title: Low-dose aripiprazole resolved complex hallucinations in the left visual field after right occipital infarction (Charles Bonnet syndrome).
abstract: We reported a patient who suffered from complex visual hallucinations with left homonymous hemianopsia. Brain imaging showed an acute haemorrhage infarct at the right occipital lobe. Charles Bonnet syndrome (CBS) was suspected and aripiprazole was prescribed at 5 mg daily. After 3 weeks, the symptoms of hallucinations and anxiety were relieved. Although some CBS patients might be self-limited without discomfort, low-dose aripiprazole can be considered as a safe medication for significantly anxious patients with CBS.
authors.affiliation: Department of General Psychiatry, Taipei City Psychiatric Center, Taipei City Hospital, Department of Psychiatry, School of Medicine, Taipei Medical University, Taipei, Taiwan.
authors.forename: Cheng-Che
authors.initials: CC
authors.lastname: Chen
authors.forename: Hsing-Cheng
authors.initials: HC
authors.lastname: Liu
mesh_terms: D000368:Aged; D014150:Antipsychotic Agents / Q000008:administration & dosage*; D000068180:Aripiprazole; D002544:Cerebral Infarction / Q000188:drug therapy* / Q000503:physiopathology; D004292:Dominance, Cerebral / Q000187:drug effects / Q000502:physiology; D004305:Dose-Response Relationship, Drug; D005260:Female; D005500:Follow-Up Studies; D006212:Hallucinations / Q000188:drug therapy* / Q000503:physiopathology; D006423:Hemianopsia / Q000188:drug therapy* / Q000503:physiopathology; D006801:Humans; D009778:Occipital Lobe / Q000098:blood supply* / Q000187:drug effects*; D010879:Piperazines / Q000008:administration & dosage*; D015363:Quinolones / Q000008:administration & dosage*; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014794:Visual Fields / Q000187:drug effects* / Q000502:physiology
chemical_list: D014150:Antipsychotic Agents; D010879:Piperazines; D015363:Quinolones; D000068180:Aripiprazole