Charles Bonnet syndrome: characteristics of its visual hallucinations and differential diagnosis

Objective:To present an eight-case serie of patients with Charles Bonnet syndrome (CBS). Method: All patients were initially evaluated by an ophthalmologist and then submitted to a neurologic evaluation with exclusion of alternative psychiatric and neurologic diagnoses.Results:Five patients were male (62.5%) and the mean age was 52.3+16.0 years. Two patients suffered from severe myopia and glaucoma, three had retinitis pigmentosa, one had anterior ischemic optic neuropathy, one had age-related macular degeneration and one had toxoplasmic retinochoroiditis. Mean visual acuity in the right eye was 1,12 logMAR and in the left eye 0.57 logMAR. A mean delay of 41.7 months occurred until diagnosis. All hallucinations were complexes and mostly ocurred on a weekly-basis (62.5%) and lasted for seconds (87.5%).Conclusions:Physicians who care for low vision patients should be aware of CBS and appropriately diagnose its hallucinations after exclusion of psychiatric and neurologic diseases.

Saved in:
Bibliographic Details
Main Authors: Vale,Thiago Cardoso, Fernandes,Luciene Chaves, Caramelli,Paulo
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 2014
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000500333
Tags: Add Tag
No Tags, Be the first to tag this record!