Case Reports of Peduncular Hallucinosis in Patients with Pontine Hemorrhage : Two cases report.

, Shin, Oh Soo; , Kim, Tae Gun; , Kwon, Soon Mo; , Park, Dong Hwi; , Byun, Seung Deuk

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2009;33(3):365-368.

Shin, Oh Soo , Kim, Tae Gun , Kwon, Soon Mo , Park, Dong Hwi , Byun, Seung Deuk

Department of Rehabilitation Medicine, Daegu Fatima Hospital , Korea. ms-27v@hanmail.net

뇌교 출혈 환자에서 동반된 각성 환시 2례-증례 보고-

신오수, 김태건, 권순모, 박동휘, 변승득

대구파티마병원 재활의학과

Abstract

Peduncular hallucinosis that rarely reported in patients with brain stem lesion has several characteristics. The hallucination tends to be vivid, nonstereotypical images of person or animal. All the patients are aware that the hallucination is not part of reality. One of the suggested mechanisms of peduncular hallucinosis is imbalance among the cholinergic, serotonergic and other transmitting systems in the brain stem. We report two cases with typical features of peduncular hallucinosis which appeared about 30 and 12 months after pontine hemorrhage, respectively. We chose antipsychotics and selective serotonergic reuptake inhibitors for their medications, and their hallucinations disappeared about 2 months and 3 weeks after the medication, respectively. We suggest that peduncular hallucinosis should be considered in the patients with pontine hemorrhage if they complain of typical visual hallucinations. (J Korean Acad Rehab Med 2009; 33: 365-368)

Key Words: Pontine hemorrhage, Peduncular hallucinosis