doi:10.1093/brain/awh647 Brain (2006), 129, 108–114 Rhinal–hippocampal connectivity determines memory formation during sleep Juergen Fell,1 Guillén Fernández,1,3,4 Martin T. Lutz,1 Edgar Kockelmann,1 Wieland Burr,1 Carlo Schaller,2 Christian E. Elger1 and Christoph Helmstaedter1 Departments of 1Epileptology and 2Neurosurgery, University of Bonn, Bonn, Germany, 3F.C. Donders Center for Cognitive Neuroimaging and 4Department of Neurology, Radboud University, Nijmegen, The Netherlands Correspondence to: Dr Juergen Fell, University of Bonn, Department of Epileptology, Sigmund-Freud-Strasse 25, D-53105 Bonn, Germany E-mail: [email protected] Compared with waking state attention, volition and semantic processing play a minor role during sleep. Thus, investigating declarative memory formation during sleep may allow us to isolate mnemonic core processes. The most feasible approach to memory formation during sleep is the analysis of dream memories. Lesion and imaging studies have demonstrated that encoding of declarative memories, i.e. consciously accessible events and facts, depends on operations within the rhinal cortex and the hippocampus, two substructures of the medial temporal lobe. Successful memory formation is accompanied by a transient rhinal–hippocampal interaction. Consequently, the ability to memorize dreams may be related to mediotemporal connectivity. Therefore, we recorded EEG during sleep from rhinal and hippocampal depth electrodes implanted in 12 epilepsy patients (eight women, mean age 41.1 6 6.4 years). They were awakened during rapid eye movement sleep (REM) and asked to recall their dream. Via coherence analyses we show that rhinal–hippocampal connectivity values are approximately twice as large for patients with good dream recall versus those patients with poor recall. This suggests that rhinal–hippocampal connectivity is a key factor in determining declarative memory formation. Keywords: EEG; memory formation; sleep; epilepsy; medial temporal lobe Abbreviations: MTL = medial temporal lobe; REM = rapid eye movement sleep; SWS = slow wave sleep Received April 5, 2005. Revised August 24, 2005. Accepted August 30, 2005. Advance Access publication October 26, 2005 Introduction Lesion studies have firmly linked the medial temporal lobe (MTL) to the declarative memory system, which enables us to consciously remember events and facts (Eichenbaum, 2000; Squire et al., 2004). Functional investigations have shown that MTL activations and transient rhinal–hippocampal interactions are associated with successful declarative memory formation (Brewer et al., 1998; Wagner et al., 1998; Fernández et al., 1999; Fell et al., 2001, 2003b; Otten et al., 2001). However, these operations may be masked by less controllable factors, such as attention or semantic processing, which indirectly support declarative memory formation (Brewer et al., 1998; Wagner et al., 1998; Otten et al., 2001). Such support operations presumably play a minor role during sleep (Hobson et al., 2000). Thus, investigating declarative memory formation during sleep, as assessed by dream recall, may allow us to isolate a core mnemonic process. # The ability to recall dreams varies greatly among subjects (e.g. Goodenough, 1991). The frequency and quality of dream recall are related to factors like different personality types, sleep habits and one’s attitude towards dreams (Schredl and Montasser, 1996). However, in a recent extensive study with 444 participants, only 8.4% of the interindividual variance of dream recall frequency could be explained by those factors (Schredl et al., 2003). Although dreams occurring during rapid eye movement sleep (REM) are dominated by visual imagery (Snyder, 1970; Hobson et al., 2000), no significant correlation was found between daytime visual memory performance and dream recall frequency. Thus, dream recall variations are probably largely determined by memory formation during sleep, rather than by daytime memory capability. Are there any neurophysiological factors that predict dream recall? The formation of declarative memories is accompanied The Author (2005). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved. For Permissions, please email: [email protected] Rhinal–hippocampal coherence in memory formation by the phase synchronization of rhinal–hippocampal EEG activity in the gamma range and an increased EEG coherence in the low-frequency range (Fell et al., 2001; 2003b). It has been suggested that declarative memory is disfacilitated during sleep causing dreams to be more difficult to remember than those experiences made during the waking state (Hobson et al., 2000; Hobson and Pace-Schott, 2002). When comparing the sleep state with the waking state, indeed a reduced rhinal–hippocampal and intrahippocampal EEG coherence has been observed, particularly within the gamma range (Fell et al., 2003a). Therefore, we hypothesized that variations in mediotemporal connectivity may account for the interindividual differences in one’s ability to build declarative memories during sleep. We recorded the sleep EEG from 12 patients with pharmacoresistant MTL epilepsies, subsequent to one adaptation night. Multicontact depth electrodes had been implanted stereotactically along the longitudinal axis of each MTL (Van Roost et al., 1998) during the presurgical evaluation because the seizure onset zone could not be precisely determined with non-invasive investigations. Each subject had at least one electrode contact which could be localized unequivocally within the anterior parahippocampal gyrus. Another electrode was localized within the anterior hippocampus (anterior third), and a third was localized within the posterior hippocampus (posterior third). To reduce the possibility of introducing uncontrolled variables brought about by the epileptic process, we analysed only those EEG recordings that were taken from the MTL contralateral to the zone of seizure origin (Puce et al., 1989; Grunwald et al., 1995). During the night, depth and scalp EEG, electrooculogram and electromyogram were recorded and monitored online (see Methods). The patients were awakened upon the onset of the second and the following REM phases, which were positively identified using Rechtschaffen/Kales criteria (Rechtschaffen and Kales, 1968). The latency period of the awakenings with respect to REM onset was 5 min. Immediately upon awakening, the patients were asked whether they remembered having had a dream and whether they could recall any specific content. Brain (2006), 129, 108–114 109 EEG recording and sleep staging Sleep EEG was recorded subsequent to one adaptation night. Arrangement of an additional adaptation night to experience the modalities of awakening and reporting was not possible due to the constraints given by the clinical schedule patients had to pass. Thus, the estimates of the frequency of REM-dreams were expected to be less accurate than those possible in multiple-night studies, where subjects also preliminary experience the modality of awakening and reporting dream contents. Informed consent had been obtained from all patients (eight women, mean age: 41.1 6 6.4 years) and the local institutional ethics committee approved the study. Electrode contact placement was ascertained by examining MRIs acquired in the sagittal, axial and coronal planes, which were adjusted to the longitudinal axis of the hippocampus. Electrode contacts were mapped by transferring their positions from MRIs to standardized anatomical drawings (Jackson and Duncan, 1996; Van Roost et al., 1998). Each patient was diagnosed with a unilateral seizure origin within one MTL (six patients—right; six patients—left). EEG data obtained from the non-pathological MTL in patients with a unilateral seizure origin have been shown to be qualitatively unchanged when compared with the invasive EEGs recorded in monkeys (Paller et al., 1992). Depth electroencephalograms were referenced to linked mastoids, bandpass-filtered [0.01 Hz (6 dB/octave) to 70 Hz (12 dB/octave)] and recorded with a sampling rate of 200 Hz. Scalp EEG was recorded from positions C3, C4 and O1 (10–20 system). Electroocular activity was registered at the outer canthi of both eyes and submental electromyographic activity was acquired with electrodes attached to the chin. Interelectrode impedances were all below 5 kV. Two experienced raters (J.F. and W.B.) performed a visual analysis based on Rechtschaffen/Kales criteria (Rechtschaffen and Kales, 1968). All EEG epochs were inspected twice for movement artefacts and epileptiform activity. Artefact segments were discarded irrespective of the duration of artefacts. For instance, epochs containing an epileptiform spike were rejected because the spikes would contribute spurious power to the higher frequency ranges. Moreover, recordings from the reference electrodes were inspected for artefacts or high voltage EEG contamination and respective epochs were discarded. In total, 41.8% of all EEG epochs were excluded from further analysis. Power and coherence values were calculated for the remaining 11 110 epochs, of which 2477 corresponded to the waking state; 632 to Stage 1; 1651 to Stage 2; 1410 to slow wave sleep (SWS) (Stages 3 and 4) and 963 to REM sleep. Power and coherence analysis Methods Patients To ensure sufficient comprehension of instructions and general verbal ability, only patients with a vocabulary IQ of at least 85 (i.e. falling in the unimpaired range) were included. Before the recording night, patients had been given a self-generated questionnaire addressing general sleeping and dreaming behaviour. Statistical analyses of the questionnaire results indicated that the groups with good versus poor dream memory during the laboratory night did not differ with regard to overall quality of sleep, frequency of dream recall or occurrence of nightmares (P = 0.84, P = 0.79, respectively P = 0.29, Chi-Square). However, the group with good (laboratory) dream memory exhibited significantly shorter sleep durations (6.63 versus 8.25 h, P = 0.047). We partitioned every 20 s EEG epoch into 16 non-overlapping subsegments, each of which lasted 1.25 s. Based on the calculation of fast Fourier transforms for these subsegments (cosine tapering/ windowing), we determined the average power and spectral coherence for each epoch. This was done for the following frequency bands: delta (1–4 Hz), theta (4–8 Hz), alpha (8–12 Hz), beta1 (12–16 Hz), beta2 (16–20 Hz), gamma1 (20–28 Hz), gamma2 (28–36 Hz) and gamma3 (36–44 Hz). Spectral coherence quantifies the frequency specific degree of linear relationship between two signals (Challis and Kitney, 1991). It is given by the average cross power spectrum of two signals divided by the average powers of both signals. The values of spectral coherence range between zero and one. Prior to statistical analysis, the coherence values were Fisher-z-transformed. For each patient power and coherence values were averaged for each of the combinations of sleep stage 110 Brain (2006), 129, 108–114 J. Fell et al. Table 1 Analysis of dream reports for the groups with good versus poor dream memory Group Good dream recall Poor dream recall Patient No. Number of awakenings Dream-like experiences Thought-like experiences No reports No. No. TU DFS BC No. TU DFS BC 2 1 4 2 2 2 1 1 2 2 2 2 (50%) (100%) (50%) (100%) (100%) (100%) 4 6 1;1 3;5 2;9 2;3 7 7 5;5 7;8 6;7 7;7 0 0 0;0 1;3 2;1 0;0 1 0 1 0 0 0 0 – 0 – – – 3 – 3 – – – 0 – 0 – – – Group n=6 1 2 3 4 5 6 13 10 0 0 0 0 0 2 (0%) (0%) (0%) (0%) (0%) (40%) M = 6.6 SD = 1.0 – – – – – 7;7 M = 0.7 SD = 1.1 – – – – – 0;0 2 4 2 1 3 4 5 M = 3.6 SD = 2.5 – – – – – 3;2 Group n=6 19 2 1 2 3 4 5 6 1 1 0 0 1 0 3 (50%) (0%) (25%) (0%) (0%) (0%) 0 0 1 0 0 0 (0%) (0%) (25%) (0%) (0%) (0%) 1 (25%) (50%) (0%) (0%) (25%) (0%) 0 0 – – 0 – 3 3 – – 3 – 0 0 – – 0 – 3 1 1 3 3 3 (75%) (50%) (100%) (100%) (75%) (60%) 14 TU, temporal units (a temporal unit is defined as ‘whatever activities could have occurred synchronously and were not described as having occurred successively’) (Foulkes and Schmidt, 1983); DFS, Dream-like Fantasy Scale; 1, Mind was blank; 2, Experienced something but forgot what it was; 3, Conceptual (no imagery), everyday content; 4, Conceptual (no imagery), bizarre content; 5, Non-hallucinatory (sensory) imagery, everyday content; 6, Non-hallucinatory (sensory) imagery, bizarre content; 7, Hallucinatory (sensory) imagery, everyday content; 8, Hallucinatory (sensory) imagery, bizarre content; BC, Bizarre elements (number). Generally, objects/actions/persons etc. that do not exist or are impossible in waking-life reality are defined as bizarre (Schredl and Erlacher, 2003). No., Number; M, mean; SD, standard deviation. [Awake, Stage 1, Stage 2, SWS (Stages 3 and 4), REM], frequency band and electrode position (power) or electrode pair (coherence). REM awakenings and dream reports Sleep EEG was monitored online by an experienced rater (E.K.). The patients were immediately awakened during REM phases (average number of awakenings: 2.8 6 1.4), and asked whether they remembered having had a dream. If so, they were instructed to give a detailed narrative description. In order to explore their dream memory in further detail, we also conducted a structured interview which included 15 questions that addressed specific dream content. Only reports with characteristics like story-like development, self-participation and presence of perceptual features indicating a vivid and/or bizarre episode were counted as dreams. More thought-like mentation processes, which often occur in early sleep and NREM-stages, but also during REM sleep, were not rated as dreams (Cicogna et al., 2000). Key qualitative and quantitative content characteristics of the dream reports are given in Table 1. The variables dream length (in temporal units, Foulkes and Schmidt, 1983), score in the ‘Dream-like Fantasy Scale’ DFS (Foulkes, 1970) and bizarreness of dream content (Schredl and Erlacher, 2003) were quantified (see notes to Table 1 for more detailed information). The three analyses of dream reports were carried out by one scorer, who was blind as to the aim and design of the study. These measures indicate that subjects in the group with good dream memory actually remembered dream-like experiences, and not just thought-like mentations. We divided the patients into two equally-sized groups according to their dream recollection ability: six subjects remembered that they had a dream and could recall specific dream content at least 50% of the time (average recall rate: 79.2 6 24.6%); five subjects could not recall any dreams and one could remember his dreams in two out of five cases (average recall rate: 6.7 6 16.3%). Five subjects of the first group (good dream memory) always delivered a dream or mentation report and one subject gave a report in three out of four cases. Subjects of the second group (poor dream memory) gave no report in at least 50% of the cases (see Table 1). Memory tests Prior to electrode insertion, we assessed memory performance by administering two list-learning tests. Verbal material memory was quantified by administering a German adaptation of the Rey Auditory Verbal Learning test (Helmstaedter et al., 2001). This test requires learning and immediate free recall from a list of 15 words in five trials, and a delayed free recall of this list after distraction (learning a second list in one trial) with a 30 min delay. The patient must then identify the target items from orally presented alternatives. Learning capacity (total correct responses over five immediate freerecall tests) and performance on delayed free recall (correct responses following distraction after 30 min) were standardized (mean = 100, SD = 10) with respect to normative test data. The measure of interest was the total verbal memory score given by the sum of the individual scores divided by two. The DCS-R, a revised version of the DCS (Diagnosticum für Cerebralschädigung; Lamberti and Weidlich, 1999) was chosen to assess visual/figural memory performance. The DCS-R requires repetitive learning and immediate free reproduction from a set of nine abstract designs in six learning trials. The measure of interest was the learning capacity, i.e. the number of correctly reproduced designs at the final test. This score was also standardized using normative data of healthy controls. Rhinal–hippocampal coherence in memory formation Brain (2006), 129, 108–114 111 Statistical analysis To analyse power and coherence changes we conducted a four-way analysis of variance (ANOVA) with BAND (eight frequency bands) and POSITION (rhinal cortex, anterior hippocampus, posterior hippocampus) or PAIR (rhinal cortex–anterior hippocampus, rhinal cortex–posterior hippocampus, anterior hippocampus–posterior hippocampus) as repeated measures and dream MEMORY (good, poor) and STAGE (Awake, Stage 1, Stage 2, SWS and REM) as independent variables. For the coherence values we additionally calculated two-way ANOVAs with the factors MEMORY and STAGE separately for each electrode pair and frequency band. Comparisons of daytime memory scores between the groups with poor and good dream memory were carried out with two-tailed t-tests. Results To eliminate the possibility that the amount and quality of dream recall were determined by memory performance during the waking state and not by memory formation during sleep, we assessed the patients’ verbal and figurative memory by administering list-learning paradigms during the daytime (see Methods). The group with poor dream recall and the group with good dream recall showed no significant differences in memory performance during the waking state. No significant differences were noted with regard to figurative memory (83.3 6 12.0 versus 76.8 6 19.3; two-tailed t-test: T10 = 0.70; P > 0.4) and verbal memory (90.1 6 4.4 versus 92.3 6 6.4; T10 = 0.68; P > 0.5). We found no significant statistical differences in spectral power (no main effect of MEMORY [F(1,50) = 0.04] or twoway or higher-order interactions of the other factors with MEMORY) for the groups with good dream recall versus those with poor dream recall. However, we did detect very prominent spectral coherence differences related to dream recall (main effect of MEMORY [F(1,50) = 27.87; P < 10 5]). The coherence level between the rhinal cortex and the anterior hippocampus (Fig. 1) was 2.5 times higher for the group with good dream recall (average factor across all frequency bands and stages: 2.46 6 0.43). Furthermore, the coherence level between the rhinal cortex and posterior hippocampus (Fig. 2) was about twice as high (average factor: 1.91 6 0.41) and the intrahippocampal coherence level (Fig. 3) was 1.5 times higher (average factor: 1.45 6 0.28) for those subjects with good dream recall (significant MEMORY · PAIR interaction [F(2,100) = 6.77; P < 0.01; Huynh-Feldt e = 0.910]. The interindividual differences for dream memory depended upon the frequency band (MEMORY · BAND; [F(7,350) = 10.81; P < 10 11; e = 0.376] and MEMORY · BAND · PAIR [F(14,700) = 3.21; P < 0.05; e = 0.154] interaction). Rhinal–hippocampal coherence effects were most significant for the theta, alpha and lower beta band [main effects of MEMORY: rhinal–anterior hippocampal, F(1,50) 14.91; each P < 0.0005; rhinal–posterior hippocampal, F(1,50) 18.59; each P < 0.0001]. Intrahippocampal coherence effects were most significant for the alpha, lower Fig. 1 Localization of MTL depth electrodes. Left: the shaded areas in the standardized drawings indicate the approximate location of the MTL electrode contacts which were selected for EEG analysis (Am, amygdala; Cs, collateral sulcus; Hi, hippocampus; Pg, parahippocampal gyrus; Rc, rhinal cortex). Right: two coronal MRIs of a patient with bilateral depth electrodes in situ (radiological convention, L, left). White arrows indicate MTL electrode contacts within the rhinal cortex (above) and within the hippocampus (below). Fig. 2 Connectivity between rhinal cortex and anterior hippocampus. Shown are the grand averages of EEG coherence while awake and during the various sleep stages (Stage 1, Stage 2, SWS and REM) for the group with poor dream recall (left) and with good dream recall (right). Both the mean and standard error of the mean (SEM) are plotted. beta and lower gamma band [F(1,50) 8.73; each P < 0.005]. Dream recall related effects for rhinal–posterior hippocampal coherence in the upper gamma bands [F(1,50) = 3.22] and intrahippocampal coherence in the delta [F(1,50) = 1.71], the middle gamma [F(1,50) = 3.44] and upper gamma band [F(1,50) = 1.61] were not significant. 112 Brain (2006), 129, 108–114 Fig. 3 Connectivity between rhinal cortex and posterior hippocampus. Shown are the grand averages of EEG coherence while awake and during the various sleep stages (Stage 1, Stage 2, SWS and REM) for the group with poor dream recall (left) and with good dream recall (right). Both the mean and standard error of mean (SEM) are plotted. Rhinal–hippocampal coherence values are, generally, larger than intrahippocampal coherence values [average factor: 1.60 6 0.42; main effect of PAIR, F(2,100) = 16.10, P < 10 6, e = 0.910]. The coherence values decrease from the waking state towards Stage 2, SWS and REM sleep [significant contrast of waking state against Stage 2, SWS and REM: F(1,54) = 4.11; P < 0.05], which has been described elsewhere (Fell et al., 2003a). However, the effect of dream recall does not depend upon the stage classified for the EEG segment (no significant MEMORY · STAGE interaction [F(4,50) = 0.25] or higher-order interactions involving the factors MEMORY and STAGE). Discussion Following the idea that investigating memory formation in the sleeping state may allow us to isolate mnemonic core processes, the present study is the first that examined the interrelationship between declarative memory formation during sleep and mediotemporal EEG characteristics. Our data suggest that dream memorization is closely associated with rhinal–hippocampal and intrahippocampal connectivity. Admittedly, the present investigation has some methodological limitations. As dream recall technique an interview without ad hoc scoring of the perceptual and narrative features of the dream contents has been applied. However, later quantification of the variables dream length, dream-like fantasies and bizarreness of the reports (Foulkes, 1970; Foulkes and Schmidt, 1983; Schredl and Erlacher, 2003) verified that subjects in the group with good dream memory actually J. Fell et al. remembered dream-like experiences. It has been demonstrated that dreams can be recalled also after awakening from NREM sleep, in normal subjects with a rate of 50% (Nielsen et al., 2000). Thus, an interesting question would be to compare the mediotemporal EEG characteristics in case of successful memorization of dreams occurring during NREM sleep with dreams during REM sleep. Addressing this question, which has not been carried out in the present study, could provide a reliable and complementary test for the hypothesis that successful dream memorization is associated with increased mediotemporal connectivity. The frequency of dream reports following awakenings during REM sleep in our patients group deviates from the values reported by other studies. In healthy volunteers, there is a robust finding of an average dream recall rate following REM awakenings of 80% (e.g. Nielsen 2000). Also in a sample of patients with temporal lobe epilepsies successful dream recall was found in >80% of awakenings from REM sleep (Cipolli et al., 2004). But there are important differences in the clinical characteristics of both groups. Our preoperative sample consisted of a homogeneous group of lesional patients with medically intractable MTL epilepsies. In these patients pathology is largely confined to mediotemporal structures, including severe morphological damage such as hippocampal sclerosis or atrophy. Hence, brain structures that are known to be important for declarative memory formation are heavily affected (Eichenbaum, 2000; Squire et al., 2004). In contrast, the patient group investigated by Cipolli et al. (2004) represented temporal lobe epilepsies, where no lesions were detectable at a CT scan. Thus, the reduced frequency of dream recall in our patients group may originate from their specific clinical characteristics. Furthermore, a methodological bias resulting from the strong clinical constraints of the examination of patients with depth electrodes cannot be ruled out. One key limitation may be the absence of an additional adaptation night to experience the modalities of awakening and reporting, so that the retrieval strategy applied by our patients could have been less adequate than that usually applied by normal subjects in experimental studies on dream recall. This methodological constraint may represent another reason for the low frequency of dream recall observed in our patient group. Nevertheless, the present study provides evidence indicating that successful memorization of dreams is accompanied by an enhanced rhinal–hippocampal and intrahippocampal EEG coherence. These findings corroborate and expand upon previous results and suggest that an enhanced connectivity, not an EEG power increase within mediotemporal structures, is the crucial factor supporting declarative memory formation (Fell et al., 2001, 2003b). The unambiguous separation of power and coherence effects was accomplished by recording intracranial EEGs. This would not have been possible with surface EEGs due to the anatomical proximity of the inspected areas (Bullock et al., 1995). Our results indicate that models (Buzsáki, 1996; Fernández and Tendolkar, 2001) which propose that building new declarative memories requires a Rhinal–hippocampal coherence in memory formation direct cooperation between the rhinal cortex and hippocampus apply not only to the waking state, but also to the sleep state. Our data do not strictly exclude a third pacemaker site driving coherent activity in rhinal cortex and hippocampus or in anterior and posterior hippocampus independently from each other. For instance, the thalamus or the basal forebrain might represent such pacemaker sites for the rhinal cortex and the hippocampus (Witter et al., 1989). However, the strong anatomical connection between both structures supports the hypothesis of a direct rhinal–hippocampal interaction underlying the coherence differences (Witter et al., 1989; Amaral and Insausti, 1990). Also for anterior and posterior hippocampus a common pacemaker is not plausible, since their afferent connections are channelled through different sections of the entorhinal, perirhinal and post-rhinal cortices (e.g. Moser and Moser 1998). Rhinal–hippocampal coherence values were, generally, found to be larger than intrahippocampal coherence values. This result emphasizes the existence of a strong anatomical and functional interaction between the rhinal cortex and the hippocampus (Amaral and Insausti, 1990) and supports the hypothesis of a functional dissociation within the hippocampus (Moser and Moser, 1998). The differences in mediotemporal coherence between subjects with good versus poor dream memory did not depend upon the stage classified for the EEG segment. With the reservations outlined above this finding suggests that the mediotemporal connectivity during the waking state and non-REM stages and the connectivity during REM sleep are equally predictive for dream recall (Fig. 4). The observed coherence effects cannot be explained by systematic differences in the signal of the reference electrodes (linked mastoids). References were inspected for artefacts and high voltage EEG contamination and respective epochs were discarded. Generally, surface potentials are much smaller than intracranial potentials. Furthermore, the lack of systematic differences in spectral power between the group with poor versus good dream memory speaks against a reference influence. Since the differences in average rhinal–hippocampal and intrahippocampal coherence values between the group with good versus poor dream memory did appear across all frequency bands, this effect is equivalent to an increased correlation between the EEG signals for the group with good dream memory compared with the group with poor dream memory. Attentional top–down modulation, volitional control or semantic processing presumably play a minor role during sleep (Hartmann, 1966; Goodenough, 1991). Therefore, dream memory formation is more closely related to a core operation of declarative memory formation because, unlike those experimental situations defined by conventional paradigms (e.g. those utilizing the subsequent memory effect), it occurs spontaneously and unintentionally (Brewer et al., 1998; Wagner et al., 1998; Fernández et al., 1999; Otten et al., 2001). Thus, our approach not only addresses memory Brain (2006), 129, 108–114 113 Fig. 4 Connectivity between anterior and posterior hippocampus. Shown are the grand averages of EEG coherence while awake and during the various sleep stages (Stage 1, Stage 2, SWS and REM) for the group with poor dream recall (left) and with good dream recall (right). Both the mean and standard error of mean (SEM) are plotted. formation during sleep, but may also allow us to isolate a basic process of declarative memory formation that is not masked by indirect support operations. With the reservations described above the pronounced difference in rhinal– hippocampal and intrahippocampal coherence among subjects with good dream recall versus those with poor recall suggests that mediotemporal connectivity is a key factor in determining successful memory formation. The lack of significant differences in daytime memory scores for the groups with good versus poor dream memory weakens the possibility of a parasitic effect of retrieval on the dream recall results. During the waking state, in situations where memorization is intended, low mediotemporal connectivity is possibly compensated by other factors such as semantic elaboration. Moreover, a transient increase of mediotemporal connectivity may be evoked by attention (Fell et al., 2001). Since coherence values during the waking state, nonREM stages and REM sleep are equally predictive for dream recall, mediotemporal connectivity may represent a factor in declarative memory formation, which is modulated on a long-term scale, or even a trait variable, which might have a genetic basis (De Quervain et al., 2003; Heinz et al., 2004). Acknowledgements This research was supported by the Deutsche Forschungsgemeinschaft (DFG El-122-8). 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