We report on a 49-year-old Caucasian women who presented with a 2-day history of acute onset of CVH. She described well-formed human figures flying in the room and animals crawling on the wall as a part of her hallucination. She had good insight into her hallucinations, however, was anxious secondary to the same. There was no diurnal variation in the frequency or intensity of these hallucinations. She denied any other form of hallucinations or any visual defects. Patient’s contributory medical history was significant for uncontrolled diabetes mellitus, hyperlipidemia, hypertension, coronary artery disease, and peripheral vascular disease. The patient had a 40-pack-year history of smoking, however denied alcohol or illicit drug use. The patient was alert and oriented, and a complete neurological examination including a visual field examination was within normal limits. Neuroimaging demonstrated a subacute infarct in the left posterior parietal lobe and complete occlusion of the left internal carotid artery. The patient was started on 40 mg of ziprasidone and was slowly titrated up to a dose of 60 mg twice a day, with complete resolution of her symptoms.