Department of Physical Medicine and Rehabilation, Temple University Hospital, Rock Pavilion, Lower Level, 3401 North Broad St, Philadelphia, PA 19140.
Department of Physical Medicine and Rehabilation, Temple University Hospital, Philadelphia, PA.
PM R. 2018 Jan;10(1):105-111. doi: 10.1016/j.pmrj.2017.07.079. Epub 2017 Sep 12.
The constellation of ocular symptoms known as Balint syndrome is a rare disorder seen in bilateral parieto-occipital lesions and is most frequently due to arterial occlusive disease or acute hypertension. Here we present the case of a patient with tacrolimus-induced posterior reversible encephalopathy syndrome (PRES) who presented with optic ataxia, simultanagnosia, and ocular apraxia. These ocular findings, consistent with Balint syndrome, are rarely the initial presentation of PRES. This case highlights the importance of early recognition of this unusual phenomenon, as well as the importance of an individualized rehabilitation plan to maximize functional independence in these patients.
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被称为巴林特综合征的眼部症状综合征是一种罕见的疾病，见于双侧顶枕叶病变，最常见的原因是动脉阻塞性疾病或急性高血压。在此，我们介绍了一例由他克莫司引起的后部可逆性脑病综合征（PRES）患者，其表现为视性共济失调、同时视障碍和眼球运动不能。这些眼部表现与巴林特综合征一致，很少是 PRES 的首发表现。该病例强调了早期识别这种不常见现象的重要性，以及制定个体化康复计划对最大限度提高这些患者的功能独立性的重要性。
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