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Complex visual hallucinations in a Parkinson patient: don't blame James if it's Charles's fault

Published online by Cambridge University Press:  12 November 2012

Kurt Segers
Kurt Segers*
Affiliation:
Neurology Department, Brugmann University Hospital, Van Gehuchtenplein, Brussels, Belgium
*
Correspondence should be addressed to: Kurt Segers, MD, Neurology Department, Brugmann University Hospital, Van Gehuchtenplein 4, 1020 Brussels, Belgium. Phone: +32-2477-2449; Fax: +32-2477-3439. Email: [email protected].
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Abstract

A patient with a history of Parkinson's disease and severe bilateral peripheral vision loss due to vitreous hemorrhages had complex visual hallucinations that persisted for three days and appeared every morning on awakening. The persistent nature of these hallucinations, the patient's preserved insight, and the presence of severe visual impairment was suggestive for Charles Bonnet syndrome rather than Parkinson-related hallucinations. A treatment with carbamazepine was started and proved to be successful. Physicians treating Parkinson patients should be familiar with Charles Bonnet syndrome and consider it as a potential alternative etiology for visual hallucinations, especially when the patient has severely impaired vision and when the hallucinations are sustained during wakefulness.

Keywords

hallucinationsParkinson's diseaseParkinson's disease dementiaanticonvulsants
Type
Case Report
Information
International Psychogeriatrics , Volume 25 , Issue 3 , March 2013 , pp. 505 - 506
Copyright
Copyright © International Psychogeriatric Association 2012

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