Summary
Peduncular hallucinations usually present as visual disorders and are often genuine hallucinations associated with thalamic and/or mesencephalic lesions. In this case report we describe the clinical findings in a patient with hallucinations. Magnetic resonance imaging demonstrated bilateral ischaemic lesions in the thalamus and in the mesencephalon. The pathogenesis of hallucinations in these disorders is discussed in the light of the findings provided by imaging techniques.
Similar content being viewed by others
References
Alajouanine T, Copcevitch M (1928) Hallucinose préhypnique avec syndrome de Parinaud chez une malade atteinte de parkinsonisme post-encéphalitique. Rev Neurol 11:714–718
Caplan LR (1980) “Top of the basilar” syndrome. Neurology 30:72–79
Castaigne P, Lhermitte F, Buge A, Escourolle R, Hauw JJ, Lyon-Caen O (1981) Paramedian thalamic and midbrain infarcts: clinical and neuropathological study. Ann Neurol 10:127–148
Cogan DG (1973) Visual hallucinations as release phenomena. Graefes Arch Clin Exp Ophthalmol 188:139–150
De Morsier G (1935) Pathogénie de l'hallucinose pédonculaire. A propos d'un nouveau cas. Rev Neurol 64:606–624
De Morsier G (1969) Les hallucinations visuelles diencéphaliques. Psychiatr Clin 2:167–184
Donaldson IMI, Long AC (1980) Interaction between extraocular proprioceptive and visual signals in the superior colliculus of the cat. J Physiol (Lond) 298:85–110
Dunn DW, Weisberg LA, Nadell J (1983) Peduncular hallucinations caused by brainstem compression. Neurology 33:1360–1361
Felten DL, Laties AM, Carpenter MB (1974) Monoamine-containing cell bodies in the squirrel monkey brain. Am J Anat 139:153–166
Gentilini O, De Renzi E, Crisi G (1987) Bilateral paramedian thalamic artery infarcts: report of eight cases. J Neurol Neurosurg Psychiatry 50:900–909
Guberman A, Stuss D (1983) The syndrome of bilateral paramedian thalamic infarction. Neurology 33:540–546
Kölmel HW (1984) Visuelle Halluzinationen im hemianopen Feld. (Schriftenreihe Neurologie, vol 26) Springer, Berlin Heidelberg New York
Kölmel HW (1985) Complex visual hallucinations in the hemianopic field. J Neurol Neurosurg Psychiatry 48:29–38
Kömpf D, Oppermann J, König F, Talman-Gros S, Babaian E (1984) Vertikale Blickparese und thalamische Demenz. Syndrom der posterioren thalamosubthalamischen paramedianen Arterie. Nervenarzt 55:625–636
Lhermitte J (1922) Syndrome de la calotte pédonculaire. Les troubles psychosensorielles dans les lésions du mésencéphale. Rev Neurol 38:1359–1365
Percheron G (1976) Les artères du thalamus humain. Rev Neurol 132:297–307, 309–324
Rozanski J (1952) Peduncular hallucinosis following vertebral angiography. Neurology 2:341–349
Silverman SM, Bergman PS, Bender MB (1961) The dynamics of transient cerebral blindness. Arch Neurol 4:333–348
Smith RA, Gelles DB, Vanderhaeghen JJ (1971 Subcortical visual hallucinations. Cortex 7:162–168
Van Bogaert L (1927) L'hallucinose pédonculaire. Rev Neurol 47:608–617
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kölmel, H.W. Peduncular hallucinations. J Neurol 238, 457–459 (1991). https://doi.org/10.1007/BF00314654
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00314654