Auditory Hallucinations as a Rare Presentation of Occipital Infarcts
A stroke is a clinical syndrome characterized by a focal neurologic deficit that can be attributed to a vascular territory within the brain. The presenting features of an acute stroke depends on the area of the brain affected. Although unusual, the presenting feature may include psychosis with audit...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/1243605 |
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| _version_ | 1832556889426100224 |
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| author | Firas Ido Reina Badran Brandon Dmytruk Zain Kulairi |
| author_facet | Firas Ido Reina Badran Brandon Dmytruk Zain Kulairi |
| author_sort | Firas Ido |
| collection | DOAJ |
| description | A stroke is a clinical syndrome characterized by a focal neurologic deficit that can be attributed to a vascular territory within the brain. The presenting features of an acute stroke depends on the area of the brain affected. Although unusual, the presenting feature may include psychosis with auditory and/or visual hallucinations. A 56-year-old female was admitted to the psychiatric unit after threatening her husband with a knife. She reported experiencing altered sensorium for one week with suicidal and homicidal command hallucinations. Given the acute onset, brain images were obtained to rule out an organic etiology. A brain MRI revealed an acute right occipital lobe infarct with hemorrhagic transformation. The patient’s symptoms were self-limited, resolving without antipsychotic medications. Psychosis with auditory hallucinations is not commonly reported following stroke. Since histologic and functional alterations in the occipital lobe appear to play a significant role in psychosis of schizophrenics, it is likely that ischemia in the same area may cause similar changes. Familiarity with this rare presentation is important, as it prevents a delay in diagnosis, which may negatively impact the outcome. |
| format | Article |
| id | doaj-art-59d2c59f036a40e3a5b5981f4b99e297 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-59d2c59f036a40e3a5b5981f4b99e2972025-02-03T05:44:14ZengWileyCase Reports in Neurological Medicine2090-66682090-66762018-01-01201810.1155/2018/12436051243605Auditory Hallucinations as a Rare Presentation of Occipital InfarctsFiras Ido0Reina Badran1Brandon Dmytruk2Zain Kulairi3Wayne State University School of Medicine, 1101 W. University Drive, 2 South, Rochester, MI 48307, USAWayne State University School of Medicine, 1101 W. University Drive, 2 South, Rochester, MI 48307, USAWayne State University School of Medicine, 1101 W. University Drive, 2 South, Rochester, MI 48307, USAWayne State University School of Medicine, 1101 W. University Drive, 2 South, Rochester, MI 48307, USAA stroke is a clinical syndrome characterized by a focal neurologic deficit that can be attributed to a vascular territory within the brain. The presenting features of an acute stroke depends on the area of the brain affected. Although unusual, the presenting feature may include psychosis with auditory and/or visual hallucinations. A 56-year-old female was admitted to the psychiatric unit after threatening her husband with a knife. She reported experiencing altered sensorium for one week with suicidal and homicidal command hallucinations. Given the acute onset, brain images were obtained to rule out an organic etiology. A brain MRI revealed an acute right occipital lobe infarct with hemorrhagic transformation. The patient’s symptoms were self-limited, resolving without antipsychotic medications. Psychosis with auditory hallucinations is not commonly reported following stroke. Since histologic and functional alterations in the occipital lobe appear to play a significant role in psychosis of schizophrenics, it is likely that ischemia in the same area may cause similar changes. Familiarity with this rare presentation is important, as it prevents a delay in diagnosis, which may negatively impact the outcome.http://dx.doi.org/10.1155/2018/1243605 |
| spellingShingle | Firas Ido Reina Badran Brandon Dmytruk Zain Kulairi Auditory Hallucinations as a Rare Presentation of Occipital Infarcts Case Reports in Neurological Medicine |
| title | Auditory Hallucinations as a Rare Presentation of Occipital Infarcts |
| title_full | Auditory Hallucinations as a Rare Presentation of Occipital Infarcts |
| title_fullStr | Auditory Hallucinations as a Rare Presentation of Occipital Infarcts |
| title_full_unstemmed | Auditory Hallucinations as a Rare Presentation of Occipital Infarcts |
| title_short | Auditory Hallucinations as a Rare Presentation of Occipital Infarcts |
| title_sort | auditory hallucinations as a rare presentation of occipital infarcts |
| url | http://dx.doi.org/10.1155/2018/1243605 |
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