Visual Hallucinations in a Patient with Horner's Syndrome Secondary to Internal Carotid Dissection

TY - JOUR

T1 - Visual Hallucinations in a Patient with Horner's Syndrome Secondary to Internal Carotid Dissection

AU - Singh, Amardeep

AU - Mortzos, Panteleimon

AU - Sørensen, Torben Lykke

PY - 2014/5/22

Y1 - 2014/5/22

N2 - A 67-year-old female presented with post-ganglionic Horner's syndrome. In addition to the classical symptoms of Horner's syndrome, the patient reported experiencing frightening complex visual and auditory hallucinations on two different occasions. Magnetic resonance angiography of the cerebrum, neck and upper thorax revealed internal carotid dissection. The symptoms and hallucinatory experiences resolved soon after antiplatelet therapy was commenced. We propose peduncular hallucinosis as the underlying mechanism.

AB - A 67-year-old female presented with post-ganglionic Horner's syndrome. In addition to the classical symptoms of Horner's syndrome, the patient reported experiencing frightening complex visual and auditory hallucinations on two different occasions. Magnetic resonance angiography of the cerebrum, neck and upper thorax revealed internal carotid dissection. The symptoms and hallucinatory experiences resolved soon after antiplatelet therapy was commenced. We propose peduncular hallucinosis as the underlying mechanism.

U2 - 10.1159/000368332

DO - 10.1159/000368332

M3 - Journal article

C2 - 25473403

SN - 1663-2699

VL - 5

SP - 347

EP - 351

JO - Case Reports in Ophthalmology

JF - Case Reports in Ophthalmology

IS - 3

ER -