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A 26-year-old female asked:

If i dream of having a migraine aura while sleeping but it doesn't wake me up and when i do wake up i don't have the aura, did i really experience it?

3 doctor answers4 doctors weighed in
Dr. Bennett Machanic
Neurology 52 years experience
Do not worry: Dreams are not necessarily correlated with ongoing reality, and if no headache in am, you are home free.
Dr. William Goldie
Pediatric Neurology 48 years experience
Hallucinations: What is real and what is not? Is an aura real or just an illusion? Does it matter whether you are awake or asleep? Does the aura of migraine always have associated headache? Answers are difficult and complex. Memory of an event is an experience whether it was "real" or not. Vivid dreams, vivid thoughts, vivid imagination are all on the same spectrum. Aura is a vague term of little utility.
Dr. Bennett Machanic
Neurology 52 years experience
LIKE YOUR PHILOSOPHIC ANALYSIS. THANKS
Jan 4, 2013
Dr. Jeffrey Satinover
Psychiatry 39 years experience
EEG correlates: Migraine and epilepsy auras differ on eeg. I don't think anyone has captured a dream aura eeg, but my guess is it'd differ. Why? Brain activation in waking percepts are similar to but do differ from brain activation in dream percepts (same image). The subjective reality of a dream aura versus a waking one should be the same difference as a dream perception versus a waking perception.

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Last updated Sep 28, 2016

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