Transient and Spontaneously-Remitting Complex Hallucinations in a Patient With Melanoma and Brain Metastases

BackgroundNeuropsychiatric sequelae are common in primary and secondary brain tumors, with symptoms varying as a function of tumor type, location, and size.ObjectiveThe author presents a case of a 49-year-old woman with melanoma metastatic to the brain, in an effort to link lesions and complex olfactory and visual hallucinations.MethodThe patient's history and clinical diagnostic procedures are presented.ResultsA computerized tomographic scan showed lesions in the right parietal lobe, bilateral ring enhancing lesions, an enhancing lesion in the frontal lobes, and another lesion in the left temporal lobe.DiscussionThe author discusses possible causal connections among lesions found and various complex symptoms.