Testen Sie Ihr Fachwissen

Anamnese

Eine 67-jährige Patientin kommt mit Sehstörungen, die sie als schwarze Flecken und ein „Krisseln“ wie bei einem Fernsehbild ohne Empfang beschrieb, zur neurologischen Abklärung. In den letzten Tagen waren auch zunehmend andere visuelle Phänomen hinzugekommen. So berichtet die Patientin von verschiedenen Tieren, die durch ihr Wohn- und Schlafzimmer laufen, sowie von Möbeln die sich langsam im Raum bewegten.

• Literatur

• 1 Teunisse RJ, Cruysberg JR, Hoefnagels WH et al. Visual hallucinations in psychologically normal people: Charles Bonnet’s syndrome. Lancet 1996; 347: 794-797
• 2 Brown GC, Murphy RP. Visual symptoms associated with choroidal neovascularization. Photopsias and the Charles Bonnet syndrome. Arch Ophthalmol 1992; 110: 1251-1256
• 3 Damas-Mora J, Skelton-Robinson M, Jenner FA. The Charles Bonnet syndrome in perspective. Psychol Med 1982; 12: 251-261
• 4 Gold K, Rabins PV. Isolated visual hallucinations and the Charles Bonnet syndrome: a review of the literature and presentation of six cases. Compr Psychiatry 1989; 30: 90-98
• 5 Lepore FE. Spontaneous visual phenomena with visual loss: 104 patients with lesions of retinal and neural afferent pathways. Neurology 1990; 40: 444-447
• 6 Menon GJ, Rahman I, Menon SJ et al. Complex visual hallucinations in the visually impaired: the Charles Bonnet syndrome. Surv Ophthalmol 2003; 48: 58-72
• 7 Arai T, Hasegawa Y, Tanaka T et al. [Transient charles bonnet syndrome after excision of a right occipital meningioma: a case report]. No Shinkei Geka 2014; 42: 445-451
• 8 Freiman TM, Surges R, Vougioukas VI et al. Complex visual hallucinations (Charles Bonnet syndrome) in visual field defects following cerebral surgery. Report of four cases. J Neurosurg 2004; 101: 846-853
• 9 Holroyd S, Rabins PV, Finkelstein D et al. Visual hallucinations in patients with macular degeneration. Am J Psychiatry 1992; 149: 1701-1706
• 10 White NJ. Complex visual hallucinations in partial blindness due to eye disease. Br J Psychiatry 1980; 136: 284-286
• 11 Kolmel HW. Complex visual hallucinations in the hemianopic field. JNNP 1985; 48: 29-38
• 12 Linn L, Kahn RL, Coles R et al. Patterns of behavior disturbance following cataract extraction. Am J Psychiatry 1953; 110: 281-289
• 13 Nguyen H, Le C, Nguyen H. Charles Bonnet syndrome in an elderly patient concurrent with acute cerebellar infarction treated successfully with haloperidol. J Am Geriatr Soc 2011; 59: 761-762
• 14 Valencia C, Franco JG. [Charles Bonnet syndrome: report of one case managed with haloperidol]. Rev Med Chil 2008; 136: 347-350
• 15 Batra A, Bartels M, Wormstall H. Therapeutic options in Charles Bonnet syndrome. Acta Psychiatr Scand 1997; 96: 129-133
• 16 Maeda K, Shirayama Y, Nukina S et al. Charles Bonnet syndrome with visual hallucinations of childhood experience: successful treatment of 1 patient with risperidone. J Clin Psychiatry 2003; 64: 1131-1132
• 17 Chen CC, Liu HC. Low-dose aripiprazole resolved complex hallucinations in the left visual field after right occipital infarction (Charles Bonnet syndrome). Psychogeriatrics 2011; 11: 116-118
• 18 Segers K. Charles Bonnet syndrome disappearing with carbamazepine and valproic acid but not with levetiracetam. Acta Neurol Belg 2009; 109: 42-43
• 19 Jang JW, Youn YC, Seok JW et al. Hypermetabolism in the left thalamus and right inferior temporal area on positron emission tomography – statistical parametric mapping (PET-SPM) in a patient with Charles Bonnet syndrome resolving after treatment with valproic acid. J Clin Neurosci 2011; 18: 1130-1132
• 20 Paulig M, Mentrup H. Charles Bonnet’s syndrome: complete remission of complex visual hallucinations treated by gabapentin. JNNP 2001; 70: 813-814