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Tuesday, June 11, 2013

Photographing hallucinations

BMJ Case Reports has a paper that describes two patients with Parkinson’s disease who experienced hallucinations that transferred onto photos they took to try and prove they were real.

This is ‘Patient 1' from the case report:

Patient 1 was first evaluated at age 66, having been diagnosed with PD [Parkinson's Disease] at age 58… She complained of daytime and night-time visual hallucinations for the past one year. Most of the time she did not have insight about them. She described seeing three children playing in her neighbour’s yard and a brunette woman sleeping under the covers in one of the beds in her house. She also saw images of different people sitting quietly in her living room. Most of her visual hallucinations subsided in open and brightly lit spaces but were, nevertheless, troublesome. In one instance, she saw a man covered in blood, holding a child and called 911.

Her husband, in an attempt to prove to her that these were hallucinations, took pictures of the neighbour’s yard and the bed in their house. Surprisingly, when shown these photos, the patient continued to identify the same children playing in the yard and the same brunette woman sleeping under the covers. This perception was present every time the patient looked at these photos. Within 6 months of stopping ropinirole and titrating quetiapine to 75 mg every night at bedtime the hallucinations were less severe and shorter in duration, but the patient continued to see them in the photos.

Link to locked article in BMJ Case Reports.


View the original article here

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