Coexistence of Charles Bonnet Syndrome and occipital epilepsy: A diagnostic challenge

Charles Bonnet Syndrome (CBS) is a condition characterized by complex visual hallucinations in individuals with visual impairment. We present the case of a patient with bilateral optic atrophy secondary to obstructive hydrocephalus caused by a pineal parenchymal tumor of intermediate differentiation...

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Main Authors: Vijaya Lakshmi Valaparla, Aabishkar Bhattarai, Patrick J. Karas, Diosely C. Silveira
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Epilepsy & Behavior Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2589986425000243
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author Vijaya Lakshmi Valaparla
Aabishkar Bhattarai
Patrick J. Karas
Diosely C. Silveira
author_facet Vijaya Lakshmi Valaparla
Aabishkar Bhattarai
Patrick J. Karas
Diosely C. Silveira
author_sort Vijaya Lakshmi Valaparla
collection DOAJ
description Charles Bonnet Syndrome (CBS) is a condition characterized by complex visual hallucinations in individuals with visual impairment. We present the case of a patient with bilateral optic atrophy secondary to obstructive hydrocephalus caused by a pineal parenchymal tumor of intermediate differentiation (PPTID) who experienced formed visual hallucinations consistent with CBS. Following a right occipital craniotomy for occipital transtentorial approach and tumor resection, she developed elementary visual hallucinations. A thorough clinical history and systematic diagnostic evaluation led to the identification of coexisting right occipital epilepsy. This case highlights an intriguing overlap of two positive visual phenomena with distinct pathophysiological mechanisms.
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spelling doaj-art-ddf119fc87704edca4e87a6b005f1ae52025-08-20T03:12:57ZengElsevierEpilepsy & Behavior Reports2589-98642025-06-013010076410.1016/j.ebr.2025.100764Coexistence of Charles Bonnet Syndrome and occipital epilepsy: A diagnostic challengeVijaya Lakshmi Valaparla0Aabishkar Bhattarai1Patrick J. Karas2Diosely C. Silveira3Department of Neurology, University of Texas Medical Branch at Galveston, TX 77550, United States; Corresponding author.Department of Neurology, University of Texas Medical Branch at Galveston, TX 77550, United StatesDepartment of Neurosurgery, University of Texas Medical Branch at Galveston, TX 77550, United StatesDepartment of Neurology, University of Texas Medical Branch at Galveston, TX 77550, United StatesCharles Bonnet Syndrome (CBS) is a condition characterized by complex visual hallucinations in individuals with visual impairment. We present the case of a patient with bilateral optic atrophy secondary to obstructive hydrocephalus caused by a pineal parenchymal tumor of intermediate differentiation (PPTID) who experienced formed visual hallucinations consistent with CBS. Following a right occipital craniotomy for occipital transtentorial approach and tumor resection, she developed elementary visual hallucinations. A thorough clinical history and systematic diagnostic evaluation led to the identification of coexisting right occipital epilepsy. This case highlights an intriguing overlap of two positive visual phenomena with distinct pathophysiological mechanisms.http://www.sciencedirect.com/science/article/pii/S2589986425000243Visual hallucinationCharles Bonnet SyndromeOccipital epilepsy
spellingShingle Vijaya Lakshmi Valaparla
Aabishkar Bhattarai
Patrick J. Karas
Diosely C. Silveira
Coexistence of Charles Bonnet Syndrome and occipital epilepsy: A diagnostic challenge
Epilepsy & Behavior Reports
Visual hallucination
Charles Bonnet Syndrome
Occipital epilepsy
title Coexistence of Charles Bonnet Syndrome and occipital epilepsy: A diagnostic challenge
title_full Coexistence of Charles Bonnet Syndrome and occipital epilepsy: A diagnostic challenge
title_fullStr Coexistence of Charles Bonnet Syndrome and occipital epilepsy: A diagnostic challenge
title_full_unstemmed Coexistence of Charles Bonnet Syndrome and occipital epilepsy: A diagnostic challenge
title_short Coexistence of Charles Bonnet Syndrome and occipital epilepsy: A diagnostic challenge
title_sort coexistence of charles bonnet syndrome and occipital epilepsy a diagnostic challenge
topic Visual hallucination
Charles Bonnet Syndrome
Occipital epilepsy
url http://www.sciencedirect.com/science/article/pii/S2589986425000243
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