nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2018-2-83-87nnp-890Research ArticleCLINICAL OBSERVATIONSКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCharles Bonnet syndrome: a clinical case and a review of literatureСиндром Шарля Бонне: клинический случай и обзор литературыГригорьеваВ. Н.GrigoryevaV. N.

Контакты: Вера Наумовна Григорьева

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Contact: Vera Naumovna Grigoryeva 

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ФГБОУ ВО «Приволжский исследовательский медицинский университет» Минздрава РоссииРоссияVolga Research Medical University, Ministry of Health of RussiaRussian FederationФГБОУ ВО «Приволжский исследовательский медицинский университет» Минздрава России; ГБУЗ Нижегородской области «Нижегородская областная клиническая больница им. Н.А. Семашко»РоссияVolga Research Medical University, Ministry of Health of Russia; N.A. Semashko Nizhny Novgorod Regional Clinical HospitalRussian FederationГБУЗ Нижегородской области «Нижегородская областная клиническая больница им. Н.А. Семашко»РоссияN.A. Semashko Nizhny Novgorod Regional Clinical HospitalRussian Federation2018240620181028387Copyright © Grigoryeva V.N., Semenova T.N., Egorova E.A., 20182018Григорьева В.Н., Семенова Т.Н., Егорова Е.А.Grigoryeva V.N., Semenova T.N., Egorova E.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/890

Charles Bonnet syndrome (CBS) includes the visual hallucinations in patients with decreased/lost vision in both eyes or hemianopsia, which are unassociated with cognitive dysfunction or confusion. The paper describes a clinical case of a 77-year-old woman who had daily complex mobile visual hallucinations occurring mainly in the early dawning with open eyes and in clear consciousness. The patient was referred to the vascular center with lacunar stroke detected by magnetic resonance imaging, which was asymptomatic and could not cause hallucinations. The latter appeared for the first time a year before stroke in the presence of a dramatic bilateral visual decrease caused by proliferative diabetic retinopathy. The hallucinations were regarded as a manifestation of the CBS. Adequate therapy led to their disappearance. The paper provides a review of current publications on the prevalence, causes, clinical presentations, and treatment of CBS. 

Синдром Шарля Бонне (СШБ) включает зрительные галлюцинации у больных со снижением/утратой зрения на оба глаза либо с изменением полей зрения, не связанные с нарушением когнитивных функций или помрачением сознания. Приведено клиническое наблюдение, в котором у больной 77 лет отмечались ежедневные сложные подвижные зрительные галлюцинации, возникавшие преимущественно в предрассветные часы при открытых глазах и ясном сознании. Пациентка была направлена в сосудистый центр в связи с выявленным при магнитно-резонансной томографии лакунарным инсультом, который был бессимптомным и не мог явиться причиной галлюцинаций. Впервые галлюцинации появились у пациентки за год до развития инсульта на фоне резкого двустороннего снижения зрения, обусловленного пролиферативной диабетической ретинопатией. Галлюцинации расценены как проявление СШБ. Адекватная терапия привела к их прекращению. Представлен обзор современных публикаций, посвященных распространенности, причинам, особенностям клинических проявлений и лечению СШБ. 

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The authors declare that there are no conflicts of interest present.