Bloch J, Morell-Dubois S, Koch E, Launay D, Maillard-Lefebvre H, Buchdahl A-L, Hachulla E, Rouland J-F, Hatron P-Y, Lambert M
Service de médecine interne, hôpital Huriez, CHRU de Lille, Lille cedex, France.
Rev Med Interne. 2011 Dec;32(12):e119-21. doi: 10.1016/j.revmed.2010.12.014. Epub 2011 Jan 26.
In patients with visual hallucinations, diagnostic strategy is unclearly codified. In patients known to have giant cell arteritis, the main diagnostic assumption is disease relapse. Indeed, this should lead to rapid corticosteroid therapy. However, the Charles Bonnet syndrome, that is a poorly known etiology of visual hallucinations usually observed in elderly people, should be part of the differential diagnosis. We report a 87-year-old woman, with a 2-year history of giant cell arteritis who was admitted with an acute onset of visual hallucinations and who met all the criteria for Charles Bonnet syndrome.
在有视幻觉的患者中，诊断策略并未明确编纂。在已知患有巨细胞动脉炎的患者中，主要的诊断假设是疾病复发。确实，这应导致迅速进行皮质类固醇治疗。然而，查尔斯·邦尼特综合征，这是一种通常在老年人中观察到的对视幻觉病因了解较少的病症，应作为鉴别诊断的一部分。我们报告一名87岁女性，有2年巨细胞动脉炎病史，因急性视幻觉发作入院，且符合查尔斯·邦尼特综合征的所有标准。
