Partial Balint's syndrome and left homonymous hemianopsia presenting after resection of a right occipito-parietal glioblastoma

Neurocase. 2022 Dec;28(6):483-487. doi: 10.1080/13554794.2023.2176778. Epub 2023 Feb 15.

Abstract

A 66-year-old left-handed male was admitted to our acute inpatient rehabilitation (AIR) unit following a resection of the right occipito-parietal glioblastoma. He presented with symptoms of horizontal oculomotor apraxia, contralateral optic ataxia and left homonymous hemianopsia. We diagnosed this patient with partial Bálint's syndrome (BS)- oculomotor apraxia, optic ataxia but not simultanagnosia. BS is typically caused by bilateral posterior parietal lesions, but we here describe a unique case due toresection of a right intracranial tumor. A short AIR stay allowed our patient to learn how to compensate for visuomotor and visuospatial deficits, and improved his quality of life significantly.

Keywords: Bálint’s syndrome; homonymous hemianopsia; oculomotor apraxia; optic ataxia; rehabilitation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Agnosia* / etiology
  • Apraxias* / etiology
  • Ataxia / etiology
  • Brain Diseases* / complications
  • Glioblastoma* / complications
  • Hemianopsia / complications
  • Humans
  • Male
  • Quality of Life

Supplementary concepts

  • Apraxia, oculomotor, Cogan type