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Auditory Hallucinations as a Rare Presentation of Occipital Infarcts
A stroke is a clinical syndrome characterized by a focal neurologic deficit that can be attributed to a vascular territory within the brain. The presenting features of an acute stroke depends on the area of the brain affected. Although unusual, the presenting feature may include psychosis with audit...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040285/ https://www.ncbi.nlm.nih.gov/pubmed/30050704 http://dx.doi.org/10.1155/2018/1243605 |
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author | Ido, Firas Badran, Reina Dmytruk, Brandon Kulairi, Zain |
author_facet | Ido, Firas Badran, Reina Dmytruk, Brandon Kulairi, Zain |
author_sort | Ido, Firas |
collection | PubMed |
description | A stroke is a clinical syndrome characterized by a focal neurologic deficit that can be attributed to a vascular territory within the brain. The presenting features of an acute stroke depends on the area of the brain affected. Although unusual, the presenting feature may include psychosis with auditory and/or visual hallucinations. A 56-year-old female was admitted to the psychiatric unit after threatening her husband with a knife. She reported experiencing altered sensorium for one week with suicidal and homicidal command hallucinations. Given the acute onset, brain images were obtained to rule out an organic etiology. A brain MRI revealed an acute right occipital lobe infarct with hemorrhagic transformation. The patient's symptoms were self-limited, resolving without antipsychotic medications. Psychosis with auditory hallucinations is not commonly reported following stroke. Since histologic and functional alterations in the occipital lobe appear to play a significant role in psychosis of schizophrenics, it is likely that ischemia in the same area may cause similar changes. Familiarity with this rare presentation is important, as it prevents a delay in diagnosis, which may negatively impact the outcome. |
format | Online Article Text |
id | pubmed-6040285 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-60402852018-07-26 Auditory Hallucinations as a Rare Presentation of Occipital Infarcts Ido, Firas Badran, Reina Dmytruk, Brandon Kulairi, Zain Case Rep Neurol Med Case Report A stroke is a clinical syndrome characterized by a focal neurologic deficit that can be attributed to a vascular territory within the brain. The presenting features of an acute stroke depends on the area of the brain affected. Although unusual, the presenting feature may include psychosis with auditory and/or visual hallucinations. A 56-year-old female was admitted to the psychiatric unit after threatening her husband with a knife. She reported experiencing altered sensorium for one week with suicidal and homicidal command hallucinations. Given the acute onset, brain images were obtained to rule out an organic etiology. A brain MRI revealed an acute right occipital lobe infarct with hemorrhagic transformation. The patient's symptoms were self-limited, resolving without antipsychotic medications. Psychosis with auditory hallucinations is not commonly reported following stroke. Since histologic and functional alterations in the occipital lobe appear to play a significant role in psychosis of schizophrenics, it is likely that ischemia in the same area may cause similar changes. Familiarity with this rare presentation is important, as it prevents a delay in diagnosis, which may negatively impact the outcome. Hindawi 2018-06-27 /pmc/articles/PMC6040285/ /pubmed/30050704 http://dx.doi.org/10.1155/2018/1243605 Text en Copyright © 2018 Firas Ido et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Ido, Firas Badran, Reina Dmytruk, Brandon Kulairi, Zain Auditory Hallucinations as a Rare Presentation of Occipital Infarcts |
title | Auditory Hallucinations as a Rare Presentation of Occipital Infarcts |
title_full | Auditory Hallucinations as a Rare Presentation of Occipital Infarcts |
title_fullStr | Auditory Hallucinations as a Rare Presentation of Occipital Infarcts |
title_full_unstemmed | Auditory Hallucinations as a Rare Presentation of Occipital Infarcts |
title_short | Auditory Hallucinations as a Rare Presentation of Occipital Infarcts |
title_sort | auditory hallucinations as a rare presentation of occipital infarcts |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040285/ https://www.ncbi.nlm.nih.gov/pubmed/30050704 http://dx.doi.org/10.1155/2018/1243605 |
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