Case Report: Acute hallucinations and delusions following an argument, attributed to temporal lobe hypoperfusion

The initial appearance of psychiatric symptoms requires vigilance for an underlying organic cause. Emotional agitation can cause insufficient cerebral perfusion in stenotic vessels, and hypoperfusion of the left temporal lobe may present as hallucinations or delusions. PWI and similar methods can help to differentiate organic brain disease from primary psychiatric disorders, and early restoration of cerebral blood flow often correlates with a good prognosis.