查尔斯邦纳综合征和枕癫痫共存：一个诊断挑战

IF 1.5 Q3 CLINICAL NEUROLOGY

Epilepsy and Behavior Reports Pub Date : 2025-04-03 DOI:10.1016/j.ebr.2025.100764

Vijaya Lakshmi Valaparla , Aabishkar Bhattarai , Patrick J. Karas , Diosely C. Silveira

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引用次数: 0

摘要

查尔斯邦纳综合征（CBS）是一种以视觉障碍患者出现复杂视幻觉为特征的疾病。我们报告一例由中度分化的松果体实质肿瘤（PPTID）引起的继发于阻塞性脑积水的双侧视神经萎缩患者，他经历了与CBS一致的视觉幻觉。在右侧枕骨开颅，经枕幕入路和肿瘤切除后，她出现了初步的视觉幻觉。通过详细的临床病史和系统的诊断评估，确定了共存的右侧枕癫痫。本病例突出了两种具有不同病理生理机制的积极视觉现象的有趣重叠。

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Coexistence of Charles Bonnet Syndrome and occipital epilepsy: A diagnostic challenge

Charles Bonnet Syndrome (CBS) is a condition characterized by complex visual hallucinations in individuals with visual impairment. We present the case of a patient with bilateral optic atrophy secondary to obstructive hydrocephalus caused by a pineal parenchymal tumor of intermediate differentiation (PPTID) who experienced formed visual hallucinations consistent with CBS. Following a right occipital craniotomy for occipital transtentorial approach and tumor resection, she developed elementary visual hallucinations. A thorough clinical history and systematic diagnostic evaluation led to the identification of coexisting right occipital epilepsy. This case highlights an intriguing overlap of two positive visual phenomena with distinct pathophysiological mechanisms.

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来源期刊

Epilepsy and Behavior Reports Medicine-Neurology (clinical)

CiteScore

2.70

自引率

13.30%

发文量

审稿时长

50 days