Clinical Reasoning: A 48-Year-Old Woman With 6 Months of Vivid Visual Hallucinations.

Kizza, Jennifer; Lu, Richard J; Zuflacht, Jonah; Bouffard, Marc · Neurology · 2022

case_report · Level V

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Abstract

Visual hallucinations are frequently encountered in clinical practice. It is critical for neurologists, particularly those in training, to develop a systematic approach for evaluating patients presenting with such unique and often perplexing symptoms. In this study, we present the case of a 48-year-old woman who developed vivid visual hallucinations after receiving nivolumab for melanoma. We discuss the broad differential diagnosis for visual hallucinations and how history and examination can guide one's evaluation.

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