Pediatric Balint’s Syndrome Variant: A Possible Diagnosis in Children

Balint’s syndrome is well described in adults, but not in children. It is caused by bilateral posterior parietal lobe damage and comprises a triad of simultanagnosia (inability to simultaneously see more than a small number of items), optic ataxia (impaired visual guidance of movement of the limbs a...

Full description

Saved in:
Bibliographic Details
Main Authors: Swetha Sara Philip, Sunithi Elizabeth Mani, Gordon N. Dutton
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2016/3806056
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850210149343428608
author Swetha Sara Philip
Sunithi Elizabeth Mani
Gordon N. Dutton
author_facet Swetha Sara Philip
Sunithi Elizabeth Mani
Gordon N. Dutton
author_sort Swetha Sara Philip
collection DOAJ
description Balint’s syndrome is well described in adults, but not in children. It is caused by bilateral posterior parietal lobe damage and comprises a triad of simultanagnosia (inability to simultaneously see more than a small number of items), optic ataxia (impaired visual guidance of movement of the limbs and body), and apraxia of gaze (inability to volitionally direct gaze despite the requisite motor substrate) often associated with homonymous lower visual field loss. We, here, describe five children (four males, one female; mean age 7.4 years, [range 4−11 years]; birth weight ≤ 2.5 kg; four were born ≤ 36 weeks of gestational age and one at 40 weeks) who presented to the Cerebral Visual Impairment Clinic at a tertiary care center in South India with clinical features remarkably consistent with the above description. In all children neuroimaging showed bilateral parietooccipital gliosis with regional white matter volume loss and focal callosal thinning, consistent with perinatal hypoxic ischemic encephalopathy and possible neonatal hypoglycemia.
format Article
id doaj-art-97592c2cf7184d948b241b88f80c2f03
institution OA Journals
issn 2090-6722
2090-6730
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Ophthalmological Medicine
spelling doaj-art-97592c2cf7184d948b241b88f80c2f032025-08-20T02:09:51ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302016-01-01201610.1155/2016/38060563806056Pediatric Balint’s Syndrome Variant: A Possible Diagnosis in ChildrenSwetha Sara Philip0Sunithi Elizabeth Mani1Gordon N. Dutton2Department of Ophthalmology, The Cerebral Visual Impairment Clinic, Christian Medical College and Hospital, Vellore, Tamil Nadu 632001, IndiaDepartment of Radiodiagnosis, Christian Medical College, Vellore, Tamil Nadu, IndiaDepartment of Vision Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, UKBalint’s syndrome is well described in adults, but not in children. It is caused by bilateral posterior parietal lobe damage and comprises a triad of simultanagnosia (inability to simultaneously see more than a small number of items), optic ataxia (impaired visual guidance of movement of the limbs and body), and apraxia of gaze (inability to volitionally direct gaze despite the requisite motor substrate) often associated with homonymous lower visual field loss. We, here, describe five children (four males, one female; mean age 7.4 years, [range 4−11 years]; birth weight ≤ 2.5 kg; four were born ≤ 36 weeks of gestational age and one at 40 weeks) who presented to the Cerebral Visual Impairment Clinic at a tertiary care center in South India with clinical features remarkably consistent with the above description. In all children neuroimaging showed bilateral parietooccipital gliosis with regional white matter volume loss and focal callosal thinning, consistent with perinatal hypoxic ischemic encephalopathy and possible neonatal hypoglycemia.http://dx.doi.org/10.1155/2016/3806056
spellingShingle Swetha Sara Philip
Sunithi Elizabeth Mani
Gordon N. Dutton
Pediatric Balint’s Syndrome Variant: A Possible Diagnosis in Children
Case Reports in Ophthalmological Medicine
title Pediatric Balint’s Syndrome Variant: A Possible Diagnosis in Children
title_full Pediatric Balint’s Syndrome Variant: A Possible Diagnosis in Children
title_fullStr Pediatric Balint’s Syndrome Variant: A Possible Diagnosis in Children
title_full_unstemmed Pediatric Balint’s Syndrome Variant: A Possible Diagnosis in Children
title_short Pediatric Balint’s Syndrome Variant: A Possible Diagnosis in Children
title_sort pediatric balint s syndrome variant a possible diagnosis in children
url http://dx.doi.org/10.1155/2016/3806056
work_keys_str_mv AT swethasaraphilip pediatricbalintssyndromevariantapossiblediagnosisinchildren
AT sunithielizabethmani pediatricbalintssyndromevariantapossiblediagnosisinchildren
AT gordonndutton pediatricbalintssyndromevariantapossiblediagnosisinchildren