Closed-eye visual hallucinations after coronary artery bypass grafting.
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Heautoscopy is a well-known phenomenon in clinical psychopathology. Strictly speaking it is not a syndrome but a symptom and can be associated with different kinds of mental illness. Our case report deals with an atypical form of heautoscopy. We try to elucidate the essential qualities of our patient's disturbing mental experiences. In addition, we present a psychodynamic approach which seeks to explain the patient's experiences in terms of projection and protective functions.
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The authors report on a 81-year-old-lady with Charles Bonnet-syndrome. This syndrome is a special form of a visual hallucinosis, which affects typically otherwise healthy, elderly people, who mostly suffer from reduced vision. Ophthalmologic and psychiatric findings are demonstrated in detail, in particular a reduced left-occipital perfusion in this syndrome is shown with a spect (single photon computed tomography) and discussed with the published literature.
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