Charles Bonnet Syndrome, a common cause of hallucinations in the elderly, typically manifests in older patients with hearing loss.
Many hallucinations that strike elderly people are caused by systemic changes in the brain. The most common causes of hallucinations in the elderly are dementia, Alzheimer's disease, side effects of medications, and psychosis.
When an elderly person is exhibiting symptoms of dementia, he can sometimes experience paranoia along with delusions and hallucinations that are either auditory or visual. When people with dementia have hallucinations, it is typically due to systematic changes that occur within areas of the brain.

Auditory or visual hallucinations in the elderly can occur with a condition known as Charles Bonnet Syndrome (CBS). Sometimes a particular sleep aid can trigger hallucinations, especially if an older person is not accustomed to periods of deep sleep.
These changes that can contribute to delusions and hallucinations in the elderly patient generally occur within the frontal and temporal regions of the brain. Elderly patients who have had or are recovering from a stroke have been known to experience hallucinations as well. Delusions differ from hallucinations, in that the patient doesn't necessarily see or hear things that aren't present, but he may have a distorted view of situations around him.

Recently on occasion she has had hallucinations to the point she sees people outside her house skiing or ballroom dancing. These hallucinations typically happen to patients who, at some prior period in life, had been able to see or hear. She is pretty much blind now (she's 95) but she was seeing trees and talking strangely, like going in and out of hallucinations.

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