Rehabilitative Intervention for Bálint's Syndrome due to Traumatic Brain Injury : A Case Report

  • KASAHARA Takashi
    Department of Rehabilitation Medicine, Tokai University School of Medicine
  • TOYOKURA Minoru
    Department of Rehabilitation Medicine, Tokai University Oiso Hospital
  • TANAKA Hiroshi
    Department of Rehabilitation Medicine, East Regional General Hospital
  • NISHIMURA Yoko
    Division of Rehabilitation, Tokai University Oiso Hospital
  • ISHIDA Akira
    Department of Rehabilitation Medicine, Tokai University School of Medicine

Bibliographic Information

Other Title
  • 脳外傷後のBalint症候群に対するリハビリテーションの経験
  • 症例報告 脳外傷後のBalint症候群に対するリハビリテーションの経験
  • ショウレイ ホウコク ノウ ガイショウ ゴ ノ Balint ショウコウグン ニ タイスル リハビリテーション ノ ケイケン

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Abstract

We report a case of a 39-yr-old man with a bilateral occipito-parietal contusion. After conservative treatment at an emergency hospital, he was transferred to our hospital for rehabilitative intervention. On admission, he presented with mild cortical blindness and visual agnosia. As his visual acuity gradually improved, Bálint's syndrome became apparent. This syndrome is characterized by difficulties with visual scanning, dysmetria secondary to visual perceptual deficits, and an inability to perceive more than one object at a time. After rehabilitative intervention, consisting of both visuo-perceptual retraining and a functional adaptation program, he was able to bathe and toilet independently. However, neuropsychological findings over 3 years remain consistent with Bálint's syndrome.

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