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Peduncular hallucinosis due to brain metastases from cervix cancer: a case report

Published online by Cambridge University Press:  24 June 2014

Mustafa Gokce*
Affiliation:
Neurology Department, Medical School, University of Kahramanmaras Sutcu Imam, Kahramanmaras
Seval Adanali
Affiliation:
Gynecology Department, Ankara Oncology Hospital, Demetevler, Ankara, Turkey
*
Department of Neurology, Medical School, University of Kahramanmaras Sutcu, Imam, 46050, Kahramanmaras, Turkey. Tel. 90 3442211431; Fax: 90 344221 72 39; E-mail: [email protected]

Abstract

Background:

Brain metastases from cervical carcinoma are rare. Accompanying symptoms depend on the location of the metastatic lesions. Penduncular hallucinosis is a vivid form of hallucination with clinical findings indicating a lesion of the upper midbrain. We hereby report a probable first case of peduncular hallucinosis associated with brain metastases from cervical cancer.

Case:

A 42-year-old woman had been diagnosed with adenocarcinoma of cervix. On admission for her increasing pelvic pain, she had complex visual hallucinations comprising cartoon children, figurative people and a foggy room. Magnetic resonance imaging of the head revealed a lesion in the left mesencephalothalamic area.

Conclusion:

Peduncular hallucinosis is well known for its vivid and life-like characteristics associated with a mesencephalic area lesion, and recognition of this may be useful of its diagnosis and differential diagnosis from confusion and other hallucinations.

Type
Case Report
Copyright
Copyright © 2003 Blackwell Munksgaard

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