Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-29T00:05:18.528Z Has data issue: false hasContentIssue false
  • English
  • Français

Peduncular hallucinosis due to brain metastases from cervix cancer: a case report

Published online by Cambridge University Press:  24 June 2014

Mustafa Gokce  and
Seval Adanali
Mustafa Gokce*
Affiliation:
Neurology Department, Medical School, University of Kahramanmaras Sutcu Imam, Kahramanmaras
Seval Adanali
Affiliation:
Gynecology Department, Ankara Oncology Hospital, Demetevler, Ankara, Turkey
*
Department of Neurology, Medical School, University of Kahramanmaras Sutcu, Imam, 46050, Kahramanmaras, Turkey. Tel. 90 3442211431; Fax: 90 344221 72 39; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Brain metastases from cervical carcinoma are rare. Accompanying symptoms depend on the location of the metastatic lesions. Penduncular hallucinosis is a vivid form of hallucination with clinical findings indicating a lesion of the upper midbrain. We hereby report a probable first case of peduncular hallucinosis associated with brain metastases from cervical cancer.

Case:

A 42-year-old woman had been diagnosed with adenocarcinoma of cervix. On admission for her increasing pelvic pain, she had complex visual hallucinations comprising cartoon children, figurative people and a foggy room. Magnetic resonance imaging of the head revealed a lesion in the left mesencephalothalamic area.

Conclusion:

Peduncular hallucinosis is well known for its vivid and life-like characteristics associated with a mesencephalic area lesion, and recognition of this may be useful of its diagnosis and differential diagnosis from confusion and other hallucinations.

Keywords

brain metastasescervix cancerpeduncular hallucinosis
Type
Case Report
Information
Acta Neuropsychiatrica , Volume 15 , Issue 3 , June 2003 , pp. 105 - 107
Copyright
Copyright © 2003 Blackwell Munksgaard

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Vieth, RG, Odum, GL. Intracranial metastases and their neurosurgical treatment. J Neurosurg 1965;23: 375–378.CrossRefGoogle ScholarPubMed
Kishi, K, Nomura, K, Miki, Y, Shibui, S, Takakura, K. Metastatic brain tumor: a clinical and pathologic analysis of 101 cases with biopsy. Arch Pathol Laboratory Med 1982;106: 133–135. Google ScholarPubMed
Miyazawa, T, Fukui, S, Otani, N, Tsuzuki, N, Katoh, H. Peduncular hallucinosis due to a pineal menengioma. J Neurosurg 2001;95: 500–502.CrossRefGoogle Scholar
L'Hermitte, J. Syndrome de la calotte du pedoncle cerebral. Lestroubles psycho-sensoriels dans les lesion du mesocephale. Rev Neurol 1922;38: 1359–1365. Google Scholar
Van Bogaert, L. Syndrome inferieur du noyau rouge, troubles psycho-sensoriels d'origine mesocephalique. Rev Neural 1924;40: 417–423. Google Scholar
Van Bogaert, L. L'hallucinose pedonculaire. Rev Neurol 1927;43: 608–617. Google Scholar
Manford, M, Andermann, F. Complex visual hallucinations: clinical and neurobiological insights. Brain 1998;121: 1819–1840.CrossRefGoogle ScholarPubMed
Feinberg, WM, Rapcsak, SZ. Peduncular hallucinosis following paramedian thalamic infarction. Neurology 1989;39: 1535–1536.CrossRefGoogle ScholarPubMed
Leiva Santana, C, Jerez Garcia, PT, Del Real Francia, MA, Sanchez, RM. Peduncular hallucinosis associated with a space occupying lesion of the brainstem. Rev Neurol 1999;28: 1174–1176.Google Scholar
Maiuri, F, Iaconetta, G, Sardo, L, Buanomassa, S. Peduncular hallucinations associated with large posterior fossa menengiomas. Clin Neurol Neurosurg 2002;104: 41–43.CrossRefGoogle Scholar
McKee, AC, Levine, DN, Kowall, NW, Richardson, EP. Peduncular hallucinosis associated with isolated infarction of the substantia nigra pars reticulata. Ann Neurol 1990;27: 500–504.CrossRefGoogle ScholarPubMed
Henriksen, E. The lymphatic spread of carcinoma of the cervix and the body of the uterus. A study of 420 necropsies. Am J Obstet Gynecol 1949;58: 924–940. CrossRefGoogle ScholarPubMed