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CHARLES BONNET SYNDROME Dr. Syed Faheem Shams Student of MD (Part-II)  Department of Psychiatry, BSMMU
What is Charles Bonnet Syndrome?
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History of Charles Bonnet Syndrome ,[object Object],[object Object]
PREVALENCE RATE ,[object Object],[object Object],[object Object],[object Object]
Causes of Charles Bonnet syndrome   ,[object Object],(Deafferentation hypothesis) .
 
When do they occur? ,[object Object]
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CLINICAL FEATURES
[object Object],[object Object],[object Object],Age of onset
Visual Hallucination  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
" Lilliputian hallucinations " (hallucinations in which the characters or objects are smaller than normal).
Insight – Partial or complete. Aware that these images are not real. Sometimes can make the image disappear by closing their eyes.
Differential Diagnosis
DLB’s ( Dementia with Lewy bodies)— ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acute confusional state( delirium)   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Schizophrenia Complex partial seizure
Investigations ,[object Object],[object Object],[object Object]
Investigations  (contd.)   Dementia
Investigations  (contd.)   ,[object Object]
Investigations (contd.) ,[object Object],[object Object],[object Object]
Investigations (contd.) ,[object Object],[object Object],[object Object]
TREATMENT
[object Object]
Some common methods ,[object Object]
[object Object]
[object Object]
[object Object]
Prognosis ,[object Object],[object Object],[object Object]
Conclusion ,[object Object]
The correct diagnosis of this distressing but not uncommon condition is of  utmost importance , considering the serious implications of the alternative diagnoses. . Clinicians must therefore be aware and ask elderly people with visual impairment  whether they have hallucinations.
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Charles bonnet syndrome