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一名患有复发性垂体大腺瘤和视神经萎缩的老年盲人的查尔斯·博内综合征:病例报告。

Charles Bonnet syndrome in an elderly blind man with recurrent pituitary macroadenoma and optic nerve atrophy: A case report.

作者信息

Aslan Suluma, Ngajilo Gloria, Nyundo Azan

机构信息

Department of Psychiatry and Mental Health, School of Medicine and Dentistry The University of Dodoma Dodoma Tanzania.

Tanzania Institute of Mental Health Dodoma Tanzania.

出版信息

Clin Case Rep. 2023 Aug 28;11(9):e7855. doi: 10.1002/ccr3.7855. eCollection 2023 Sep.

DOI:10.1002/ccr3.7855
PMID:37649904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10462776/
Abstract

KEY CLINICAL MESSAGE

Charles Bonnet syndrome presents with complex visual hallucinations in a visually impaired or blind person. The case highlights complex neuropsychiatric manifestations due to pituitary macroadenoma in geriatrics requiring multi-collaborative care.

ABSTRACT

An 81-year-old man presented with a 3-year history of vivid visual hallucinations preceded by visual impairment and recurrence of a pituitary macroadenoma. Remission of hallucination occurred within 2 weeks of 1.5 mg of haloperidol per oral once daily; this is a rare case of Charles Bonnet syndrome after recurrent pituitary macroadenoma.

摘要

关键临床信息

查尔斯·邦尼特综合征表现为视力受损或失明患者出现复杂的视幻觉。该病例突出了老年垂体大腺瘤所致复杂的神经精神表现,需要多学科协作护理。

摘要

一名81岁男性,有3年生动视幻觉病史,之前有视力损害及垂体大腺瘤复发。每日口服1.5毫克氟哌啶醇,2周内幻觉缓解;这是垂体大腺瘤复发后出现查尔斯·邦尼特综合征的罕见病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3964/10462776/20a7a60db03d/CCR3-11-e7855-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3964/10462776/e17c655afb74/CCR3-11-e7855-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3964/10462776/a12c18f90588/CCR3-11-e7855-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3964/10462776/20a7a60db03d/CCR3-11-e7855-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3964/10462776/e17c655afb74/CCR3-11-e7855-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3964/10462776/a12c18f90588/CCR3-11-e7855-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3964/10462776/20a7a60db03d/CCR3-11-e7855-g004.jpg

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本文引用的文献

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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
Cureus. 2022 Aug 1;14(8):e27570. doi: 10.7759/cureus.27570. eCollection 2022 Aug.
2
Psychosis as a Treatment Target in Dementia: A Roadmap for Designing Interventions.痴呆症治疗靶点的精神病学:干预措施设计的路线图。
J Alzheimers Dis. 2022;88(4):1203-1228. doi: 10.3233/JAD-215483.
3
Hallucinatory experiences in visually impaired individuals: Charles Bonnet syndrome - implications for research and clinical practice.视力障碍者的幻觉体验:查尔斯·博内综合征——对研究和临床实践的启示
Psychiatr Danub. 2018 Jun;30(2):122-128. doi: 10.24869/psyd.2018.122.
4
Complex visual hallucinatory experience in an elderly blind woman with glaucoma: revisiting Charles Bonnet syndrome.一位患有青光眼的老年失明女性的复杂视幻觉体验:重新审视查尔斯·博内综合征。
Clin Case Rep. 2018 Mar 12;6(5):859-862. doi: 10.1002/ccr3.1482. eCollection 2018 May.
5
Clinical characteristics and ophthalmologic findings of pituitary adenoma in Korean patients.韩国患者垂体腺瘤的临床特征及眼科检查结果
Int Ophthalmol. 2019 Jan;39(1):21-31. doi: 10.1007/s10792-017-0778-x. Epub 2017 Dec 22.
6
Charles Bonnet Syndrome Following Trans-Sphenoidal Adenomectomy without Optic Nerve Atrophy.经蝶窦腺瘤切除术后无视神经萎缩的Charles Bonnet综合征
Psychiatry Investig. 2016 Sep;13(5):577-579. doi: 10.4306/pi.2016.13.5.577. Epub 2016 Sep 30.
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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。
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