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'Peduncular hallucinosis' following paramedian thalamic infarction

From the Department of Neurology, Arizona Health Sciences Center, Tucson, AZ.

An 83-year-old man had the sudden onset of vivid formed hallucinations, agitation, and sleep disturbance suggesting "peduncular hallucinosis." A magnetic resonance scan revealed a right paramedian thalamic infarction with no abnormality of the cerebral peduncles or midbrain.

Address correspondence and reprint requests to Dr. Feinberg, Department of Neurology, Arizona Health Sciences Center, Tucson, AZ 85724.

Received April 21, 1989. Accepted for publication in final form May 24, 1989.

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