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Clinical Reasoning: A 48-Year-Old Woman With 6 Months of Vivid Visual Hallucinations
Jennifer Kizza1, Richard J Lu1, Jonah Zuflacht2
1From the Harvard Medical School (J.K., R.J.L.); Hospital of University of Pennsylvania (J.Z.); and Beth Israel Deaconess Medical Center (M.B.).
Abstract:
Visual hallucinations are frequently encountered in clinical practice. It is critical for neurologists, particularly those in training, to develop a systematic approach for evaluating patients presenting with such unique and often perplexing symptoms. In this study, we present the case of a 48-year-old woman who developed vivid visual hallucinations after receiving nivolumab for melanoma. We discuss the broad differential diagnosis for visual hallucinations and how history and examination can guide one's evaluation.
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