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查尔斯·博内综合征患者的临床特征、治疗及预后评估

Evaluation of the Clinical Features, Management, and Prognoses of Patients With Charles Bonnet Syndrome.

作者信息

Buyukgol Huseyin, Ilik Faik, Ertem Devrimsel Harika

机构信息

Department of Neurology, Faculty of Medicine, KTO Karatay University Medicana, Konya.

Department of Neurology, Şişli Hamidiye Etfal Education and Research Hospital, İstanbul, Turkey.

出版信息

J Nerv Ment Dis. 2019 Dec;207(12):1045-1047. doi: 10.1097/NMD.0000000000001101.

DOI:10.1097/NMD.0000000000001101
PMID:31703034
Abstract

Charles Bonnet syndrome (CBS) is characterized by visual hallucinations with preservation of cognitive abilities. The hallucinations consist mostly of vivid (realistic) objects and tend to reoccur. Here, we evaluate the etiologies, symptoms, treatments, and prognoses of 13 CBS cases. All patients had visual hallucinations but were normal on cognitive and psychiatric assessments. Patient demographic and clinical characteristics, treatment options, and 3-month follow-up data were retrospectively reviewed. The possible causes of CBS and what the patients perceived during their hallucinations were recorded. Antipsychotic agents, such as risperidone and quetiapine, and anticonvulsants, such as levetiracetam, may be effective in some cases.

摘要

查尔斯·博内综合征(CBS)的特征是出现视幻觉但认知能力保持正常。这些幻觉主要由生动(逼真)的物体组成,且往往会反复出现。在此,我们评估了13例CBS病例的病因、症状、治疗方法及预后。所有患者均有视幻觉,但认知和精神评估正常。回顾性分析了患者的人口统计学和临床特征、治疗选择及3个月的随访数据。记录了CBS的可能病因以及患者在幻觉期间所感知到的内容。抗精神病药物,如利培酮和喹硫平,以及抗惊厥药物,如左乙拉西坦,在某些情况下可能有效。

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