Visual hallucinations after resection of cerebral metastases: two patients with complex phantom images
Purpose Complex visual hallucinations are rarely seen in neurooncology. They are commonly observed alongside psychotic symptoms in schizophrenia or dementia, in Parkinson’s or Lewy-body disease, after opioid medications or anesthesia, and, in particular, they appear with visual impairments. Methods...
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| Veröffentlicht in: | Strahlentherapie und Onkologie 2024-09, Vol.200 (9), p.832-837 |
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| container_title | Strahlentherapie und Onkologie |
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| creator | Ovchinnikov, A. Andereggen, L. Rogers, S. Gschwind, M. |
| description | Purpose
Complex visual hallucinations are rarely seen in neurooncology. They are commonly observed alongside psychotic symptoms in schizophrenia or dementia, in Parkinson’s or Lewy-body disease, after opioid medications or anesthesia, and, in particular, they appear with visual impairments.
Methods
Here we report two normal-sighted and mentally healthy patients with unusual visual hallucinations after the resection and irradiation of brain metastases, the main features of which were persistent colorful and meaningful images with hallucinatory perseveration.
Results
These cases demonstrate the occurrence of complex visual hallucinations after resection of visual cortices as an effect of deafferentation, so-called visual release hallucinations or phantom images, similar to phantom pain after amputation of a limb.
Conclusion
This case serves to heighten awareness in the radiooncology practitioner of the occurrence of visual release hallucinations (Charles Bonnet syndrome) related to multidisciplinary treatment of brain metastases. |
| doi_str_mv | 10.1007/s00066-024-02213-x |
| format | Article |
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Complex visual hallucinations are rarely seen in neurooncology. They are commonly observed alongside psychotic symptoms in schizophrenia or dementia, in Parkinson’s or Lewy-body disease, after opioid medications or anesthesia, and, in particular, they appear with visual impairments.
Methods
Here we report two normal-sighted and mentally healthy patients with unusual visual hallucinations after the resection and irradiation of brain metastases, the main features of which were persistent colorful and meaningful images with hallucinatory perseveration.
Results
These cases demonstrate the occurrence of complex visual hallucinations after resection of visual cortices as an effect of deafferentation, so-called visual release hallucinations or phantom images, similar to phantom pain after amputation of a limb.
Conclusion
This case serves to heighten awareness in the radiooncology practitioner of the occurrence of visual release hallucinations (Charles Bonnet syndrome) related to multidisciplinary treatment of brain metastases.</description><identifier>ISSN: 0179-7158</identifier><identifier>ISSN: 1439-099X</identifier><identifier>EISSN: 1439-099X</identifier><identifier>DOI: 10.1007/s00066-024-02213-x</identifier><identifier>PMID: 38453698</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Anesthesia ; Brain ; Brain cancer ; Brain Neoplasms - radiotherapy ; Brain Neoplasms - secondary ; Brain Neoplasms - surgery ; Case Study ; Charles Bonnet Syndrome - etiology ; Combined Modality Therapy ; Consciousness ; Edema ; Electroencephalography ; Epilepsy ; Female ; Hallucinations ; Hallucinations - etiology ; Histology ; Hospitals ; Humans ; Magnetic Resonance Imaging ; Male ; Medical imaging ; Medicine ; Medicine & Public Health ; Melanoma ; Metastasis ; Middle Aged ; Neurosurgery ; Oncology ; Patients ; Phantom Limb - etiology ; Postoperative Complications ; Radiation therapy ; Radiosurgery ; Radiotherapy ; Schizophrenia ; Visual effects ; Visual observation</subject><ispartof>Strahlentherapie und Onkologie, 2024-09, Vol.200 (9), p.832-837</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-ffce819b846b2188365ac1e8ba5d81383729b65f61b9d004da2350fc0198b5133</cites><orcidid>0000-0002-5623-1313 ; 0000-0002-0524-0383</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00066-024-02213-x$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00066-024-02213-x$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38453698$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ovchinnikov, A.</creatorcontrib><creatorcontrib>Andereggen, L.</creatorcontrib><creatorcontrib>Rogers, S.</creatorcontrib><creatorcontrib>Gschwind, M.</creatorcontrib><title>Visual hallucinations after resection of cerebral metastases: two patients with complex phantom images</title><title>Strahlentherapie und Onkologie</title><addtitle>Strahlenther Onkol</addtitle><addtitle>Strahlenther Onkol</addtitle><description>Purpose
Complex visual hallucinations are rarely seen in neurooncology. They are commonly observed alongside psychotic symptoms in schizophrenia or dementia, in Parkinson’s or Lewy-body disease, after opioid medications or anesthesia, and, in particular, they appear with visual impairments.
Methods
Here we report two normal-sighted and mentally healthy patients with unusual visual hallucinations after the resection and irradiation of brain metastases, the main features of which were persistent colorful and meaningful images with hallucinatory perseveration.
Results
These cases demonstrate the occurrence of complex visual hallucinations after resection of visual cortices as an effect of deafferentation, so-called visual release hallucinations or phantom images, similar to phantom pain after amputation of a limb.
Conclusion
This case serves to heighten awareness in the radiooncology practitioner of the occurrence of visual release hallucinations (Charles Bonnet syndrome) related to multidisciplinary treatment of brain metastases.</description><subject>Aged</subject><subject>Anesthesia</subject><subject>Brain</subject><subject>Brain cancer</subject><subject>Brain Neoplasms - radiotherapy</subject><subject>Brain Neoplasms - secondary</subject><subject>Brain Neoplasms - surgery</subject><subject>Case Study</subject><subject>Charles Bonnet Syndrome - etiology</subject><subject>Combined Modality Therapy</subject><subject>Consciousness</subject><subject>Edema</subject><subject>Electroencephalography</subject><subject>Epilepsy</subject><subject>Female</subject><subject>Hallucinations</subject><subject>Hallucinations - etiology</subject><subject>Histology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Melanoma</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Oncology</subject><subject>Patients</subject><subject>Phantom Limb - etiology</subject><subject>Postoperative Complications</subject><subject>Radiation therapy</subject><subject>Radiosurgery</subject><subject>Radiotherapy</subject><subject>Schizophrenia</subject><subject>Visual effects</subject><subject>Visual observation</subject><issn>0179-7158</issn><issn>1439-099X</issn><issn>1439-099X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kU1rFTEUhoNY7G31D7iQgBs3o_mexI2UYlUodKPiLmRyT-6dMjMZk4y9_ntze2v9WBQSAjnPec97eBF6TslrSkj7JhNClGoIE_UyypvdI7SigpuGGPPtMVoR2pqmpVIfo5OcrwmhShjxBB1zLSRXRq9Q-NrnxQ1464Zh8f3kSh-njF0okHCCDH7_gWPAHhJ0qaIjFJfrgfwWl5uI59oDU8n4pi9b7OM4D7DD89ZNJY64H90G8lN0FNyQ4dnde4q-XLz_fP6xubz68On87LLxgqnShOBBU9NpoTpGteZKOk9Bd06uNeWat8x0SgZFO7MmRKwd45IET6jRnaScn6J3B9156UZY--qrWrZzqjbSTxtdb_-tTP3WbuIPSykXvNWkKry6U0jx-wK52LHPHobBTRCXbJmRoq02JKvoy__Q67ikqe5nOTGq6lG5t8QOlE8x5wTh3g0ldp-jPeRoa472Nke7q00v_t7jvuV3cBXgByDX0rSB9Gf2A7K_ALkMq0Y</recordid><startdate>20240901</startdate><enddate>20240901</enddate><creator>Ovchinnikov, A.</creator><creator>Andereggen, L.</creator><creator>Rogers, S.</creator><creator>Gschwind, M.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5623-1313</orcidid><orcidid>https://orcid.org/0000-0002-0524-0383</orcidid></search><sort><creationdate>20240901</creationdate><title>Visual hallucinations after resection of cerebral metastases: two patients with complex phantom images</title><author>Ovchinnikov, A. ; Andereggen, L. ; Rogers, S. ; Gschwind, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-ffce819b846b2188365ac1e8ba5d81383729b65f61b9d004da2350fc0198b5133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Anesthesia</topic><topic>Brain</topic><topic>Brain cancer</topic><topic>Brain Neoplasms - radiotherapy</topic><topic>Brain Neoplasms - secondary</topic><topic>Brain Neoplasms - surgery</topic><topic>Case Study</topic><topic>Charles Bonnet Syndrome - etiology</topic><topic>Combined Modality Therapy</topic><topic>Consciousness</topic><topic>Edema</topic><topic>Electroencephalography</topic><topic>Epilepsy</topic><topic>Female</topic><topic>Hallucinations</topic><topic>Hallucinations - etiology</topic><topic>Histology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Melanoma</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Oncology</topic><topic>Patients</topic><topic>Phantom Limb - etiology</topic><topic>Postoperative Complications</topic><topic>Radiation therapy</topic><topic>Radiosurgery</topic><topic>Radiotherapy</topic><topic>Schizophrenia</topic><topic>Visual effects</topic><topic>Visual observation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ovchinnikov, A.</creatorcontrib><creatorcontrib>Andereggen, L.</creatorcontrib><creatorcontrib>Rogers, S.</creatorcontrib><creatorcontrib>Gschwind, M.</creatorcontrib><collection>SpringerOpen (Open Access)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Strahlentherapie und Onkologie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ovchinnikov, A.</au><au>Andereggen, L.</au><au>Rogers, S.</au><au>Gschwind, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Visual hallucinations after resection of cerebral metastases: two patients with complex phantom images</atitle><jtitle>Strahlentherapie und Onkologie</jtitle><stitle>Strahlenther Onkol</stitle><addtitle>Strahlenther Onkol</addtitle><date>2024-09-01</date><risdate>2024</risdate><volume>200</volume><issue>9</issue><spage>832</spage><epage>837</epage><pages>832-837</pages><issn>0179-7158</issn><issn>1439-099X</issn><eissn>1439-099X</eissn><abstract>Purpose
Complex visual hallucinations are rarely seen in neurooncology. They are commonly observed alongside psychotic symptoms in schizophrenia or dementia, in Parkinson’s or Lewy-body disease, after opioid medications or anesthesia, and, in particular, they appear with visual impairments.
Methods
Here we report two normal-sighted and mentally healthy patients with unusual visual hallucinations after the resection and irradiation of brain metastases, the main features of which were persistent colorful and meaningful images with hallucinatory perseveration.
Results
These cases demonstrate the occurrence of complex visual hallucinations after resection of visual cortices as an effect of deafferentation, so-called visual release hallucinations or phantom images, similar to phantom pain after amputation of a limb.
Conclusion
This case serves to heighten awareness in the radiooncology practitioner of the occurrence of visual release hallucinations (Charles Bonnet syndrome) related to multidisciplinary treatment of brain metastases.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38453698</pmid><doi>10.1007/s00066-024-02213-x</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-5623-1313</orcidid><orcidid>https://orcid.org/0000-0002-0524-0383</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Aged Anesthesia Brain Brain cancer Brain Neoplasms - radiotherapy Brain Neoplasms - secondary Brain Neoplasms - surgery Case Study Charles Bonnet Syndrome - etiology Combined Modality Therapy Consciousness Edema Electroencephalography Epilepsy Female Hallucinations Hallucinations - etiology Histology Hospitals Humans Magnetic Resonance Imaging Male Medical imaging Medicine Medicine & Public Health Melanoma Metastasis Middle Aged Neurosurgery Oncology Patients Phantom Limb - etiology Postoperative Complications Radiation therapy Radiosurgery Radiotherapy Schizophrenia Visual effects Visual observation |
| title | Visual hallucinations after resection of cerebral metastases: two patients with complex phantom images |
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