Peduncular hallucinosis: a syndrome of impaired reality monitoring.

Abstract:

:Peduncular hallucinosis (PH) is a syndrome of hallucinations and brainstem symptoms which has only been described in single case reports. A detailed analysis of five patients was undertaken to investigate the clincial characteristics, hallucinations and behavioural abnormalities of PH in greater detail. Frequent clinical symptoms were oculomotor disturbances, impaired arousal, dysarthria and ataxia. In the chronic stage, sleep-wake cycle disturbances were common. Hallucinations were naturalistic, complex, scenic, mostly visual, but also combined visual-acoustic or visual-tactile and recurred stereotypically over months. Patients experienced their hallucinations as genuine and were unable to discriminate their percepts from reality. Neuropsychological testing disclosed severe impairments of episodic memory, occasionally coupled with confabulatory behaviour. By contrast, memory for hallucinations remained intact. Deficits of attentional and executive functions were found in a subgroup of patients. Associated abnormal behaviours were common, comprising confusion, delusional misidentification for persons and places, and loss of disease awareness. PH appeared after focal lesions in various regions, such as the midbrain, thalamus and pons. These findings document that subcortical, brainstem-related hallucinations are vivid, recurring percepts that have a strong naturalistic character and are often associated with cognitive and behavioural abnormalities. It seems likely that brainstem hallucinosis is caused by damage to ascending reticular systems and thalamocortical circuits. Available observations suggest that PH compromises cognitive functions which enable us to differentiate between illusionary percepts and reality, a reality monitoring system.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Benke T

doi

10.1007/s00415-0060-0254-4

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

1561-71

issue

12

eissn

0340-5354

issn

1432-1459

journal_volume

253

pub_type

杂志文章
  • Motor and non-motor symptoms in blepharospasm: clinical and pathophysiological implications.

    abstract:INTRODUCTION:Patients with blepharospasm in addition to involuntary contraction of the orbicularis oculi muscle also have non-motor symptoms (psychiatric, sleep, cognitive, and ocular). In this paper, we investigated the relationship of non-motor with motor symptoms and the total burden of non-motor symptoms in patient...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-019-09484-w

    authors: Ferrazzano G,Berardelli I,Conte A,Baione V,Concolato C,Belvisi D,Fabbrini G,Defazio G,Berardelli A

    更新日期:2019-11-01 00:00:00

  • Lactate production upon short-term non-ischemic forearm exercise in mitochondrial disorders and other myopathies.

    abstract:BACKGROUND:The nonischemic forearm exercise test (NIFET) has been shown to be as effective as the classic ischemic forearm exercise test (IFET) in the diagnosis of patients with McArdle disease. Recently, the lactate increase normalized to the mechanical energy production in NIFET was suggested to have a intermediate s...

    journal_title:Journal of neurology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00415-006-0101-7

    authors: Hanisch F,Eger K,Bork S,Lehnich H,Deschauer M,Zierz S

    更新日期:2006-06-01 00:00:00

  • Susceptibility to multiple sclerosis and the immunoglobulin heavy chain variable region.

    abstract::A haplotype marker consisting of three biallelic restriction fragment length polymorphism (RFLP) loci from the VH-2 variable gene family was examined in 124 families with sibling pairs concordant for multiple sclerosis, 178 unrelated patients and 159 unaffected controls to investigate the role of the immunoglobulin he...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00866919

    authors: Wood NW,Sawcer SJ,Kellar-Wood HF,Holmans P,Clayton D,Robertson N,Compston DA

    更新日期:1995-10-01 00:00:00

  • Neurological manifestations of Behçet's disease in Japan: a study of 54 patients.

    abstract::The type and frequency of neurological manifestations of Behçet's disease (BD) vary with ethnicity. We analyzed the neurological manifestations of BD in Japanese patients. All patients undergoing treatment at one of the two Yokohama City University hospitals from July 1991 to December 2007 and who fulfilled the Japane...

    journal_title:Journal of neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00415-010-5454-2

    authors: Ideguchi H,Suda A,Takeno M,Kirino Y,Ihata A,Ueda A,Ohno S,Baba Y,Kuroiwa Y,Ishigatsubo Y

    更新日期:2010-06-01 00:00:00

  • Clinical phenotypic heterogeneity of Alzheimer's disease associated with mutations of the presenilin-1 gene.

    abstract::It is now 10 years since the first report of mutations in the presenilin genes that were deterministic for familial autosomal dominant Alzheimer's disease. The most common of these mutations occurs in the presenilin-1 gene (PSEN1) located on chromosome 14. In the ensuing decade, more than 100 PSEN1 mutations have been...

    journal_title:Journal of neurology

    pub_type: 杂志文章,评审

    doi:10.1007/s00415-005-0019-5

    authors: Larner AJ,Doran M

    更新日期:2006-02-01 00:00:00

  • Palliative medicine training for physicians.

    abstract::In recent years, it has been widely recognised that modern doctors are not receiving the training they need to provide appropriate and effective palliative care. Deficiencies in care have been reported in several formal studies and, anecdotally, in many professional and popular lay publications. Doctors themselves hav...

    journal_title:Journal of neurology

    pub_type: 杂志文章,评审

    doi:10.1007/pl00007722

    authors: Doyle D

    更新日期:1997-10-01 00:00:00

  • Secondary prevention after ischemic stroke. Evolution over time in practice.

    abstract:BACKGROUND AND OBJECTIVE:An optimal management of vascular risk factors, associated with antithrombotic drugs and carotid surgery when appropriate, reduces the risk of a new vascular event after stroke. Although secondary prevention is not optimal in many patients in practice, the question of whether there is an improv...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-005-0591-8

    authors: Girot M,Mackowiak-Cordoliani MA,Deplanque D,Hénon H,Lucas C,Leys D

    更新日期:2005-01-01 00:00:00

  • Syringomyelic syndrome: clinical features in 31 cases confirmed by CT myelography or magnetic resonance imaging.

    abstract::The clinical features of 31 cases of syringomyelic syndrome, confirmed by metrizamide CT myelography (CTM) or magnetic resonance imaging (MRI), were analysed. Bilateral suspended sensory disturbance, previously regarded as a characteristic feature, was encountered in only 2 cases (6.5%). Thirteen patients (41.9%) show...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00314193

    authors: Tashiro K,Fukazawa T,Moriwaka F,Hamada T,Isu T,Iwasaki Y,Abe H

    更新日期:1987-10-01 00:00:00

  • Differences in treatment of anti-NMDA receptor encephalitis: results of a worldwide survey.

    abstract::The objective of the study was to identify differences in treatment strategies for anti-NMDA receptor encephalitis based on specialty of treating physicians, geographic location, and years in practice. We conducted an anonymous worldwide electronic survey through the Practice Current section of Neurology® Clinical Pra...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-017-8407-1

    authors: Bartolini L,Muscal E

    更新日期:2017-04-01 00:00:00

  • Cytotoxic anti-lymphocyte antibody in schizophrenics.

    abstract::An IgM antibody cytotoxic to normal human lymphocytes was found in 46.2% (male: 61.5%; female: 30.8%) of sera from chronic schizophrenics by means of a complement-dependent cytotoxicity test. The relationship between this antibody and the immunological manifestations of schizophrenia is discussed. ...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00314296

    authors: Kagami M,Koike T,Maruyama N,Takabayashi K,Tomioka H,Yoshida S,Kon Y

    更新日期:1987-06-01 00:00:00

  • Predicting fatigue 1 year after aneurysmal subarachnoid hemorrhage.

    abstract::Fatigue is an important contributor to quality of life in patients who survive aneurysmal subarachnoid hemorrhage (SAH), but the determinants of this fatigue are unclear. We assessed the occurrence of fatigue 1 year after SAH and its relation to physical or cognitive impairment, passive coping, and emotional problems,...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-010-5891-y

    authors: Passier PE,Post MW,van Zandvoort MJ,Rinkel GJ,Lindeman E,Visser-Meily JM

    更新日期:2011-06-01 00:00:00

  • Activated protein C resistance and acute ischaemic stroke: relation to stroke causation and age.

    abstract:OBJECTIVES:Resistance to activated protein C (APC) is the most frequent cause of thrombophilia and a well known risk factor for deep and cerebral vein thrombosis. Its causative role in ischaemic stroke is still a matter of debate. We undertook this study to determine the prevalence of APC-resistance in a cohort of cons...

    journal_title:Journal of neurology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s004150170117

    authors: Zunker P,Hohenstein C,Plendl HJ,Zeller JA,Caso V,Georgiadis D,Allardt A,Deuschl G

    更新日期:2001-08-01 00:00:00

  • A novel mutation at the N-terminal of SMN Tudor domain inhibits its interaction with target proteins.

    abstract::Although most patients with spinal muscular atrophy (SMA) are homozygous for deletion of the SMN1 gene, some patients bear one SMN1 copy with a subtle mutation. Detection of such an intragenic mutation may be helpful not only in confirming diagnosis but also in elucidating functional domains of the SMN protein. In thi...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-006-0410-x

    authors: Kotani T,Sutomo R,Sasongko TH,Sadewa AH,Gunadi,Minato T,Fujii E,Endo S,Lee MJ,Ayaki H,Harada Y,Matsuo M,Nishio H

    更新日期:2007-05-01 00:00:00

  • Evaluating the efficacy of acupuncture in defined aspects of stroke recovery: a randomised, placebo controlled single blind study.

    abstract:OBJECTIVE:To investigate the efficacy of acupuncture on stroke recovery compared to an inert placebo. DESIGN:Placebo-controlled, randomised, clinical trial. SETTING:Post-stroke rehabilitation wards in five NHS hospitals in the UK. SUBJECTS:Patients between 4 and 10 days after their first stroke. INTERVENTIONS AND O...

    journal_title:Journal of neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00415-008-0790-1

    authors: Hopwood V,Lewith G,Prescott P,Campbell MJ

    更新日期:2008-06-01 00:00:00

  • L-2-hydroxyglutaric aciduria: two Japanese adult cases in one family.

    abstract::We report two adult Japanese sisters with L-2-hydroxy-glutaric aciduria (acidemia), both of whom were much older (aged 57, 47 years old) than previously reported patients (from neonate to 44 years old), and who presented with differing severity. Magnetic resonance imaging revealed typical subcortical white matter lesi...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s004150050367

    authors: Fujitake J,Ishikawa Y,Fujii H,Nishimura K,Hayakawa K,Inoue F,Terada N,Okochi M,Tatsuoka Y

    更新日期:1999-05-01 00:00:00

  • Distinct neuromuscular phenotypes in myotonic dystrophy types 1 and 2 : a whole body highfield MRI study.

    abstract::Myotonic Dystrophy Type 1 (DM1) and 2 (DM2) present with distinct though overlapping clinical phenotypes. Comparative imaging data on skeletal muscle involvement are not at present available. We used the novel technique of whole body 3.0 Tesla (T) Magnetic Resonance Imaging (MRI) to further characterize musculoskeleta...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-006-0111-5

    authors: Kornblum C,Lutterbey G,Bogdanow M,Kesper K,Schild H,Schröder R,Wattjes MP

    更新日期:2006-06-01 00:00:00

  • Copy number variations are a rare cause of non-CMT1A Charcot-Marie-Tooth disease.

    abstract::Hereditary peripheral neuropathies present a group of clinically and genetically heterogeneous entities. All known forms, including the various forms of Charcot-Marie-Tooth disease (CMT) are characterized as Mendelian traits and over 35 genes have been identified thus far. The mutational mechanism of the most common C...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-009-5401-2

    authors: Huang J,Wu X,Montenegro G,Price J,Wang G,Vance JM,Shy ME,Züchner S

    更新日期:2010-05-01 00:00:00

  • Electrophysiological exploration of the sacral conus.

    abstract::Evoked urethral and anal responses are produced by electrical stimulation of penis, bladder neck and anus. Latency and duration of the responses after bladder neck and anal stimulation are greatly dependent on stimulus parameters, suggesting a polysynaptic reflex; penile stimulation probably involves an oligosynaptic ...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00313567

    authors: Vereecken RL,De Meirsman J,Puers B,Van Mulders J

    更新日期:1982-01-01 00:00:00

  • A role for cannabinoids in the treatment of myotonia? Report of compassionate use in a small cohort of patients.

    abstract:BACKGROUND:The symptomatic treatment of myotonia and myalgia in patients with dystrophic and non-dystrophic myotonias is often not satisfactory. Some patients anecdotally report symptoms' relief through consumption of cannabis. METHODS:A combination of cannabidiol and tetrahydrocannabinol (CBD/THC) was prescribed as c...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-019-09593-6

    authors: Montagnese F,Stahl K,Wenninger S,Schoser B

    更新日期:2020-02-01 00:00:00

  • Aspirin plus clopidogrel may reduce the risk of early neurologic deterioration in ischemic stroke patients carrying CYP2C19*2 reduced-function alleles.

    abstract:OBJECTIVES:The mechanisms of early neurologic deterioration (END) and prevention strategies for END are not completely understood. The aim of this study was to investigate the association between CYP2C19*2 variants and END, and the effectiveness of antiplatelet therapy for prevention of END according to CYP2C19*2 genot...

    journal_title:Journal of neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00415-018-8998-1

    authors: Yi X,Zhou Q,Wang C,Lin J,Chai Z

    更新日期:2018-10-01 00:00:00

  • The development of an epileptogenic focus. A case study with 99mTc-HMPAO SPECT.

    abstract::A patient is described who developed complex partial seizures with secondary generalization 3 years after a severe viral encephalitis with a CT and EEG identified lesion in the left insular cortex and its surrounding structures. When the seizures first occurred CT and MRI as well as repeated interictal conventional EE...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00314461

    authors: Dressler D,Voth E,Feldmann M,Henze T,Felgenhauer K

    更新日期:1989-07-01 00:00:00

  • Hereditary neuropathy with liability to pressure palsies.

    abstract::Hereditary neuropathy with liability to pressure palsies (HNPP) is characterized by recurrent sensory and motor neuropathy in individual nerves starting in adolescence or young adulthood, focal conduction abnormalities at entrapment sites on nerve conduction studies, and sausage-like swellings (tomacula) of the myelin...

    journal_title:Journal of neurology

    pub_type: 杂志文章,评审

    doi:10.1007/s00415-019-09319-8

    authors: Attarian S,Fatehi F,Rajabally YA,Pareyson D

    更新日期:2020-08-01 00:00:00

  • Gait analysis of sporadic and hereditary spastic paraplegia.

    abstract:OBJECTIVES:Sporadic (SSP) and hereditary spastic paraplegias (HSP) are clinically and genetically heterogeneous disorders, which are characterised by a slowly progressive spastic paraparesis. Initial symptoms and the rate of progression are variable even among members of the same family. Spastic paraparesis is the majo...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-004-0366-7

    authors: Klebe S,Stolze H,Kopper F,Lorenz D,Wenzelburger R,Volkmann J,Porschke H,Deuschl G

    更新日期:2004-05-01 00:00:00

  • Macro EMG follow-up study in post-poliomyelitis patients.

    abstract::We investigated the muscle strength and motor unit (MU) territory of five patients with postpolio syndrome (PPS), six stable patients with prior poliomyelitis, and five healthy volunteers. The MU territory was assessed by measuring amplitudes of motor unit potentials (MUPs) recorded by the macro EMG technique. The inv...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/BF00920572

    authors: Ivanyi B,Ongerboer de Visser BW,Nelemans PJ,de Visser M

    更新日期:1994-12-01 00:00:00

  • Identification of the spinocerebellar ataxia type 7 mutation in Taiwan: application of PCR-based Southern blot.

    abstract::Spinocerebellar ataxia (SCA) type 7 is an autosomal dominant disorder characterized by neural loss, mainly in the cerebellum and regions of the brainstem and particularly the inferior olivary complex. This neurodegeneration disease is associated with expansion of unstable CAG repeats within the 5'-translated region of...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s004150070131

    authors: Hsieh M,Lin SJ,Chen JF,Lin HM,Hsiao KM,Li SY,Li C,Tsai CJ

    更新日期:2000-08-01 00:00:00

  • Improving survival in a large French ALS center cohort.

    abstract::The aim of this work was to determine whether survival changed during 2002-2009 at a French amyotrophic lateral sclerosis (ALS) center. We included all patients with ALS who were seen consecutively at the center from January 2002-May 2009. Participants were followed from date of first visit through death, date of cens...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-011-6403-4

    authors: Gordon PH,Salachas F,Bruneteau G,Pradat PF,Lacomblez L,Gonzalez-Bermejo J,Morelot-Panzini C,Similowski T,Elbaz A,Meininger V

    更新日期:2012-09-01 00:00:00

  • Ultrastructural study of a muscle biopsy from a patient with subacute myelo-optic neuropathy.

    abstract::A man, aged 46, who had been taking Clioquinol in high doses for a long period, developed a characteristic neurological syndrome of subacute myelo-optic neuropathy rather abruptly. Electron microscopical examination of the muscle biopsy, obtained five months after the onset of the disease, revealed severe degenerative...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:

    authors: Otte G,de Coster W,Thiery E,de Reuck J,vander Eecken H

    更新日期:1977-05-13 00:00:00

  • Volume loss in the deep gray matter and thalamic subnuclei: a longitudinal study on disability progression in multiple sclerosis.

    abstract:BACKGROUND:Volume loss in the deep gray matter (DGM) has been reported in patients with multiple sclerosis (MS) already at early stages of the disease and is thought to progress throughout the disease course. OBJECTIVE:To investigate the impact and predictive value of volume loss in DGM and thalamic subnuclei on disab...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-020-09740-4

    authors: Magon S,Tsagkas C,Gaetano L,Patel R,Naegelin Y,Amann M,Parmar K,Papadopoulou A,Wuerfel J,Stippich C,Kappos L,Chakravarty MM,Sprenger T

    更新日期:2020-05-01 00:00:00

  • Cardiac sympathetic function in the patients with amyotrophic lateral sclerosis: analysis using cardiac [123I] MIBG scintigraphy.

    abstract::Amyotrophic lateral sclerosis (ALS), which is the most serious form of degenerative motor neuron disease in adults, is characterized by upper and lower motor neuron degeneration, skeletal muscle atrophy, paralysis, and death. Some patients with respiratory-dependent ALS die of sudden cardiac arrest or anoxic encephalo...

    journal_title:Journal of neurology

    pub_type: 杂志文章

    doi:10.1007/s00415-013-7005-0

    authors: Tanaka Y,Yamada M,Koumura A,Sakurai T,Hayashi Y,Kimura A,Hozumi I,Inuzuka T

    更新日期:2013-09-01 00:00:00

  • Occult paroxysmal atrial fibrillation in non-cryptogenic ischemic stroke.

    abstract:OBJECTIVE:To determine the prevalence and risk factors for paroxysmal atrial fibrillation (PAF) diagnosis in non- cryptogenic ischemic stroke (CIS) patients. METHODS:In this pilot-prospective cohort study of non-CIS patients from September 2014 to September 2017, 53 patients were enrolled. 51/53 patients were implante...

    journal_title:Journal of neurology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00415-018-8982-9

    authors: Katz JM,Eng MS,Carrazco C,Patel AV,Jadonath R,Gribko M,Arora R,Libman RB

    更新日期:2018-10-01 00:00:00