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Multiple hallucinations due to brainstem injury: A case report.
Melissa Castello Branco E Silva1, Sonia Maria Dozzi Brucki1
1Behavioral and Cognitive Neurology Unit, Department of Neurology, University of São Paulo School of Medicine, São Paulo SP, Brazil.
Dementia & Neuropsychologia
|December 8, 2017
Summary
A pregnant woman experienced complex hallucinations due to brainstem encephalitis. Antiviral treatment successfully resolved these neurological symptoms.
Area of Science:
- Neurology
- Infectious Diseases
- Obstetrics
Background:
- Brainstem encephalitis is a rare neurological condition.
- Pregnancy can alter a woman's susceptibility to infections and neurological complications.
- Complex hallucinations can be a symptom of acute central nervous system inflammation.
Observation:
- A 43-year-old pregnant woman in her third trimester presented with acute brainstem encephalitis.
- The patient experienced complex visual hallucinations (e.g., furniture appearing upside-down) and auditory hallucinations (e.g., hearing opera arias).
Findings:
- Antiviral therapy was initiated for the brainstem encephalitis.
- The patient's complex visual and auditory hallucinations resolved following antiviral treatment.
Implications:
- This case highlights the importance of considering encephalitis in pregnant women presenting with neurological symptoms.
- Prompt diagnosis and antiviral treatment can lead to favorable outcomes for both mother and fetus.
- Further research is needed to understand the specific mechanisms of encephalitis during pregnancy and its impact on neurological function.
