Neurológia pre prax 2/2010

Anton-Babinski syndrome

We are presenting a rare case-report of a patient with two succesive hemorrhagic strokes in the area of both posterior cerebral arteries. She has suffered bilateral lesions of occipital lobes. However, due to the size of the lesions, the neighbouring structures of temporal and parietal lobes have been affected too, more severly on the left side. Clinically we found Anton-Babinski syndrome (cortical blindness, anosognozia, state of confusion, confabulations). We also could notice a cognitive impairment of the patient and Gerstmann syndrome (acalculia, agraphia, right-left disorientation, finger agnosia). We consider the cause of hemorrhagic strokes an amyloid angiopathy, as no other vessel pathology has been revealed.

Keywords: hemorrhagic stroke, Anton-Babinski syndrom, cortical blindness, anosognosia, Gerstmann syndrome, cognitive impairment.