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Steroid-Responsive Charles Bonnet Syndrome in Temporal Arteritis

Received October 29, 2002; revised March 5, 2003; accepted March 13, 2003. From the Division of Behavioral Neurology and Cognitive Neuroscience, Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, Iowa; the McFarland Clinic, Marshalltown, Iowa. Address correspondence to Dr. Razavi, McFarland Clinic 312 E. Main, Marshalltown, IA 50158.

ABSTRACT

The authors report a patient with biopsy-proven temporal arteritis who manifested Charles Bonnet syndrome (CBS). Treatment with steroid resulted in prompt resolution of visual hallucinations, despite persistent visual loss, suggesting that cerebral ischemia is a cofactor for the development of CBS.

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