Sonnenblick M, Nesher R, Rozenman Y, Nesher G
Department of Geriatric Medicine, Shaare-Zedek Medical Center, Jerusalem, Israel.
J Rheumatol. 1995 Aug;22(8):1596-7.
An 87-year-old woman presented with Charles Bonnet syndrome--the occurrence of formed visual hallucinations in sane aged individuals. This was followed by headaches and unilateral visual loss, and the diagnosis of temporal arteritis (TA) was confirmed by biopsy. Steroid therapy resulted in disappearance of hallucinations, which recurred 7 mo later, responding to an increase in steroid dosage. Charles Bonnet syndrome may be an early sign of decreasing visual acuity in aged individuals; thus, diagnosis of TA or exacerbation of established TA should be considered in such patients.
一名87岁女性患有查尔斯·博内综合征——在心智健全的老年人中出现成形视幻觉。随后出现头痛和单眼视力丧失，活检确诊为颞动脉炎（TA）。类固醇治疗使幻觉消失，但7个月后复发，增加类固醇剂量后症状缓解。查尔斯·博内综合征可能是老年人视力下降的早期迹象；因此，对此类患者应考虑诊断TA或已确诊TA的病情加重。
