A Rare Case of Visual Hallucinations Associated With Hyponatremia

Cureus. 2023 Aug 31;15(8):e44485. doi: 10.7759/cureus.44485. eCollection 2023 Aug.

Abstract

Visual hallucinations are rare occurrences in patients presenting with hyponatremia. When they occur, the patient experiences these hallucinations with their eyes closed (vs. opened) and is insightful about the false perception. We present the case of a 64-year-old male diagnosed with hyponatremia caused by a gastrointestinal illness, which led to visual hallucinations. The patient was treated with electrolyte infusion, and the hallucinations were resolved. Detailed history-taking is significant when dealing with such cases as hallucinations to differentiate it from other causes. Hallucination caused by hyponatremia can resolve with prompt correction of sodium, and the patients can be reassured.

Keywords: electrolyte disturbances; gastrointestinal symptoms; hypnagogic hallucinations; hyponatremia; visual hallucination.

Publication types

  • Case Reports