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眼部相关的视幻觉:需考虑“查尔斯·邦纳综合征”。

Eye-related visual hallucinations: consider 'Charles Bonnet syndrome'.

机构信息

Department of Neurology, Faculty of Medicine, Maltepe University, Istanbul, Turkey.

出版信息

Indian J Ophthalmol. 2011 May-Jun;59(3):229-30. doi: 10.4103/0301-4738.81038.

DOI:10.4103/0301-4738.81038
PMID:21586846
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3120245/
Abstract

The Charles Bonnet Syndrome (CBS) is typically characterized by visual hallucinations in elderly people without cognitive defects. This article presents the case of an 80-year-old male patient with a one-year history of visual hallucinations, secondary to glaucoma, in both eyes. Neither a dopamine agonist nor cholinesterase inhibitor therapy improved his symptoms. In this case, the hallucinations were gradually improved after administration of a GABAergic drug, pregabalin, for diabetic polyneuropathy. Placebo-controlled clinical trials would be needed to support this effect of pregabalin, as suggested by this association.

摘要

查尔斯·邦纳综合征(CBS)通常以无认知缺陷的老年人群中出现视觉幻觉为特征。本文介绍了一例 80 岁男性患者的病例,该患者双眼患有青光眼,有一年的视觉幻觉病史。多巴胺激动剂和胆碱酯酶抑制剂治疗均未改善其症状。在这种情况下,由于糖尿病性多发性神经病,给予 GABA 能药物普瑞巴林后,幻觉逐渐改善。需要安慰剂对照临床试验来支持普瑞巴林的这种作用,正如这种关联所表明的那样。

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本文引用的文献

1
Charles Bonnet syndrome: case presentation and literature review.查尔斯·博内综合征:病例报告与文献综述
Optometry. 2009 Jul;80(7):360-6. doi: 10.1016/j.optm.2008.10.017.
2
Charles Bonnet syndrome: successful treatment of visual hallucinations due to vision loss with Yi-gan san.查尔斯·博内综合征:以一贯煎成功治疗视力丧失所致视幻觉
Prog Neuropsychopharmacol Biol Psychiatry. 2009 Mar 17;33(2):382-3. doi: 10.1016/j.pnpbp.2008.12.005. Epub 2008 Dec 24.
3
Charles Bonnet syndrome in age-related macular degeneration: the nature and frequency of images in subjects with end-stage disease.年龄相关性黄斑变性中的查尔斯·博内综合征:晚期疾病患者图像的性质和频率
Ophthalmic Epidemiol. 2008 May-Jun;15(3):202-8. doi: 10.1080/09286580801939320.
4
Pregabalin: an antiepileptic agent useful for neuropathic pain.普瑞巴林:一种对神经性疼痛有效的抗癫痫药。
Am J Health Syst Pharm. 2007 Jul 15;64(14):1475-82. doi: 10.2146/ajhp060371.
5
Of Roman chariots and goats in overcoats: the syndrome of Charles Bonnet.关于罗马战车与穿着外套的山羊:查尔斯·博内综合征
J Clin Neurosci. 2007 Aug;14(8):709-14. doi: 10.1016/j.jocn.2006.08.006. Epub 2007 Apr 10.
6
Neurontin for Charles Bonnet Syndrome.用于治疗查尔斯·博内综合征的加巴喷丁
J Am Geriatr Soc. 2006 Sep;54(9):1478. doi: 10.1111/j.1532-5415.2006.00877.x.
7
Treatment of typical Charles Bonnet syndrome with donepezil.用多奈哌齐治疗典型的查尔斯·博内综合征。
Int Clin Psychopharmacol. 2004 Nov;19(6):355-7. doi: 10.1097/00004850-200411000-00008.
8
The rarity of Charles Bonnet syndrome.查尔斯·博内综合征的罕见性。
J Psychiatr Res. 2004 Mar-Apr;38(2):207-13. doi: 10.1016/s0022-3956(03)00090-6.
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Complex visual hallucinations in the visually impaired: the Charles Bonnet Syndrome.视力障碍者的复杂视幻觉:查尔斯·博内综合征
Surv Ophthalmol. 2003 Jan-Feb;48(1):58-72. doi: 10.1016/s0039-6257(02)00414-9.
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