A Case of Visual Hallucination With Frontal Lobe Infarction in a Patient With Giant Cell Arteritis

Giant cell arteritis (GCA) can produce a variety of visual symptoms. Among these, visual hallucinations are rare and are usually accompanied by visual loss. We encountered a 79-year-old female with GCA who presented with visual hallucinations without visual loss. Magnetic resonance imaging (MRI) of...

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Detalles Bibliográficos
Autores principales: Shimura, Mai, Fujikawa, Hirohisa, Suda, Masei, Muranaka, Kiyoharu, Minoda, Masahiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Family/General Practice
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412741/
https://www.ncbi.nlm.nih.gov/pubmed/37575842
http://dx.doi.org/10.7759/cureus.41659
Descripción
Sumario:Giant cell arteritis (GCA) can produce a variety of visual symptoms. Among these, visual hallucinations are rare and are usually accompanied by visual loss. We encountered a 79-year-old female with GCA who presented with visual hallucinations without visual loss. Magnetic resonance imaging (MRI) of the head revealed a stroke in the right frontal lobe, probably caused by GCA, resulting in visual hallucinations. Visual hallucinations are not well recognized by clinicians as a presentation of GCA. However, as shown in the present case, visual hallucinations are an important symptom because they are suggestive of cerebral ischemia or visual loss.

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