‘Ziende blind’ na een suïcidepoging met kruisboog

Autor: Feenstra, Froukje A, Aggenbach, Laura, Rijtema, Gijs, Buunk, Anne M, Stirler, Vincent M A
Jazyk: Dutch; Flemish
Rok vydání: 2020
Předmět:
Zdroj: Nederlands Tijdschrift voor Geneeskunde, 164:D4397. NLM (Medline)
ISSN: 0028-2162
Popis: BACKGROUND: Bálint's syndrome is characterized by the triad of ocular apraxia, dorsal simultanagnosia and optic ataxia. It most commonly occurs following bilateral parieto-occipital brain injury, for which several aetiologies have been described. CASE DESCRIPTION: We present a case of a 39-year-old male with penetrating brain injury following a suicide attempt with a crossbow. A CT scan of the head revealed the intracranial position of the arrow, piercing the parietal and occipital cortex from the left-parietal direction with the tip on the right parietal bone. After surgical removal of the arrow, visuospatial symptoms persisted that were consistent with Bálint's syndrome. The characteristic symptoms, patho-anatomy and treatment of this syndrome are discussed in this article. CONCLUSION: The patient in this case had visual impairment following a suicide attempt with a crossbow. On the basis of neurological and neuropsychological assessments, the triad of ocular apraxia, dorsal simultanagnosia and optic ataxia was observed, characteristic of Bálint's syndrome.
Databáze: OpenAIRE