Peduncular hallucinations are formed visual images often associated with sl
eep disturbance, and are caused by lesions in the midbrain, pens and dience
phalon. In the present study, we report two patients who developed peduncul
ar hallucinations following surgery in the suprasellar region. In one of th
ese, the peduncular hallucinations were a sequele to endoscopic third ventr
iculostomy, while in the other, they were due to diencephalon and mid-brain
compression by a postoperative clot following excision of a hypothalamic a
strocytoma.