幻視を呈した全盲のWegener肉芽腫症の1例 : Charles Bonnet症状群の1例

概要

論文の詳細を見る
The authors reported a case of 51-year-old woman with perfect blindness due to Wegener's granulomatosis who had varieties of visual hallucinations over one year. It was considered that some psychological factors caused her visual hallucination on the basis of ophthalmological factors. These psychological factors included suffering from Wegener's granulomatosis over ten years, anxiety about perfect blindness, unhappy incidents in her childhood and unfortunate marital life, and her character, i. e. "Typus Melancholicus" proposed by Tellenbach. Above all, she was not able to see her first grandchild at all because of her perfect blindness which occurred prior to the birth of the infant. This experience of the loss of sight seemed to be the most significant precipitating factor for causing her visual hallucinations. Her hallucinations had intimate tones to her, which could be understood from the view points of psychological aspects. In 1759,Charles Bonnet reported a patient who exhibited visual hallucinations with the disturbance of sight. However, the patient had the insight that the hallucinations were not real and showed no other psychiatric signs. Such cases were known as Charles Bonnet's syndrome. Authors regarded the presented case as one of Charles Bonnet's syndrome, and concluded that some psychological factors played significant roles in the cause of the disease.
日本心身医学会の論文
1992-06-01