Hemianopia and Features of Bálint Syndrome following Occipital Lobe Hemorrhage: Identification and Patient Understanding Have Aided Functional Improvement Years after Onset
Joint Authors
McDowell, Nicola
Dutton, Gordon N.
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-03-25
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
Cerebral visual impairment (CVI) can present around birth or any time thereafter.
Homonymous hemianopia is a common feature.
The concept that functional improvement is unattainable augurs against active management.
Dorsal stream dysfunction (or Bálint syndrome when severe) results from bilateral posterior parietal dysfunction but may go undetected, especially in children.
Case Presentation.
At 16 the patient suffered spontaneous left occipital lobe brain hemorrhage from a ruptured arteriovenous malformation.
This was surgically excised.
Short lived right upper limb intermittent jerking, with additional left sided weakness, ensued.
Anomalous EEG recordings, with right-sided bias, arose from the posterior temporoparietal area.
A right homonymous hemianopia was evident.
During the ensuing 17 years she experienced multiple complex difficulties, until, at a lecture describing how to identify and support children with CVI, she realized she herself had many of the difficulties described.
Visual assessment identified hemianopia and dorsal stream dysfunction.
Discussion.
Following identification, characterization, and explanation of the impact of her visual difficulties, she both gained greater awareness of her visual difficulties and their impact and developed a range of strategies leading to functional improvement of her visual field loss and amelioration of her dorsal stream dysfunction, with great improvement in quality of life.
American Psychological Association (APA)
McDowell, Nicola& Dutton, Gordon N.. 2019. Hemianopia and Features of Bálint Syndrome following Occipital Lobe Hemorrhage: Identification and Patient Understanding Have Aided Functional Improvement Years after Onset. Case Reports in Ophthalmological Medicine،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1142282
Modern Language Association (MLA)
McDowell, Nicola& Dutton, Gordon N.. Hemianopia and Features of Bálint Syndrome following Occipital Lobe Hemorrhage: Identification and Patient Understanding Have Aided Functional Improvement Years after Onset. Case Reports in Ophthalmological Medicine No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1142282
American Medical Association (AMA)
McDowell, Nicola& Dutton, Gordon N.. Hemianopia and Features of Bálint Syndrome following Occipital Lobe Hemorrhage: Identification and Patient Understanding Have Aided Functional Improvement Years after Onset. Case Reports in Ophthalmological Medicine. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1142282
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1142282