Gulliver's world: Persistent lilliputian hallucinations as manifestation of Charles Bonnet syndrome in a case of cataract and normal pressure hydrocephalus.
Seshadri Sekhar Chatterjee, Didakamiwan Khonglah, Sayantanava Mitra, Kabir Garg
Indian Journal of Psychiatry July 1, 2018 DOI: 10.4103/psychiatry.indianjpsychiatry_236_18 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Case study Case report Peer reviewed |
|---|---|
| Sample size | 1 |
| Population | An elderly gentleman with cataract and normal pressure hydrocephalus |
| Keywords | Normal pressure hydrocephalus Neuropsychiatry Charles bonnet syndrome Late-onset psychosis Organic hallucinosis |
| Key findings | Argues that Charles Bonnet Syndrome can develop through two concurrent mechanisms in a given individual, illustrated by an elderly man with cataract and normal pressure hydrocephalus who experienced Lilliputian hallucinations. Contends that treating only one mechanism would leave symptoms persistent and that failing to recognize both would lead to continued morbidity. |
Abstract
Charles Bonnet Syndrome (CBS) typically occurs in elderly people with peripheral vision impairment, or interruptions in the connections from eyes to visual cortex. The heterogeneity of presentations and causal mechanisms warrants clinical caution. In this report, we describe a case of CBS developing in the form of Lilliputian Hallucinations in an elderly gentleman, on the background of cataract and normal pressure hydrocephalus, the complexities arising out of such aetiogenesis, and its management. We emphasize upon the fact that CBS might develop through two concurrent mechanisms in a given individual. Treating one of these would mean persistent symptoms, and failing to recognize these would lead to continued morbidity.