Estrogen and visual hallucinations in a patient with Charles Bonnet syndrome.

Fernandes, L H; Scassellati-Sforzolini, B; Spaide, R F · Am J Ophthalmol · 2000

case_report · Level V

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Abstract

To describe the occurrence of visual hallucinations in a patient with Charles Bonnet syndrome associated with estrogen intake. Case report. An 84-year-old woman with poor visual acuity secondary to bilateral, nonexudative, age-related macular degeneration had nonthreatening visual hallucinations 2 weeks after starting oral estrogen for osteoporosis. The estrogen was stopped, and the hallucinations subsided. The patient was given estrogen twice more and each time the hallucinations recurred. We report a case of Charles Bonnet syndrome associated with estrogen intake in an 84-year-old woman. Estrogen may have promoted release phenomena and triggered the hallucinatory episodes in our patient.

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