Department of Ophthalmology, Save Sight Institute, Faculty of Health and Medicine, University of Sydney, Sydney, Australia.
Department of Neurology, Canberra Hospital, and Australian National University Medical School, Canberra, Australia.
Handb Clin Neurol. 2021;178:311-335. doi: 10.1016/B978-0-12-821377-3.00014-3.
Illusions and hallucinations are commonly encountered in both daily life and clinical practice. In this chapter, we review definitions and possible underlying mechanisms of these phenomena and then review what is known about specific conditions that are associated with them, including ophthalmic causes, migraine, epilepsy, Parkinson's disease, and schizophrenia. We then discuss specific syndromes including the Charles Bonnet syndrome, visual snow syndrome, Alice in Wonderland syndrome, and peduncular hallucinosis. The scientific study of illusions and hallucinations has contributed significantly to our understanding of how eye and brain process vision and contribute to perception. Important concepts are the distinction between topologic and hodologic mechanisms underlying hallucinations and the involvement of attentional networks. This chapter examines the various ways in which pathological illusions and hallucinations might arise in relation to the phenomenology and known pathology of the various conditions associated with them.
幻觉和错觉在日常生活和临床实践中都很常见。在本章中,我们回顾了这些现象的定义和可能的潜在机制,然后回顾了与它们相关的特定情况的已知情况,包括眼科原因、偏头痛、癫痫、帕金森病和精神分裂症。然后我们讨论了包括 Charles Bonnet 综合征、视觉雪综合征、爱丽丝梦游仙境综合征和peduncular hallucinosis 在内的特定综合征。幻觉和错觉的科学研究极大地促进了我们对眼睛和大脑如何处理视觉以及对感知的贡献的理解。重要的概念是幻觉的拓扑和 hodologic 机制之间的区别,以及注意力网络的参与。本章探讨了病理性幻觉和错觉可能与它们相关的各种情况的现象学和已知病理学有关的各种方式。