Closed-Eye Visualizations in the Setting of Hyponatremia
Purpose. To report a case of closed-eye visualizations and to clarify the different types of hallucinations and their etiologies. Methods. Retrospective case report of a patient with closed-eye visualizations secondary to hyponatremia. Clinical findings, physical exam, laboratory assessment, treatme...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/5127917 |
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| author | Travis Peck Christopher Mercogliano Eugene York |
| author_facet | Travis Peck Christopher Mercogliano Eugene York |
| author_sort | Travis Peck |
| collection | DOAJ |
| description | Purpose. To report a case of closed-eye visualizations and to clarify the different types of hallucinations and their etiologies. Methods. Retrospective case report of a patient with closed-eye visualizations secondary to hyponatremia. Clinical findings, physical exam, laboratory assessment, treatment, and disease course from the patient’s hospitalization were used in creating this report. Follow-up data after discharge were also obtained. Results. Closed-eye visualizations were diagnosed as secondary to hyponatremia, as they did not occur with the eyes open, and potential alternate causes were excluded. Serum sodium nadir was 119 mEq/L. Symptoms resolved with correction of hyponatremia via fluid resuscitation and electrolyte replenishment. There has been no recurrence of the symptoms. Conclusion. This patient had hallucinations exclusively with the eyes closed, which must be differentiated from the release hallucinations seen with the eyes open in Charles Bonnet syndrome. This patient had no visual loss or retinal disease, which should be suspected in open eye hallucinations. |
| format | Article |
| id | doaj-art-32f16da51a9c4a3db1a1a9bf7b07e998 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-32f16da51a9c4a3db1a1a9bf7b07e9982025-08-20T03:55:17ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/51279175127917Closed-Eye Visualizations in the Setting of HyponatremiaTravis Peck0Christopher Mercogliano1Eugene York2Department of Internal Medicine, Reading Health System, Reading, PA, USADepartment of Internal Medicine, Reading Health System, Reading, PA, USADepartment of Internal Medicine, Reading Health System, Reading, PA, USAPurpose. To report a case of closed-eye visualizations and to clarify the different types of hallucinations and their etiologies. Methods. Retrospective case report of a patient with closed-eye visualizations secondary to hyponatremia. Clinical findings, physical exam, laboratory assessment, treatment, and disease course from the patient’s hospitalization were used in creating this report. Follow-up data after discharge were also obtained. Results. Closed-eye visualizations were diagnosed as secondary to hyponatremia, as they did not occur with the eyes open, and potential alternate causes were excluded. Serum sodium nadir was 119 mEq/L. Symptoms resolved with correction of hyponatremia via fluid resuscitation and electrolyte replenishment. There has been no recurrence of the symptoms. Conclusion. This patient had hallucinations exclusively with the eyes closed, which must be differentiated from the release hallucinations seen with the eyes open in Charles Bonnet syndrome. This patient had no visual loss or retinal disease, which should be suspected in open eye hallucinations.http://dx.doi.org/10.1155/2018/5127917 |
| spellingShingle | Travis Peck Christopher Mercogliano Eugene York Closed-Eye Visualizations in the Setting of Hyponatremia Case Reports in Medicine |
| title | Closed-Eye Visualizations in the Setting of Hyponatremia |
| title_full | Closed-Eye Visualizations in the Setting of Hyponatremia |
| title_fullStr | Closed-Eye Visualizations in the Setting of Hyponatremia |
| title_full_unstemmed | Closed-Eye Visualizations in the Setting of Hyponatremia |
| title_short | Closed-Eye Visualizations in the Setting of Hyponatremia |
| title_sort | closed eye visualizations in the setting of hyponatremia |
| url | http://dx.doi.org/10.1155/2018/5127917 |
| work_keys_str_mv | AT travispeck closedeyevisualizationsinthesettingofhyponatremia AT christophermercogliano closedeyevisualizationsinthesettingofhyponatremia AT eugeneyork closedeyevisualizationsinthesettingofhyponatremia |