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P02-174 - Charles Bonnet Syndrome

Published online by Cambridge University Press:  17 April 2020

H. Haj Kacem ,
L. Mnif ,
J. Masmoudi ,
A. Feki ,
R. Damak ,
I. Baati ,
N. Halwani ,
N. Ayadi  and
A. Jaoua
H. Haj Kacem
Affiliation:
Psychiatry, Hedi Chaker University Hospital, Sfax, Tunisia
L. Mnif
Affiliation:
Psychiatry, Hedi Chaker University Hospital, Sfax, Tunisia
J. Masmoudi
Affiliation:
Psychiatry, Hedi Chaker University Hospital, Sfax, Tunisia
A. Feki
Affiliation:
Psychiatry, Hedi Chaker University Hospital, Sfax, Tunisia
R. Damak
Affiliation:
Psychiatry, Hedi Chaker University Hospital, Sfax, Tunisia
I. Baati
Affiliation:
Psychiatry, Hedi Chaker University Hospital, Sfax, Tunisia
N. Halwani
Affiliation:
Psychiatry, Hedi Chaker University Hospital, Sfax, Tunisia
N. Ayadi
Affiliation:
Psychiatry, Hedi Chaker University Hospital, Sfax, Tunisia
A. Jaoua
Affiliation:
Psychiatry, Hedi Chaker University Hospital, Sfax, Tunisia

Abstract

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The Charles Bonnet syndrome is characterized by the presence of complex visual hallucinations among elderly patients with ophthalmic disease previously free of any psychiatric disorder. It has long been considered rare because of the reluctance of patients for fear of being thought mentally ill.

The objective of this work is to recognize the clinical characteristics of Charles Bonnet syndrome, allowing early detection and adequate care, through the presentation of two cases.

The authors report two cases of elderly, free of any dementia, patients, with the result of an intervention on cataract complicated by a bilateral blindness. Charles Bonnet syndrome is revealed by complex visual and stereotyped hallucinations.

These hallucinations exacerbated at night, disturbing the sleep of these patients.

Only when the insomnia was associated with anxiety agitation, their respective families decided to make the patients consult the psychiatrist.

The evolution under antipsychotic and antidepressant drugs was only partial.

Type
Others
Information
European Psychiatry , Volume 25 , Issue S1: 18th European Congress of Psychiatry. February 27, March 2, 2010 - Munich, Germany , 2010 , 25-E789
Copyright
Copyright © European Psychiatric Association 2010
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