Udesen H, Madsen A L
Neuromedicinsk afdeling, Bispebjerg Hospital, København.
Ugeskr Laeger. 1992 May 18;154(21):1492-4.
The three major components of the Balint's syndrome are described: 1) visual disorientation or simultanagnosia, i.e. the inability to perceive the visual field as a whole, 2) ocular apraxia, a deficit of visual scanning and 3) optic ataxia, an impairment of pointing and reaching under visual guidance. Our description of the syndrome is illustrated by three case histories. The complete syndrome is rare, and partial syndromes have been reported more frequently. Sudden and severe hypotension resulting in bilateral borderzone infarction in the occipito-parietal region is reported to be the most frequent cause of complete Balint's syndrome. Lack of awareness of the syndrome may lead to misdiagnosis such as blindness, psychosis, or dementia.
1)视觉定向障碍或统觉失认,即无法将视野作为一个整体来感知;2)眼性失用症,即视觉扫描功能缺陷;3)视觉性共济失调,即在视觉引导下指向和伸手动作的障碍。我们通过三个病例史来说明该综合征。完整的综合征较为罕见,而部分综合征的报道更为常见。据报道,突然发生的严重低血压导致枕叶-顶叶区域双侧边缘带梗死是完全性巴林特综合征最常见的病因。对该综合征缺乏认识可能导致误诊,如失明、精神病或痴呆。