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My wife has visual dementia with severe dementia and heavy hallucinations of seeing her mom.

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There are dementias that can affect visual areas of the brain. Posterior Cortical Atrophy is often identified by people going to the eye doctor because they can't read or are missing things in their visual field. The eye doctor will tell them their eyes are fine but the problem is in the brain.

Diseases like Lewy Body Dementia can cause hallucinations due to changes in the visual centers of the brain.

Alzheimer's Disease also can cause Hallucinations in the later stages as the disease moves into the visual processing centers.

Make sure the Doctor has ruled out Lewy Body Dementia before they prescribe her any medications to treat the Hallucinations as many anti-hallucination medications are dangerous for people with Lewy Body Dementia.
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I found a couple of AgingCare article you may find helpful:

www.agingcare.com/articles/manage-dementia-related-hallucinations-154902.htm

www.agingcare.com/articles/hallucinations-delusions-and-paranoia-151513.htm
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Had she been checked for Lewy Body Symdrome?
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Is she getting Melatonin for bedtime? Mom did this because she was taking it with dinner rather than at bedtime. I realized what it was from reading online. Mom also gets this when she is being treated with antibiotics. She has moderate plus stage dementia.
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