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Why is this patient having visual hallucinations?

Why is this patient having visual hallucinations? Downloaded from https://pdfs.journals.lww.com/jaapa by BhDMf5ePHKZxZb3ruX4b9cKfbT5h3bp+v9gTtSlrchDWvVTxyN8Hif2P/rPZfAxb8td684/2m6Qj/1S0ZObgiiKJ9vD64yNdY1wI1G/v4gN3ti1fujtTJsg5898WZFuC on 02/23/2019 A DIFFICULT DIAGNOSIS Tahra Soofi, MSPAS, PA-C; Andrew Mackner; Leonid Skorin, Jr., DO, OD, MS CASE Accompanied by her daughter, a 91-year-old woman pre- sented to the ophthalmology clinic for a routine glaucoma pressure check. During the examination, she mentioned that she was seeing a wall. When asked to clarify this, the patient said she saw a bookshelf blocking the door of the examination room but was aware that it did not exist. History On further questioning, the patient said that on occasion she has seen other visual hallucinations in the last year, including small cherub-like creatures running along- side her as she was going down the hallway in her wheel- chair. These visions most typically occurred in dim light or dark areas of rooms and disappeared spontaneously. Further questioning revealed that the patient had good insight into her hallucinations; she is aware that they are sat in the examination chair comfortably and was in no not real nor do they threaten to harm her. She had no distress. She had no observable active or resting tremor, complaints of weakness, numbness, fever, headache, or articulated well, and had no truncal ataxia. Her http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the American Academy of PAs Wolters Kluwer Health

Why is this patient having visual hallucinations?

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References (5)

Publisher
Wolters Kluwer Health
ISSN
1547-1896
eISSN
0893-7400
DOI
10.1097/01.JAA.0000527712.46439.63
Publisher site
See Article on Publisher Site

Abstract

Downloaded from https://pdfs.journals.lww.com/jaapa by BhDMf5ePHKZxZb3ruX4b9cKfbT5h3bp+v9gTtSlrchDWvVTxyN8Hif2P/rPZfAxb8td684/2m6Qj/1S0ZObgiiKJ9vD64yNdY1wI1G/v4gN3ti1fujtTJsg5898WZFuC on 02/23/2019 A DIFFICULT DIAGNOSIS Tahra Soofi, MSPAS, PA-C; Andrew Mackner; Leonid Skorin, Jr., DO, OD, MS CASE Accompanied by her daughter, a 91-year-old woman pre- sented to the ophthalmology clinic for a routine glaucoma pressure check. During the examination, she mentioned that she was seeing a wall. When asked to clarify this, the patient said she saw a bookshelf blocking the door of the examination room but was aware that it did not exist. History On further questioning, the patient said that on occasion she has seen other visual hallucinations in the last year, including small cherub-like creatures running along- side her as she was going down the hallway in her wheel- chair. These visions most typically occurred in dim light or dark areas of rooms and disappeared spontaneously. Further questioning revealed that the patient had good insight into her hallucinations; she is aware that they are sat in the examination chair comfortably and was in no not real nor do they threaten to harm her. She had no distress. She had no observable active or resting tremor, complaints of weakness, numbness, fever, headache, or articulated well, and had no truncal ataxia. Her

Journal

Journal of the American Academy of PAsWolters Kluwer Health

Published: Jan 1, 2018

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