title: Complex visual hallucinations and occipital seizures.
abstract: BACKGROUND
  We describe the presentation of a young woman with long-standing complex partial seizures with occasional secondary generalization, who presented with complex visual hallucinations (CVHs) and delusions.
  
  
  METHODS
  Routine biological workup including magnetic resonance imaging revealed an area of significant left-sided occipital gliosis. Video telemetry monitoring revealed a left occipital focus for the origin of the electrographic seizure discharge.
  
  
  CONCLUSIONS
  CVHs occur in a range of organic states, including epilepsy, and can be understood in terms of the underpinning neuroanatomy and neurotransmitter systems of the visual system.
authors.affiliation: 1Neuropsychiatry Unit, Royal Melbourne Hospital, Victoria, Australia.
authors.forename: Mark
authors.initials: M
authors.lastname: Walterfang
authors.affiliation: 3Department of Neurosciences, Royal Melbourne Hospital, Victoria, Australia.
authors.forename: Raju
authors.initials: R
authors.lastname: Yerra
authors.affiliation: 5Department of Radiology, Royal Melbourne Hospital, Victoria, Australia.
authors.forename: Francesco
authors.initials: F
authors.lastname: Gaillard
authors.affiliation: 3Department of Neurosciences, Royal Melbourne Hospital, Victoria, Australia.
authors.forename: Terence
authors.initials: T
authors.lastname: O'Brien
authors.affiliation: 1Neuropsychiatry Unit, Royal Melbourne Hospital, Victoria, Australia.
authors.forename: Ramon
authors.initials: R
authors.lastname: Mocellin
authors.affiliation: 1Neuropsychiatry Unit, Royal Melbourne Hospital, Victoria, Australia.
authors.forename: Dennis
authors.initials: D
authors.lastname: Velakoulis