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Bertrand JMF, Martinon LM, Souchay C, Moulin CJA. History repeating itself: Arnaud's case of pathological déjà vu. Cortex 2016; 87:129-141. [PMID: 27188828 DOI: 10.1016/j.cortex.2016.02.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2015] [Revised: 02/13/2016] [Accepted: 02/15/2016] [Indexed: 10/22/2022]
Abstract
We present a translation of Arnaud's (1896) case report of Patient Louis, a case he describes as having a pathological form of déjà vu. Louis has the delusional belief that the present moment is a repetition of an exact same previous event. Arnaud's paper is critical for two reasons. Firstly, it is amongst the first articles in the scientific literature to describe the déjà vu experience using the term 'déjà vu'. Secondly, the case report of someone with delusional and persistent déjà vu, anticipates recently reported cases with similar symptoms, which are beginning to gain interest as a particular form of memory disorder. We offer a contemporary analysis of Louis and conclude that, whilst the article was critical in the development of déjà vu as a scientific concern, Louis's distorted memory is not best described as déjà vu, but rather as a form of reduplicative paramnesia described as recollective confabulation.
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Affiliation(s)
- Julie M F Bertrand
- Centre d'épidémiologie de populations et de santé publique de Bourgogne, EA 4184, Université de Bourgogne, France
| | | | - Céline Souchay
- Laboratoire de Psychologie et Neurocognition, LPNC CNRS 5105, Université Grenoble Alpes, France
| | - Chris J A Moulin
- Laboratoire de Psychologie et Neurocognition, LPNC CNRS 5105, Université Grenoble Alpes, France.
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19
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Shaw DJ, Mareček R, Brázdil M. Structural covariance mapping delineates medial and medio-lateral temporal networks in déjà vu. Brain Imaging Behav 2015; 10:1068-1079. [DOI: 10.1007/s11682-015-9471-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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20
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Korczyn AD, Schachter SC, Amlerova J, Bialer M, van Emde Boas W, Brázdil M, Brodtkorb E, Engel J, Gotman J, Komárek V, Leppik IE, Marusic P, Meletti S, Metternich B, Moulin CJA, Muhlert N, Mula M, Nakken KO, Picard F, Schulze-Bonhage A, Theodore W, Wolf P, Zeman A, Rektor I. Third International Congress on Epilepsy, Brain and Mind: Part 1. Epilepsy Behav 2015; 50:116-37. [PMID: 26276417 PMCID: PMC5256665 DOI: 10.1016/j.yebeh.2015.06.044] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2015] [Accepted: 06/24/2015] [Indexed: 12/12/2022]
Abstract
Epilepsy is both a disease of the brain and the mind. Here, we present the first of two papers with extended summaries of selected presentations of the Third International Congress on Epilepsy, Brain and Mind (April 3-5, 2014; Brno, Czech Republic). Epilepsy in history and the arts and its relationships with religion were discussed, as were overviews of epilepsy and relevant aspects of social cognition, handedness, accelerated forgetting and autobiographical amnesia, and large-scale brain networks.
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Affiliation(s)
- Amos D Korczyn
- Sackler School of Medicine, Tel Aviv University, Ramat Aviv, Israel
| | - Steven C Schachter
- Consortia for Improving Medicine with Innovation and Technology, Harvard Medical School, Boston, MA, USA.
| | - Jana Amlerova
- Department of Neurology, Charles University, 2nd Faculty of Medicine, Motol University Hospital, Prague, Czech Republic
| | - Meir Bialer
- Institute for Drug Research, School of Pharmacy, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Walter van Emde Boas
- Department of EEG, Dutch Epilepsy Clinics Foundation (SEIN), Heemstede, The Netherlands; Epilepsy Monitoring Unit, Dutch Epilepsy Clinics Foundation (SEIN), Heemstede, The Netherlands
| | - Milan Brázdil
- Masaryk University, Brno Epilepsy Center, St. Anne's Hospital and School of Medicine, Brno, Czech Republic; Central European Institute of Technology (CEITEC), Brno, Czech Republic
| | - Eylert Brodtkorb
- Department of Neurology and Clinical Neurophysiology, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway; Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway
| | | | - Jean Gotman
- Montreal Neurological Institute, McGill University, Montreal, Canada
| | - Vladmir Komárek
- Department of Paediatric Neurology, Charles University, 2nd Faculty of Medicine, Motol University Hospital, Prague, Czech Republic
| | - Ilo E Leppik
- MINCEP Epilepsy Care, University of Minnesota, Minneapolis, MN, USA; College of Pharmacy, University of Minnesota, Minneapolis, MN, USA
| | - Petr Marusic
- Department of Neurology, Charles University, 2nd Faculty of Medicine, Motol University Hospital, Prague, Czech Republic
| | - Stefano Meletti
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | | | - Chris J A Moulin
- Laboratory for the Study of Learning and Development, University of Bourgogne, Dijon, France
| | - Nils Muhlert
- School of Psychology and Cardiff University Brain Research Imaging Centre, Cardiff University, Cardiff, Wales, UK
| | - Marco Mula
- Epilepsy Group, Atkinson Morley Regional Neuroscience Centre, St. George's Hospital, London, UK; Institute of Medical and Biomedical Sciences, St. George's University of London, London, UK
| | - Karl O Nakken
- National Centre for Epilepsy, Oslo University Hospital, Norway
| | - Fabienne Picard
- Department of Neurology, University Hospital and Medical School of Geneva, Switzerland
| | | | - William Theodore
- Clinical Epilepsy Section, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA
| | - Peter Wolf
- Danish Epilepsy Centre Filadelfia, Dianalund, Denmark; Department of Clinical Medicine, Neurological Service, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Adam Zeman
- University of Exeter Medical School, St. Luke's Campus, Exeter, UK
| | - Ivan Rektor
- Masaryk University, Brno Epilepsy Center, St. Anne's Hospital and School of Medicine, Brno, Czech Republic; Central European Institute of Technology (CEITEC), Brno, Czech Republic
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Lebedev AV, Lövdén M, Rosenthal G, Feilding A, Nutt DJ, Carhart-Harris RL. Finding the self by losing the self: Neural correlates of ego-dissolution under psilocybin. Hum Brain Mapp 2015; 36:3137-53. [PMID: 26010878 DOI: 10.1002/hbm.22833] [Citation(s) in RCA: 154] [Impact Index Per Article: 17.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2015] [Revised: 04/20/2015] [Accepted: 04/23/2015] [Indexed: 02/03/2023] Open
Abstract
Ego-disturbances have been a topic in schizophrenia research since the earliest clinical descriptions of the disorder. Manifesting as a feeling that one's "self," "ego," or "I" is disintegrating or that the border between one's self and the external world is dissolving, "ego-disintegration" or "dissolution" is also an important feature of the psychedelic experience, such as is produced by psilocybin (a compound found in "magic mushrooms"). Fifteen healthy subjects took part in this placebo-controlled study. Twelve-minute functional MRI scans were acquired on two occasions: subjects received an intravenous infusion of saline on one occasion (placebo) and 2 mg psilocybin on the other. Twenty-two visual analogue scale ratings were completed soon after scanning and the first principal component of these, dominated by items referring to "ego-dissolution", was used as a primary measure of interest in subsequent analyses. Employing methods of connectivity analysis and graph theory, an association was found between psilocybin-induced ego-dissolution and decreased functional connectivity between the medial temporal lobe and high-level cortical regions. Ego-dissolution was also associated with a "disintegration" of the salience network and reduced interhemispheric communication. Addressing baseline brain dynamics as a predictor of drug-response, individuals with lower diversity of executive network nodes were more likely to experience ego-dissolution under psilocybin. These results implicate MTL-cortical decoupling, decreased salience network integrity, and reduced inter-hemispheric communication in psilocybin-induced ego disturbance and suggest that the maintenance of "self"or "ego," as a perceptual phenomenon, may rest on the normal functioning of these systems.
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Affiliation(s)
- Alexander V Lebedev
- Aging Research Center, Karolinska Institutet & Stockholm University, Sweden.,Centre for Age-Related Medicine, Stavanger University Hospital, Norway
| | - Martin Lövdén
- Aging Research Center, Karolinska Institutet & Stockholm University, Sweden
| | - Gidon Rosenthal
- Department of Brain and Cognitive Sciences, Ben-Gurion University of the Negev, Israel
| | | | - David J Nutt
- Division of Brain Sciences, Department of Medicine, Centre for Neuropsychopharmacology, Imperial College London, United Kingdom
| | - Robin L Carhart-Harris
- Division of Brain Sciences, Department of Medicine, Centre for Neuropsychopharmacology, Imperial College London, United Kingdom
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22
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Wells CE, Moulin CJA, Ethridge P, Illman NA, Davies E, Zeman A. Persistent psychogenic déjà vu: a case report. J Med Case Rep 2014; 8:414. [PMID: 25482434 PMCID: PMC4295571 DOI: 10.1186/1752-1947-8-414] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2014] [Accepted: 10/23/2014] [Indexed: 11/10/2022] Open
Abstract
Introduction Déjà vu is typically a transient mental state in which a novel experience feels highly familiar. Although extensively studied in relation to temporal lobe epilepsy as part of simple partial seizures, déjà vu has been less studied in other clinical populations. A recent review of temporal lobe epilepsy suggested a possible link between clinical levels of anxiety and debilitating déjà vu, indicating further research is required. Here, for the first time in the literature, we present a case study of a young man with anxiety and depersonalisation who reported experiencing persistent and debilitating déjà vu. This report therefore adds to the limited literature on the relationship between anxiety and déjà vu. Case presentation A 23-year-old White British man presented with a form of persistent déjà vu in 2010, approximately 3 years since symptom onset. He reported a history of anxiety and experiencing feelings of depersonalisation. Neurological assessment (electroencephalogram and magnetic resonance imaging) did not indicate any abnormalities. We assessed his recognition memory with a task used in patients with dementia who report similar experiences but lack awareness of their falseness. Conclusions Our case’s memory performance was more conservative than controls but did not indicate a memory deficit. Unlike other patients with chronic déjà vu (for example, in dementia), he is fully aware of the false nature of his déjà vu and this presumably leads to his intact recognition memory performance. We suggest that his persistent déjà vu is psychogenic and conclude that déjà vu should be further studied in psychiatric disorders.
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Affiliation(s)
- Christine E Wells
- Department of Psychology, Sociology and Politics, Sheffield Hallam University, Sheffield SD10 2BQ, UK.
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25
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Abstract
BACKGROUND Déjà vu can occur as an aura of temporal lobe epilepsy and in some psychiatric conditions but is also common in the general population. It is unclear whether any clinical features distinguish pathological and physiological forms of déjà vu. METHODS 50 epileptic patients with ictal déjà vu, 50 non-epileptic patients attending general neurology clinics and 50 medical students at Edinburgh University were recruited. Data were collected on demographic factors, the experience of déjà vu using a questionnaire based on Sno's Inventory for Déjà Vu Experiences Assessment, symptoms of anxiety and depression using the Hospital Anxiety and Depression Scale as well as seizure characteristics, anti-epileptic medications, handedness, EEG and neuroimaging findings for epileptic patients. RESULTS 73.5% of neurology patients, 88% of students and (by definition) all epilepsy patients had experienced déjà vu. The experience of déjà vu itself was similar in the three groups. Epileptic déjà vu occurred more frequently and lasted somewhat longer than physiological déjà vu. Epilepsy patients were more likely to report prior fatigue and concentrated activity, associated derealisation, olfactory and gustatory hallucinations, physical symptoms such as headaches, abdominal sensations and fear. After controlling for study group, anxiety and depression scores were not associated with déjà vu frequency. CONCLUSIONS Déjà vu is common and qualitatively similar whether it occurs as an epileptic aura or normal phenomenon. However ictal déjà vu occurs more frequently and is accompanied by several distinctive features. It is distinguished primarily by 'the company it keeps'.
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Affiliation(s)
- Charlotte Warren-Gash
- Research Department of Infection & Population Health, University College London, , London, UK
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26
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O'Connor AR, Moulin CJA. Déjà vu experiences in healthy subjects are unrelated to laboratory tests of recollection and familiarity for word stimuli. Front Psychol 2013; 4:881. [PMID: 24409159 PMCID: PMC3842028 DOI: 10.3389/fpsyg.2013.00881] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2013] [Accepted: 11/04/2013] [Indexed: 11/13/2022] Open
Abstract
Recent neuropsychological and neuroscientific research suggests that people who experience more déjà vu display characteristic patterns in normal recognition memory. We conducted a large individual differences study (n = 206) to test these predictions using recollection and familiarity parameters recovered from a standard memory task. Participants reported déjà vu frequency and a number of its correlates, and completed a recognition memory task analogous to a Remember-Know procedure. The individual difference measures replicated an established correlation between déjà vu frequency and frequency of travel, and recognition performance showed well-established word frequency and accuracy effects. Contrary to predictions, no relationships were found between déjà vu frequency and recollection or familiarity memory parameters from the recognition test. We suggest that déjà vu in the healthy population reflects a mismatch between errant memory signaling and memory monitoring processes not easily characterized by standard recognition memory task performance.
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Affiliation(s)
- Akira R O'Connor
- School of Psychology and Neuroscience, University of St Andrews St Andrews, UK
| | - Chris J A Moulin
- Laboratoire d'Etude de l'Apprentissage et du Développement (CNRS UMR 5022), Université de Bourgogne Dijon, France
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Vlasov PN, Chervyakov AV, Gnezditskii VV. Déjà vu phenomenon-related EEG pattern. Case report. EPILEPSY & BEHAVIOR CASE REPORTS 2013; 1:136-41. [PMID: 25667847 PMCID: PMC4150674 DOI: 10.1016/j.ebcr.2013.08.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/26/2013] [Revised: 08/02/2013] [Accepted: 08/03/2013] [Indexed: 12/02/2022]
Abstract
Background Déjà vu (DV, from French déjà vu — “already seen”) is an aberration of psychic activity associated with transitory erroneous perception of novel circumstances, objects, or people as already known. Objective This study aimed to record the EEG pattern of déjà vu. Methods The subjects participated in a survey concerning déjà vu characteristics and underwent ambulatory EEG monitoring (12–16 h). Results In patients with epilepsy, DV episodes began with polyspike activity in the right temporal lobe region and, in some cases, ended with slow-wave theta–delta activity over the right hemisphere. There were no epileptic discharges in healthy respondents during DV. Conclusion Two types of déjà vu are suggested to exist: “pathological-epileptic” déjà vu, characteristic of patients with epilepsy and equivalent to an epileptic seizure, and “nonpathological-nonepileptic” déjà vu, which is characteristic of healthy people and psychological phenomenon.
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Affiliation(s)
- P N Vlasov
- Moscow State University of Medicine and Dentistry, Moscow, Russia
| | - A V Chervyakov
- Research Center of Neurology, Russian Academy of Medical Sciences, Moscow, Russia
| | - V V Gnezditskii
- Research Center of Neurology, Russian Academy of Medical Sciences, Moscow, Russia
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Martin CB, Mirsattari SM, Pruessner JC, Pietrantonio S, Burneo JG, Hayman-Abello B, Köhler S. Déjà vu in unilateral temporal-lobe epilepsy is associated with selective familiarity impairments on experimental tasks of recognition memory. Neuropsychologia 2012; 50:2981-91. [DOI: 10.1016/j.neuropsychologia.2012.07.030] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2011] [Revised: 05/30/2012] [Accepted: 07/18/2012] [Indexed: 10/28/2022]
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