What Are the Symptoms of Charles Bonnet Syndrome?

October 18, 2009

My father has Charles Bonnet Syndrome but lately he was in the hospital  and he was telling some wild stories. I have researched CBS and I understand it but when my father was telling these stories,they were very real to him. We have talked about this (my father and I) several times and he knows that the visions are not real.

Example: he told me he was adopting a little boy and wanted to know how we felt about it, he was not himself a around a week. Every day had a story and they were very real to him. I don’t remember reading anything about CBS causing these symptoms. Would this be signs of something else?

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3 Responses to “What Are the Symptoms of Charles Bonnet Syndrome?”

  1. Randall V. Wong, M.D. on October 19th, 2009 8:23 am

    To me, Charles Bonnet Syndrome (CBS) occurs in individuals that have lost significant vision (legally blind or worse). They may experience visual hallucinations (seeing images in fine detail), but are of normal mental status.

    How was your father diagnosed? I read your comment and wonder if your father has some dementia, but would suggest evaluation with his primary care doctor.

    Look forward to hearing from you,

    Randall V. Wong, M.D.
    http://www.RetinaEyeDoctor.com
    Retina Specialist

  2. Dr. Ari Weitzner on October 19th, 2009 11:26 pm

    agree- the hallucinations are purely visual, as far as i know. other than that, one has to consider dementia or other organic brain disorder. the hallucinations are very real- the patient will swear he saw them

  3. nystagmite on October 20th, 2009 4:36 pm

    My understanding is that Charles Bonnet syndrome is the condition whereby your father gets visual hallucinations that he would recognise as unreal, so it does sound as if he does have it. It’s a condition typically of someone with advanced macular degeneration.

    But the delusional stories are definitely “something else” – it would not be possible to say exactly what without a proper psychological assessment. Questions that occur to me as a mere lay person include does he drink a lot? (I mean alcohol). Does he have major gaps in his memory, especially recent memory? Is he maybe someone who’s always told tall stories to give people a laugh? Whatever’s going on, you can’t regrettably get a diagnosis over the Internet, so I hope your father can get a thorough medical and / or psychological assessment.

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