Charles Bonnet syndrome: characteristics of its visual hallucinations and differential diagnosis

Arq Neuropsiquiatr. 2014 May;72(5):333-6. doi: 10.1590/0004-282x20140015.

Abstract

Objective: To present an eight-case serie of patients with Charles Bonnet syndrome (CBS).

Method: All patients were initially evaluated by an ophthalmologist and then submitted to a neurologic evaluation with exclusion of alternative psychiatric and neurologic diagnoses.

Results: Five patients were male (62.5%) and the mean age was 52.3+16.0 years. Two patients suffered from severe myopia and glaucoma, three had retinitis pigmentosa, one had anterior ischemic optic neuropathy, one had age-related macular degeneration and one had toxoplasmic retinochoroiditis. Mean visual acuity in the right eye was 1,12 logMAR and in the left eye 0.57 logMAR. A mean delay of 41.7 months occurred until diagnosis. All hallucinations were complexes and mostly ocurred on a weekly-basis (62.5%) and lasted for seconds (87.5%).

Conclusions: Physicians who care for low vision patients should be aware of CBS and appropriately diagnose its hallucinations after exclusion of psychiatric and neurologic diseases.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged, 80 and over
  • Diagnosis, Differential
  • Female
  • Hallucinations / diagnosis*
  • Hallucinations / physiopathology
  • Humans
  • Macular Degeneration / diagnosis
  • Macular Degeneration / physiopathology
  • Male
  • Middle Aged
  • Risk Factors
  • Syndrome
  • Time Factors
  • Vision Disorders / diagnosis*
  • Vision Disorders / physiopathology
  • Visual Acuity