Charles Bonnet Syndrome as a Rare Complication in an Ischaemic Stroke

Abstract

Charles Bonnet Syndrome (CBS) is a rare cause of complex visual hallucinations (VH) in individuals with preserved cognitive status. We report a case of an elderly patient with VH, diplopia and headaches for 1 week, with preserved visual acuity and without any strength or focal neurological findings. Computed tomography revealed a subacute ischaemic stroke with temporal and occipital involvement. The patient was admitted to the Department of Internal Medicine where neurological, ophthalmological and psychiatric primary disease were ruled out, as well as dementia. CBS was assumed as a result of a subacute ischaemic stroke. Valproic acid was initiated to treat the symptoms, which resolved the VH. After 3 months of follow up, the patient remained completely recovered without any dementia signs. CBS is a benign disease, usually controlled without pharmacological therapy and not associated with a psychiatric disease; nevertheless, its association with dementia is not clear.

Organic Hallucinosis in Non-Hemorrhagic Stroke Caused by Thrombosis Process: A Case Report

“…At last, dreams are false hallucination since they don't happen while conscious. [1][2][3] In antiquated occasions, there was an extremely current order of hallucinations. The Hippocratic school considered the experience of sight and sound to be identified with suspicion as recognized from epilepsy, madness and despairing.…”

“…Indeed, even Socrates wondered about the apparent voice which he accepted was past his own brain, which had been alluded to as the Socratic Demon. [1,3,4] Case of hallucination, delusions, and confabulations are common symptoms between neurology and psychiatry. Neurological sicknesses showing with manifestations, for example, dementia, epilepsy, Korsakoff's illness, cerebrum growths, Parkinson's infection, headache, right hemispheric stroke and others will be the way to understanding their organic components, while intellectual science, neuropharmacology and useful neuroimaging will be the devices of study.…”