Hallucinosis – psychopathological syndrome, a leading disorder are hallucinations. Hallucinations usually arise in one analyzer, at least a few. The resulting affective disorders, delusional ideas, psychomotor agitation are secondary and reflect the content of hallucinatory experiences. Hallucinations occur against the background of clear consciousness.
Disorders can occur acutely, with characteristic bright hallucinatory symptoms, hallucinatory excitation, expressed by the affective component of psychosis, the formation of delirium can be psychotic narrowed consciousness.
During the chronic hallucinosis affective component fades away, the hallucinations become habitual for a patient with monosymptomatic.
Acute auditory (verbal) hallucination. The leading symptom is auditory (verbal) hallucinations. In the prodromal period is characterized by elementary auditory hallucinations (acousma, phonemes), hyperacusia. At the height of psychosis are characterized by true hallucinations (sounds come from outside – from behind the wall, from another room, from behind). Patients talk about what they hear, with an abundance of details, and it seems as if they see it (scene-like hallucination).
There is always an affective component – fear, anxiety, anger, oppression. Often there is a hallucinatory variant of psychomotor excitation, in which the patient’s behavior reflects the content of hallucinations Possible formation of secondary delirium (hallucinatory delirium).
96 there is no Criticism of what is happening.
Chronic verbal hallucinosis-manifestation is usually limited to hallucinatory symptoms.
May be observed as an adverse outcome of acute verbal hallucination. In this case, first the intensity of affect decreases, then the behavior is ordered, delirium disappears. The criticism appears to experience. Hallucinations lose their brightness, their content becomes monotonous, indifferent to the patient (encapsulation).
It occurs in infectious, intoxication, traumatic and vascular lesions of the brain. It may be an initial sign of schizophrenia, but it becomes more complicated and transforms into Kandinsky-clerambault syndrome.
Peduncularis visual hallucinosis (hallucinosis Lhermitte) occurs in lesions of the legs of the brain (tumors, trauma, toxoplasmosis, vascular disorders).
The main symptoms are visual hallucinations with extraproperties at a short distance from the eye, often from the side. As a rule, hallucinations are mobile, silent, emotionally neutral. Attitude towards feelings is crucial.
Visual hallucinosis Charles bonnet occurs when a full or partial blindness. Initially, there are some incomplete visual hallucinations. Then their number grows, they become bulky, stsenopodobnye. At the height of criticism experiences to hallucinations may disappear.