Campbell Christina, Manocha Ranita H, Hill Vivian, Debert Chantel T
Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, CAN.
Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, CAN.
Cureus. 2024 Oct 1;16(10):e70638. doi: 10.7759/cureus.70638. eCollection 2024 Oct.
Charles Bonnet syndrome (CBS) describes the presence of hallucinations in patients with poor or deteriorating vision. The physician awareness of CBS is low, despite reporting of CBS hallucinations occurring in a range of ocular and central nervous system conditions. Following mild traumatic brain injury (mTBI), patients can experience visual or oculomotor dysfunction. As such, it is possible that CBS might present following mTBI. An adult male suffered an mTBI and whiplash injury following a motor vehicle accident. He developed persistent post-concussion symptoms (PPCS) including headaches and vestibular and visual disturbances. He reported experiencing visual hallucinations eight months post-mTBI and was diagnosed with CBS. Interventions for PPCS and hallucinations have persisted for five years. The treatment options for CBS are limited and the patient's PPCS made participating in visual therapy challenging. Physicians assessing patients following mTBI should be aware of CBS and should take PPCS into consideration when recommending treatments for CBS.
查尔斯·邦尼特综合征（CBS）指视力不佳或视力恶化的患者出现幻觉的情况。尽管有报道称CBS幻觉发生在一系列眼部和中枢神经系统疾病中，但医生对CBS的认知度较低。轻度创伤性脑损伤（mTBI）后，患者可能会出现视觉或眼球运动功能障碍。因此，mTBI后可能会出现CBS。一名成年男性在机动车事故后遭受了mTBI和挥鞭样损伤。他出现了持续的脑震荡后症状（PPCS），包括头痛、前庭和视觉障碍。他报告在mTBI后八个月出现视幻觉，并被诊断为CBS。针对PPCS和幻觉的干预措施已经持续了五年。CBS的治疗选择有限，患者的PPCS使得参与视觉治疗具有挑战性。评估mTBI后患者的医生应了解CBS，并在为CBS推荐治疗方法时考虑PPCS。
