Charles Bonnet syndrome: characteristics of its visual hallucinations and differential diagnosis

Objective: To present an eight-case serie of patients with Charles Bonnet syndrome (CBS). Method: All patients were initially evaluated by an ophthalmologist and then submitted to a neurologic evaluation with exclusion of alternative psychiatric and neurologic diagnoses. Results: Five patients wer...

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Main Authors: Thiago Cardoso Vale, Luciene Chaves Fernandes, Paulo Caramelli
Format: Article
Language:English
Published: Thieme Revinter Publicações 2014-05-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000500333&lng=en&tlng=en
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author Thiago Cardoso Vale
Luciene Chaves Fernandes
Paulo Caramelli
author_facet Thiago Cardoso Vale
Luciene Chaves Fernandes
Paulo Caramelli
author_sort Thiago Cardoso Vale
collection DOAJ
description Objective: To present an eight-case serie of patients with Charles Bonnet syndrome (CBS). Method: All patients were initially evaluated by an ophthalmologist and then submitted to a neurologic evaluation with exclusion of alternative psychiatric and neurologic diagnoses. Results: Five patients were male (62.5%) and the mean age was 52.3+16.0 years. Two patients suffered from severe myopia and glaucoma, three had retinitis pigmentosa, one had anterior ischemic optic neuropathy, one had age-related macular degeneration and one had toxoplasmic retinochoroiditis. Mean visual acuity in the right eye was 1,12 logMAR and in the left eye 0.57 logMAR. A mean delay of 41.7 months occurred until diagnosis. All hallucinations were complexes and mostly ocurred on a weekly-basis (62.5%) and lasted for seconds (87.5%). Conclusions: Physicians who care for low vision patients should be aware of CBS and appropriately diagnose its hallucinations after exclusion of psychiatric and neurologic diseases.
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spelling doaj-art-0bd1019dfc67417d83017ef4acf6ce332025-08-20T03:17:14ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272014-05-0172533333610.1590/0004-282X20140015S0004-282X2014000500333Charles Bonnet syndrome: characteristics of its visual hallucinations and differential diagnosisThiago Cardoso ValeLuciene Chaves FernandesPaulo CaramelliObjective: To present an eight-case serie of patients with Charles Bonnet syndrome (CBS). Method: All patients were initially evaluated by an ophthalmologist and then submitted to a neurologic evaluation with exclusion of alternative psychiatric and neurologic diagnoses. Results: Five patients were male (62.5%) and the mean age was 52.3+16.0 years. Two patients suffered from severe myopia and glaucoma, three had retinitis pigmentosa, one had anterior ischemic optic neuropathy, one had age-related macular degeneration and one had toxoplasmic retinochoroiditis. Mean visual acuity in the right eye was 1,12 logMAR and in the left eye 0.57 logMAR. A mean delay of 41.7 months occurred until diagnosis. All hallucinations were complexes and mostly ocurred on a weekly-basis (62.5%) and lasted for seconds (87.5%). Conclusions: Physicians who care for low vision patients should be aware of CBS and appropriately diagnose its hallucinations after exclusion of psychiatric and neurologic diseases.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000500333&lng=en&tlng=ensíndrome de Charles Bonnetalucinações visuaisalucinações sensoriaisdemênciabaixa visão
spellingShingle Thiago Cardoso Vale
Luciene Chaves Fernandes
Paulo Caramelli
Charles Bonnet syndrome: characteristics of its visual hallucinations and differential diagnosis
Arquivos de Neuro-Psiquiatria
síndrome de Charles Bonnet
alucinações visuais
alucinações sensoriais
demência
baixa visão
title Charles Bonnet syndrome: characteristics of its visual hallucinations and differential diagnosis
title_full Charles Bonnet syndrome: characteristics of its visual hallucinations and differential diagnosis
title_fullStr Charles Bonnet syndrome: characteristics of its visual hallucinations and differential diagnosis
title_full_unstemmed Charles Bonnet syndrome: characteristics of its visual hallucinations and differential diagnosis
title_short Charles Bonnet syndrome: characteristics of its visual hallucinations and differential diagnosis
title_sort charles bonnet syndrome characteristics of its visual hallucinations and differential diagnosis
topic síndrome de Charles Bonnet
alucinações visuais
alucinações sensoriais
demência
baixa visão
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000500333&lng=en&tlng=en
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AT paulocaramelli charlesbonnetsyndromecharacteristicsofitsvisualhallucinationsanddifferentialdiagnosis