Hyperperfusion in the lateral temporal cortex, the striatum and the thalamus during complex visual hallucinations: Single photon emission computed tomography findings in patients with Charles Bonnet Syndrome

被引:58
作者
Adachi, N
Watanabe, T
Matsuda, H
Onuma, T
机构
[1] Adachi Mental Clin, Sapporo, Hokkaido 0040867, Japan
[2] Natl Leprosarium Tama Zenshoen, Higashimurayama, Japan
[3] Natl Ctr Neurol & Psychiat, Kodaira, Tokyo, Japan
[4] Natl Saigata Hosp, Ohgata, Japan
关键词
Charles Bonnet syndrome; elderly; eye disturbance; single photon emission computed tomography; visual hallucination;
D O I
10.1046/j.1440-1819.2000.00652.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report the findings of single photon emission computed tomography using I-123-IMP and magnetic resonance image studies of five patients with Charles Bonnet syndrome (CBS) while they were having visual hallucinations. All patients developed complex visual hallucinations after suffering from eye disease. The mean age at onset of CBS was 71.6 years. Single photon emission computed tomography studies in all patients disclosed hyperperfusion areas with some asymmetrical appearances in the lateral temporal cortex, striatum and thalamus. These results suggest that when elderly people suffer from eye disease, subsequent excessive cortical compensation in the lateral temporal cortex, striatum and thalamus may precipitate the development of visual hallucinations.
引用
收藏
页码:157 / 162
页数:6
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