J Korean Neurol Assoc.  1997 Aug;15(4):900-906.

A case of Balint syndrome

Affiliations
  • 1Dept. of Neurology, College of Medicine, Sungkyunkwan University.
  • 2Dept. of Neurology, College of Medicine, Seoul National University.

Abstract

Balint's syndrome consists of the following triad: psychic gaze paralysis or ocular apraxia, optic ataxia, simultanagnosia. We describe a patient with bilateral parieto-occipital infarctions presenting with the above triad. A 63-year-old woman was admitted due to sudden onset of visual disturbance. Her eyes wandered until, by chance, the objects fell into central vision, but then she had difficulty in maintaining fixation under the visual guidance. She failed to grasp objects presented in front of her with precision. Although she was able to describe parts of pictures, she was unable to see them as a whole, in addition, these symptoms were accompanied by apperceptive visual agnosia, prosopagnosia, and color agnosia. Brain MRI showed bilateral parieto-occipital watershed infarction and left occipital cerebromalacia. Following examination after 10 days demonstrated complete resolution of ocular apraxia and optic ataxia with residual simultanagnosia.


MeSH Terms

Agnosia
Apraxias
Ataxia
Brain
Encephalomalacia
Female
Hand Strength
Humans
Infarction
Magnetic Resonance Imaging
Middle Aged
Paralysis
Prosopagnosia
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