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一名严重视力障碍老年患者的幻觉

Hallucinations in an Elderly Patient with Severe Visual Impairment.

作者信息

Buttar Barjinder S, Kaell Alan T

机构信息

Internal Medicine, Northwell Health Mather Hospital, Port Jefferson, USA.

出版信息

Cureus. 2018 Nov 14;10(11):e3592. doi: 10.7759/cureus.3592.

DOI:10.7759/cureus.3592
PMID:30675446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6336209/
Abstract

Vivid visual hallucinations are common in the geriatric population and can be due to a number of causes such as dementia, delirium, stroke, adverse effects of medication, or ocular disease. We will examine an interesting patient case report, which allowed us to explore two lesser-known causes of these types of hallucinations: Charles Bonnet Syndrome and Anton-Babinski Syndrome. Treatment of these syndromes focuses on supportive care as well as extensive education for the patient and family concerning the benign nature of the visual hallucinations. Many patients, however, end up undergoing extensive diagnostic studies and treatments that are not necessary. This occurs as a result of a lack of education when it comes to the diagnosis and management of these conditions. By raising awareness among healthcare providers, we can prevent unnecessary and potentially harmful workups and treatments for patients suffering from these syndromes.

摘要

生动的视幻觉在老年人群中很常见,可能由多种原因引起,如痴呆、谵妄、中风、药物不良反应或眼部疾病。我们将研究一个有趣的患者病例报告,该报告让我们探索了这类幻觉的两个鲜为人知的原因:查尔斯·博内综合征和安托万 - 巴宾斯基综合征。这些综合征的治疗重点在于支持性护理,以及对患者及其家属就视幻觉的良性性质进行广泛教育。然而,许多患者最终接受了不必要的广泛诊断研究和治疗。这是由于在这些病症的诊断和管理方面缺乏教育所致。通过提高医疗服务提供者的认识,我们可以防止对患有这些综合征的患者进行不必要的、可能有害的检查和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f37b/6336209/e4d2985c114d/cureus-0010-00000003592-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f37b/6336209/2597480417d8/cureus-0010-00000003592-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f37b/6336209/ad351996d1e7/cureus-0010-00000003592-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f37b/6336209/524f3f12ab3a/cureus-0010-00000003592-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f37b/6336209/e4d2985c114d/cureus-0010-00000003592-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f37b/6336209/2597480417d8/cureus-0010-00000003592-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f37b/6336209/ad351996d1e7/cureus-0010-00000003592-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f37b/6336209/524f3f12ab3a/cureus-0010-00000003592-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f37b/6336209/e4d2985c114d/cureus-0010-00000003592-i04.jpg

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Charles Bonnet Syndrome With Superimposed Delirium.伴有叠加性谵妄的查尔斯·博内综合征
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本文引用的文献

1
Hallucinations Experienced by Visually Impaired: Charles Bonnet Syndrome.视力障碍者经历的幻觉:查尔斯·博内综合征。
Optom Vis Sci. 2016 Dec;93(12):1466-1478. doi: 10.1097/OPX.0000000000000959.
2
Anton's Syndrome due to Bilateral Ischemic Occipital Lobe Strokes.双侧缺血性枕叶卒中所致安东综合征
Case Rep Neurol Med. 2014;2014:474952. doi: 10.1155/2014/474952. Epub 2014 Nov 3.
3
An examination of the relationship between low vision and Charles Bonnet syndrome.低视力与查尔斯·邦尼特综合征之间关系的研究。
Can J Ophthalmol. 2009 Feb;44(1):49-52. doi: 10.3129/i08-169.
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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.