Sympathomimetic-induced kaleidoscopic visual illusion associated with a reversible splenium lesion

Heather Winslow, Bruce E Mickey, Elliot Frohman

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: Sympathomimetic-induced metabolic derangements within the central nervous system can result in conspicuous changes in neurological functioning and corresponding radiographic abnormalities that can be reversible. Objective: To describe a patient with a "kaleidoscopic" visual illusion who was found by magnetic resonance imaging to have a transient lesion in the splenium of the corpus callosum. Design: Case report. Setting: The University of Texas Southwestern Medical Center, Dallas. Patient: A 17-year-old adolescent girl who developed an episode of kaleidoscopic vision while using sympathomimetic-containing diet pills that was associated with a reversible lesion of the splenium of the corpus callosum. Her brother has a history of migraine and experienced a similar episode while using illicit stimulant agents. Intervention: Withdrawal of the medication resulted in the cessation of the episodes and normalization of the magnetic resonance image. Main Outcome Measures: Clinical and radiographic improvement. Results: Sympathomimetic- induced metabolic derangements can be associated with reversible lesions within the brain. Conclusions: We hypothesize that the visual fragmentation was a manifestation of a migraine triggered by sympathomimetic-containing diet pills, and that the transient lesion in the corpus callosum was a manifestation of a reversible metabolic derangement. Both the visual fragmentation and the lesion in the corpus callosum resolved once the patient stopped receiving diet pills.

Original languageEnglish (US)
Pages (from-to)135-137
Number of pages3
JournalArchives of Neurology
Volume63
Issue number1
DOIs
StatePublished - Jan 2006

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Sympathomimetics
Corpus Callosum
Diet
Migraine Disorders
A 17
Siblings
Magnetic Resonance Spectroscopy
Central Nervous System
Magnetic Resonance Imaging
Outcome Assessment (Health Care)
Lesion
Visual Illusion
Brain

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Sympathomimetic-induced kaleidoscopic visual illusion associated with a reversible splenium lesion. / Winslow, Heather; Mickey, Bruce E; Frohman, Elliot.

In: Archives of Neurology, Vol. 63, No. 1, 01.2006, p. 135-137.

Research output: Contribution to journalArticle

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