Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS).


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Old 01-23-2012, 05:11 PM #1
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Default Unpleasant Dreams

Wondering if anyone else is having problems with vivid, unpleasant dreams. I wouldn't really call them nightmares, they are just not happy dreams. I usually have a few of these each night and I end up waking up during each one. Last night, I was running in one of the dreams and as I was waking up from it I could tell that I was breathing quickly as if I was running in real life. I wasn't gasping for breath, just breathing quickly. Sometimes I feel like my heartrate while I'm sleeping is faster that it is during the day and I wonder if it's due to these stressful dreams.

The nortriptyline that I started taking a month ago has helped relieve my dizziness and nausea, but sleep is one area that is not improving. I just dread going to bed because I know that I will be up multiple times throughout the night.

Is this a pretty normal pcs symptom? Anyone have suggestions on how to sleep more peacefully? I should add that I was having this problem prior to starting on the medication.
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Old 01-23-2012, 06:16 PM #2
Mark in Idaho Mark in Idaho is offline
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Are you breathing properly during the dreams? Could you be waking up as your need to breath has kicked in and the rapid breathing is to catch up?

You don't necessarily need to gasp for breath to recover from an apnea event.

I have what I call stressful dreams when I am not breathing correctly. They are full of conflict and anxiety.

I believe mine are caused by poor neck position due to a neck injury I suffered with my head injury.

Many medical supply/rental companies rent Pulse Ox alarm systems that can even record these events.
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Old 01-23-2012, 06:49 PM #3
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I've had some pretty unpleasant dreams since my injury as well. They also started before I was on any medication. I don't really have any advice for you...just thought I'd drop in and let you know your not alone on this.

Some of the dreams I have are very disturbing. A couple nights ago I had a dream I stabbed myself in the chest....I don't have thoughts of suicide, so I have no idea where that came from.

They don't happen often enough for me to be bothered by them. I have more of a problem with waking up...as I've been waking up disoriented (unfamiliar with my surroundings, thinking it's December when it's really January, etc.).
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What happened: I was randomly assaulted from behind in June of 2011. I was knocked unconscious for an unknown amount of time (less than 30 minutes) and have no memory of the event. CT scan showed contusion and hematoma of the left frontal lobe. I spent 3 days in the hospital. Diagnosed with Post-Concussion Syndrome in September 2011. Currently have Medicaid, Medicare and SSI.

Current symptoms: Brain fog, mild memory issues, problems with spontaneity, occasional spacing out, word finding difficulties, tinnitus in right ear and some other things that I can't explain.

Life after the brain injury: 4 years after the injury, I'm engaged to my beautiful girlfriend of 5 years, I'm the CEO of my own business, Notorious Labs, I've taught myself how to program complex games and apps which is a feat I never thought I'd accomplish and now live a semi-normal life with very mild PCS symptoms.

Slowly but surely regaining my life back.
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Old 01-23-2012, 11:04 PM #4
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Yes, I have had crazy dreams ever since my injury. Very vivid and contorted (like one of those feature films where there is a totally unforeseen twist every 5 minutes).

Right after I started amitriptyline, I was sleeping more soundly and didn't have so many. But now that I've been on it a while, they are starting up again.
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mTBI and PCS after sledding accident 1-17-2011

Was experiencing:
Persistent headaches, fatigue, slowed cognitive functions, depression
Symptoms exacerbated by being in a crowd, watching TV, driving, other miscellaneous stress & sensory overload
Sciatica/piriformis syndrome with numbness & loss of reflex


Largely recovered after participating in Nedley Depression Recovery Program March 2012:

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Old 01-23-2012, 11:20 PM #5
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"They are full of conflict and anxiety. "

"Very vivid and contorted (like one of those feature films where there is a totally unforeseen twist every 5 minutes)."

Exactly. I know a lot of people here talk about fogginess but does any one else have a hard time being able to tell if they are awake or not or when these messed up dreams are real or not. Or feel like they can never really get to sleep but are never sure if they really are awake.
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Old 01-24-2012, 10:57 AM #6
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I had a period of unusually vivid dreams which I am certain were related to PCS.
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mTBI March 2011, spent around a year recovering.

Since recovery I have achieved a Master's degree with distinction in Neurological Occupational Therapy
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Old 01-24-2012, 11:16 AM #7
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Default me too

During the initial months of my PCS I experienced horrible nightmares. Most would include some type of injury to my head. I would wake up in pain..and and realized it was like my mind was trying to justify the pain. They were terrifying! I do agree 100% that they are related to pcs.

I still do have these occasionally.. but they got a lot better!
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Old 01-24-2012, 12:31 PM #8
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Well, I guess I'm relieved I'm not the only person experiencing these, but sorry others are suffering too.

Mark - I'm not sure if I'm breathing properly during these. I think I am, but I'm half asleep during all of this. I was just reading the thread posted by chitowndizzy regarding upper cervical neck injuries and wonder if this could be a factor too. My neck was very sore for a few days after my injury occurred. To this day it still "clicks" or "pops" sometimes when I turn my head in either direction. It also makes a "crackling" sound when I look up and down. Maybe this is a contributing factor to poor sleep.

I agree with the others about the "vivid and contorted" description. Sometimes my dreams will be alright, then something wacky happens out of the blue. Weird stuff.
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Old 01-24-2012, 10:50 PM #9
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Very vivid and realistic dreams. Takes awhile after I wake up to realize that it was just a dream. Usually linked to people I'm having a hard time dealing with.
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Partial list of symptoms: (Physical - noise/light sensitivities, balance problems, headaches, sleeplessness) (Mental - brain fog, severe lack of awareness, difficulty expressing ideas - or thinking in the first place!, struggle with simple problems) (Emotional - anger, depression, inability to handle/control emotions) (Social - generally inept - thanks to everyone for allowing me to "practice" some social and communication skills on this forum)

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Old 02-28-2012, 01:08 PM #10
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I am having very vivid, hyper-realistic dreams that are messing up my grip on reality! I have dreams about things going on in my everyday life--mundane, regular stuff--that I am now having trouble sifting through to figure out what has really happened & what hasn't. Is this my personal issue, or can anyone relate? I mean, things as simple as returning a phone call are getting messed up. Last night (I think) I dreamed I was submitting a proposal for a contract at work. It took me until mid-day today to realize I hadn't actually done it. Or have I? I can't find evidence of it...but I don't know for sure. Grrr! This is maddening! Now I have to go to my boss & tell her that I'm not sure whether I did it or not. I have a memory of doing so, but I think it was a dream...I need a week off! Blah!
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