Singh Amardeep, Mortzos Panteleimon, Sørensen Torben Lykke
Clinical Eye Research Unit, Department of Ophthalmology, Copenhagen University Hospital Roskilde, Roskilde, Denmark.
Case Rep Ophthalmol. 2014 Oct 31;5(3):347-51. doi: 10.1159/000368332. eCollection 2014 Sep.
A 67-year-old female presented with post-ganglionic Horner's syndrome. In addition to the classical symptoms of Horner's syndrome, the patient reported experiencing frightening complex visual and auditory hallucinations on two different occasions. Magnetic resonance angiography of the cerebrum, neck and upper thorax revealed internal carotid dissection. The symptoms and hallucinatory experiences resolved soon after antiplatelet therapy was commenced. We propose peduncular hallucinosis as the underlying mechanism.
一名67岁女性出现节后霍纳综合征。除了霍纳综合征的典型症状外,患者报告在两个不同场合出现令人恐惧的复杂视觉和听觉幻觉。大脑、颈部和上胸部的磁共振血管造影显示颈内动脉夹层。开始抗血小板治疗后,症状和幻觉体验很快消失。我们认为中脑幻觉症是其潜在机制。