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Closed-Eye Visual Hallucinations Preceding Severe Alcohol Withdrawal.
Saral Desai1, Anca E Toma1, Artem Sunik2
1Department of Psychiatry, Brookdale University Hospital Medical Center, Brooklyn, USA.
Cureus
|September 15, 2021
Summary
This case report details a rare instance of closed-eye visual hallucinations preceding severe alcohol withdrawal. These vivid, lifelike hallucinations resolved upon opening the eyes, distinct from typical alcohol withdrawal symptoms.
Area of Science:
- Neurology
- Psychiatry
- Toxicology
Background:
- Closed-eye visual hallucinations are rare perceptual disturbances.
- They are distinct from open-eye hallucinations seen in conditions like Charles Bonnet syndrome.
- Understanding their etiology and clinical significance is crucial.
Observation:
- A 35-year-old male experienced vivid, colorful, closed-eye visual hallucinations.
- These hallucinations, including cartoon characters and landscapes, occurred 24 hours before severe alcohol withdrawal.
- The patient was aware the hallucinations were not real.
Findings:
- The closed-eye hallucinations ceased when the patient opened his eyes.
- The following day, the patient developed acute delirium with agitation, disorientation, and open-eye hallucinations, indicative of severe alcohol withdrawal.
- The patient recalled the closed-eye hallucinations but not his intensive care unit stay.
Implications:
- This case suggests a potential link between closed-eye visual hallucinations and the early stages of severe alcohol withdrawal.
- Possible contributing factors include alcohol withdrawal complicated by polysubstance withdrawal and acute hepatitis.
- Further research is needed to understand the mechanisms and clinical implications of these specific hallucinations.
Keywords:
alcohol withdrawalcharles bonnet syndromeclosed-eye visual hallucinationsdelirium tremenshallucinationsneurologypsychiatrysubstance usevisual hallucinationsMore Related Videos
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