Complex Visual Hallucinations in an Elderly Man

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Identifier walsh_1988_s2_c6
Title Complex Visual Hallucinations in an Elderly Man
Creator Mark S. Borchert, MD; Ann McKee, MD; Simmons Lessell, MD
Affiliation (MSB) (AM) (SL) University of Southern California, Los Angeles, CA
Subject Hallucinations; Tegmentum Mesencephali; Behavioral Symptoms; Paranoid Behavior
History An 83-year old male with visual hallucinations and a change in personality. Previous history significant for surgically treat colonic neoplasm, MI, cataract extraction OD, III nerve palsy, diabetes mellitus, peripheral neuropathy and cardiomegaly with mitral regurgitation.
Pathology Cardiac hypertrophy; Atherosclerosis; Liver cirrhosis; nephrpsclerosis; Thalamic occulsion; Lesions within pars reticulata of the substansia nigra characterized by macrophagic infiltration.
Disease/Diagnosis Peduncular hallucinosis
Clinical VA: 20/40 OD, 20/25 OS; Bilateral soft macular drusen with normal optic discs.
Presenting Symptom Visual hallucinations; Personality change
Neuroimaging CT
Treatment Anticonvulsants; Antimanic agents
Date 1988
References 1. Lhermitte, J.: Syndrome de la calotte pedonculaire: Les troubles psycho-sensoriels dans les lesions du mesencephale. Rev. neurol. 38:1359,1922. 2. van Bogaert, L.: L'hallucinose pedunculaire. Rev. neurol. 1:608, 1927. 3. Lhermitte, J., Levy, G., and Trelles, J.: L'hallucinose pedonculaire(etude anatomique d'un cas). Rev neurol. 1:382, 1932. 4. DeMorsier, G.: Pathogenie de l'hallucinose pedonculaire. Rev. neurol. 64:606, 1935. 5. Rozanski, J.: Peduncular hallucinosis following vertebral angiography. Neurology 2:341, 1952. 6. Hayakawa, I., et al.: Hallucinose pedonculaire in a patient with localized midbrain hemorrhage caused by arterio-venous malformation. Rinsho Shinkeigaku 24:472,1984.
Language eng
Format application/pdf
Type Text
Source Text
Relation is Part of 1988 Walsh Session
Collection Neuro-Ophthalmology Virtual Education Library: Walsh Session Annual Meeting Archives: https://novel.utah.edu/Walsh/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6h41v6z
Setname ehsl_novel_fbw
ID 178109
Reference URL https://collections.lib.utah.edu/ark:/87278/s6h41v6z
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