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[Charles Bonnet syndrome]

K Görgens, M Liedtke

    Psychiatrische Praxis
    |May 13, 1998
    PubMed
    Summary
    This summary is machine-generated.

    An 80-year-old woman experienced visual hallucinations due to macular degeneration. Low-dose carbamazepine effectively treated these hallucinations, highlighting its potential for Charles-Bonnet syndrome.

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    Area of Science:

    • Neuroscience
    • Ophthalmology
    • Psychiatry

    Background:

    • Charles-Bonnet syndrome is a condition characterized by visual hallucinations in individuals with recent vision loss.
    • Macular degeneration is a common cause of vision impairment, particularly in older adults.

    Observation:

    • An 80-year-old woman with new binocular macular degeneration developed complex visual hallucinations.
    • The patient retained insight into the unreal nature of her hallucinations.
    • Standard neuroleptic treatments were ineffective.

    Findings:

    • Low-dose carbamazepine treatment led to the complete resolution of visual hallucinations.
    • This case suggests carbamazepine as a potential therapeutic option for visual hallucinations associated with macular degeneration.

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    Implications:

    • Carbamazepine may be an effective treatment for visual hallucinations in Charles-Bonnet syndrome.
    • This case underscores the neuro-psychiatric aspects of hallucinosis linked to visual impairment.
    • Further research is warranted to explore the efficacy of carbamazepine in similar cases.