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Peduncular hallucinosis (PH) is a rare neurological disorder that causes vivid visual hallucinations that typically occur in dark environments and last for several minutes. . Unlike some other kinds of hallucinations, the hallucinations that patients with PH experience are very realistic, and often involve people and environments that are familiar to the affected individua
After analyzing 46 cases, Berrios found a female predominance of 80% in women over the age of 60. The study concluded that musical hallucinations were more likely to be seen in elderly women affected by deafness or brain disease than in individuals with no psychiatric illness at all. [22] [4]
A hallucination is a perception in the absence of an external stimulus that has the compelling sense of reality. [6] They are distinguishable from several related phenomena, such as dreaming (), which does not involve wakefulness; pseudohallucination, which does not mimic real perception, and is accurately perceived as unreal; illusion, which involves distorted or misinterpreted real ...
It is only delusion that has serious psychiatric implications. The content of hallucinations is widely variable and can range from simple images including flashing or steady spots, colored lines and shapes (unformed hallucinations) to vivid objects, flowers, animals and persons (formed hallucinations).
Paraphrenia is often associated with a physical change in the brain, such as a tumor, stroke, ventricular enlargement, or neurodegenerative process. [4] Research that reviewed the relationship between organic brain lesions and the development of delusions suggested that "brain lesions which lead to subcortical dysfunction could produce delusions when elaborated by an intact cortex".
Visual hallucinations associated with DLB create a particular burden on caregivers. [187] Caregivers can be educated to distract or change the subject when confronted with hallucinations, and that this is more effective than arguing over the reality of the hallucination.
A large proportion of those with CBS develop the visual hallucinations as vision begins to deteriorate and stop hallucinating once vision is entirely gone. [10] Complex hallucinations may progress over time if the primary loss of vision is due to damage of the early cortical areas. [10]
Stress, hypometabolism, and oxidative damage may decrease physiologic reserve in the elderly and can lead to a decrease in neuron energy production and an increase in neuron damage. [12] Thioredoxin reductase is an antioxidant that neutralizes oxidative free radicals that can cause cell death. The brain is vulnerable to oxidative free radicals ...
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