Visual Hallucinations As a Major Manifestation of Posterior Reversible Encephalopathy Syndrome: Case Report and Literature Review

Overview

Journal Neuroophthalmology

Specialty Neurology

Date 2023 Mar 9

PMID 36891408

Authors

Thais de Souza Andrade

Luiz Guilherme Marchesi Mello

Kenzo Hokazono

Mario Luiz Ribeiro Monteiro

Affiliations

Soon will be listed here.

Abstract

We evaluated a 48-year-old woman who had visual hallucinations (VHs) as a major presenting sign of posterior reversible encephalopathy syndrome (PRES). Despite her mild loss of vision, she described various hallucinations after awakening from a comatose state days after a motorcycle collision. VHs are usually accompanied by more severe loss of vision, yet our case and literature review indicate that sudden onset of formed VHs should suggest a possible diagnosis of PRES in patients who have large fluctuations in blood pressure, renal failure, or autoimmune dysfunction, as well as in patients taking cytotoxic agents.

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