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2023, Number 1

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Rev Cubana Med Gen Integr 2023; 39 (1)

Anton-Babinski Syndrome

Zambrano UJL, Parra MCA, Ocampo CJM, Reyes OCA, Castro FX

Language: Spanish
References: 17
Page:
PDF size: 310.71 Kb.


ABSTRACT

Introduction: Anton-Babinski syndrome is a rare neuropsychiatric disorder, with a manifestation of anosognosia and cortical blindness, due to lesions in the associative visual areas of the occipital cortex without presenting visual pathway impairment. In elderly adults, its clinical manifestations are usually atypical and a comprehensive geriatric assessment allows to guide the diagnosis, which can be associated with geriatric syndromes.
Objective: To describe the clinical manifestations, geriatric syndromes, paraclinical findings and treatment of a patient with Anton-Babinski syndrome.
Clinical case: This is the case of an 85-year-old patient who, during the immediate postoperative period after ocular surgery (pterygium), presented a fluctuating alteration of consciousness, visual hallucinations, decreased bilateral visual acuity and anosognosia. Blood analysis reported no alterations and cranial computed tomography documented bilateral occipital ischemia; the patient was diagnosed with Anton-Babinski syndrome.
Conclusions: Anton-Babinski syndrome may have an atypical presentation through geriatric syndromes. Comprehensive geriatric assessment allows for timely multicomponent diagnosis and management with the aim of influencing both short- and long-term prognosis.


REFERENCES

  1. Hueda-Zavaleta M, Copaja-Corzo C, Bardales-Silva F, Minchón-Vizconde D, Rodríguez-Tanta L. Ceguera cortical y amnesia global transitoria luego de arteriografía con iopamidol en miembro superior. Acta Médica Perú. 2020;37(4):495-9. DOI: http://dx.doi.org/10.35663/amp.2020.374.1188

  2. Kim N, Anbarasan D, Howard J. Anton syndrome as a result of MS exacerbation. Neurol Clin Pract. 2017;7(2):e19-e22. DOI: https://doi.org/10.1212/CPJ.0000000000000273

  3. Cárdenas G. Cortical blindness (Anton-Babinski Syndrome), an Unusual Manifestation of Central Nervous System Tuberculosis. J Neurol Stroke. 2016;4(6). DOI: https://doi.org/10.15406/jnsk.2016.04.00157

  4. Buttar BS, Kaell AT. Hallucinations in an Elderly Patient with Severe Visual Impairment. Cureus. 2018;10(11). DOI: https://doi.org/10.7759/cureus.3592

  5. García M, Rosen S, Koretz B, Reuben DB. Presentation of Disease in Old Age. In Fillit, HM, Rockwood K, Young JB, editores. Brocklehurst's textbook of geriatric medicine and gerontology. 8 ed. Philadelphia: Elsevier Health Sciences; 2016. p. 206-12.

  6. Vaiano A, Valente C, De Benedetti G, Caramello G. Transient cortical blindness after intradiscal oxygen-ozone therapy. Indian J Ophthalmol. 2016;64(12):944-946. DOI: https://doi.org/10.4103/0301-4738.198858

  7. Alp BN, Bozbuğa N, Tuncer MA, Yakut C. Transient cortical blindness after coronary angiography. J Int Med Res. 2009;37(4):1246-51. DOI: https://doi.org/10.1177/147323000903700433

  8. Galetovic D, Karlica D, Boji L, Znaor L. Bilateral Cortical Blindness Anton Syndrome: Case Report. Coll Antropol. 2005 [acceso 03/01/2021];29(1):145-7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/16193699/

  9. Marulanda F, Ocampo JM. Delirium en el paciente anciano. Acta Med Col. 2004 [acceso 03/01/2021];29(3):117-29. Disponible en: http://www.actamedicacolombiana.com/anexo/articulos/03-2004-06.pdf

  10. Carlo J, Garro Q, Sáenz MG. Síndrome de Anton-Babinsky. Neuroeje Edición. 2018 [acceso 03/01/2021];31(1):35-38. Disponible en: https://www.neuroeje.com/articulos/74.pdf

  11. Vaiano A, Valente C, De Benedetti G, Caramello G. Transient cortical blindness after intradiscal oxygen-ozone therapy. Indian J Ophthalmol. 2016;64(12):944-6. DOI: https://doi.org/10.4103/0301-4738.198858

  12. Kondziella D, Frahm-Falkenberg S. Anton's syndrome and eugenics. J Clin Neurol. 2011;7:96-8. DOI: https://doi.org/10.3988/jcn.2011.7.2.96

  13. Martín Juan A, Madrigal R, Porta Etessam J, Sáenz-Francés San Baldomero F, Santos Bueso E. Ceguera de Anton-Babinski, a propósito de un caso. Arch Soc Esp Oftalmol. 2018;93(11):555-7. DOI: https://doi.org/10.1016/j.oftale.2018.06.006

  14. Cao S, Zhu X, Zhang W, Xia M. Anton’s syndrome as a presentation of Trousseau syndrome involving the bilateral optic radiation. J Int Med Res. 2020;48(11). DOI: https://doi.org/10.1177/0300060520972907

  15. Ocampo JM, Morales E. Valoración Geriátrica Integral. En: Archila PE, Senior JM, editores. Texto de Medicina Interna. Aprendizaje basado en problemas. 1ª ed. Bogotá: Distribuna editorial Médica; 2013. p. 2019-25.

  16. Arias A. Rehabilitation of the stroke: evaluation, prognosis and treartment. Galicia Clin. 2009 [acceso 03/01/2021];70(3):25-40. Disponible en: https://galiciaclinica.info/pdf/5/81.pdf

  17. MacNee W, Rabinovich RA, Choudhury G. Ageing and the border between health and disease. Eur Respir J. 2014;44(5):1332-52. DOI: https://doi.org/10.1183/09031936.00134014




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