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Steroid-responsive charles bonnet syndrome in temporal arteritis
M Razavi1, R D Jones, K Manzel
1Division of Behavioral Neurology and Cognitive Neuroscience, Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
The Journal of Neuropsychiatry and Clinical Neurosciences
|December 24, 2004
Summary
Temporal arteritis, a condition causing inflammation of blood vessels, can lead to visual disturbances like Charles Bonnet syndrome (CBS). Steroid treatment effectively resolved hallucinations in a patient, indicating cerebral ischemia may contribute to CBS.
Area of Science:
- Neuro-ophthalmology
- Vascular Neurology
Background:
- Temporal arteritis is an inflammatory vasculopathy affecting cranial arteries.
- Charles Bonnet syndrome (CBS) is characterized by visual hallucinations in individuals with vision impairment.
Purpose of the Study:
- To report a case of temporal arteritis presenting with Charles Bonnet syndrome.
- To investigate the potential role of cerebral ischemia in CBS development.
Main Methods:
- Case report of a patient with biopsy-proven temporal arteritis.
- Clinical observation of symptom response to steroid therapy.
Main Results:
- The patient exhibited symptoms consistent with Charles Bonnet syndrome.
- Visual hallucinations resolved promptly following steroid treatment.
- Visual loss persisted despite treatment.
Conclusions:
- Cerebral ischemia may be a contributing factor in the pathogenesis of Charles Bonnet syndrome.
- Steroid therapy can effectively manage CBS symptoms in the context of temporal arteritis.