Encyclopedia of Clinical Neuropsychology

2018 Edition
| Editors: Jeffrey S. Kreutzer, John DeLuca, Bruce Caplan

Peduncular Hallucinosis

  • Jennifer Sue KleinerEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-57111-9_769

Definition

Peduncular hallucinosis is a relatively rare type of hallucination that can occur following the lesions of the occipital cortices, diencephalon (e.g., medial thalami or fornices), or upper portion of the brain stem (Tekin and Cummings 2003). One of the more common causes is infarctions at the distal portions of the basilar artery. Known as the “top-of-the-basilar syndrome,” this disorder can result in a variety of symptoms including ocular disturbances, ataxia, altered sleep, agitation, confusion and memory deficits, as well as peduncular hallucinations. These hallucinations are frequently characterized by vividly colored landscapes, animals, or people, which are often seen to be in motion. They frequently, but not invariably, occur under low-light conditions, and the patient may have difficulty differentiating them from true, eternally based visual phenomena.

Cross-References

References and Readings

  1. Benke, T. (2006). Peduncular hallucinosis – a syndrome of impaired reality monitoring. Journal of Neurology, 253(12), 1561–1571.CrossRefPubMedPubMedCentralGoogle Scholar
  2. Cummings, J. L., & Miller, B. (1987). Visual hallucinations. Clinical occurrence and use in differential diagnosis. The Western Journal of Medicine, 146, 46–51.PubMedCentralPubMedGoogle Scholar
  3. Mocellin, R., Walterfang, M., & Velakoulis, D. (2006). Neuropsychiatry of complex visual hallucinations. The Australian and New Zealand Journal of Psychiatry, 40(9), 742–751.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Tekin, S., & Cummings, J. L. (2003). Hallucinations and related conditions. In K. M. Heilman & E. Valenstein (Eds.), Clinical neuropsychology (4th ed., pp. 479–494). New York: Oxford University Press.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of Arkansas for Medical Sciences Blandford Physician CenterLittle RockUSA