Centre d'études de la renaissance, 59, rue Néricault-Destouches, 37013 Tours, France.
FILNEMUS, laboratoire d'explorations fonctionnelles, centre de référence maladies neuromusculaires rares Atlantique-Occitanie-Caraïbes, European Reference Network Neuromuscular Diseases EURO-NMD, Hôtel-Dieu, 1, place Alexis-Ricordeau, 44000 Nantes, France.
Rev Neurol (Paris). 2019 Jun;175(6):377-379. doi: 10.1016/j.neurol.2018.11.005. Epub 2019 May 2.
Peduncular hallucinosis (PH) is a rare clinical syndrome with dream-like visual hallucinations intruding normal consciousness. It was initially reported in a 72-year-old woman by Jean Lhermitte in 1992. We uncovered the medical file of this patient with handwritten notes by Lhermitte and commented on it in the light of neurological knowledge that was common at that time. All along his career, Lhermitte has always been fascinated by consciousness disturbances, dreams and hallucinations. He had here the brilliant intuition of linking PH to awareness mechanisms located in the mesencephalic area. This PH case represented a good opportunity to him to emphasize the close relationships between neurology and psychiatry.
动眼神经核性幻觉(PH)是一种罕见的临床综合征,表现为正常意识状态下出现如梦似幻的视觉幻觉。它最初由 Jean Lhermitte 于 1992 年在一位 72 岁的女性患者中报道。我们查阅了这位患者的医疗档案,其中有 Lhermitte 的手写笔记,并结合当时的神经科学知识对此进行了评论。在他的整个职业生涯中,Lhermitte 一直对意识障碍、梦境和幻觉着迷。他在这里具有将 PH 与位于中脑区域的意识机制联系起来的卓越直觉。这个 PH 病例为他提供了一个很好的机会,强调了神经病学和精神病学之间的密切关系。