Anton’s syndrome as a presentation of Trousseau syndrome involving the bilateral optic radiation

Anton’s syndrome is a rare neuropsychiatric syndrome that is characterized by cortical blindness and anosognosia with visual confabulation, but without global cognitive impairment. We herein report a rare case of Anton’s syndrome as a presentation of Trousseau syndrome involving the bilateral optic...

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Main Authors: Shugang Cao, Xiaoxia Zhu, Wenting Zhang, Mingwu Xia
Format: Article
Language:English
Published: SAGE Publishing 2020-11-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060520972907
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author Shugang Cao
Xiaoxia Zhu
Wenting Zhang
Mingwu Xia
author_facet Shugang Cao
Xiaoxia Zhu
Wenting Zhang
Mingwu Xia
author_sort Shugang Cao
collection DOAJ
description Anton’s syndrome is a rare neuropsychiatric syndrome that is characterized by cortical blindness and anosognosia with visual confabulation, but without global cognitive impairment. We herein report a rare case of Anton’s syndrome as a presentation of Trousseau syndrome involving the bilateral optic radiation. The patient had been diagnosed with gallbladder cancer 2 months previously, and he was admitted to the hospital with confusion and quadriplegia. He was found to be blind, but denied any visual impairment and demonstrated visual confabulation despite evidence of his blindness. These signs were consistent with a diagnosis of Anton’s syndrome. Brain computed tomography (CT) and magnetic resonance imaging revealed infarcts in the bilateral temporo-parieto-occipital junction with hemorrhagic transformation, mainly involving the bilateral optic radiation. The presence of gallbladder cancer with peripheral metastasis on abdominal CT, as well as markedly increased tumor markers and D-dimer levels, supported the presence of cancer-related hypercoagulability and the diagnosis of Trousseau syndrome.
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spelling doaj.art-0a2698e9d06e450880c56a7e1c9697632022-12-21T20:37:56ZengSAGE PublishingJournal of International Medical Research1473-23002020-11-014810.1177/0300060520972907Anton’s syndrome as a presentation of Trousseau syndrome involving the bilateral optic radiationShugang CaoXiaoxia ZhuWenting ZhangMingwu XiaAnton’s syndrome is a rare neuropsychiatric syndrome that is characterized by cortical blindness and anosognosia with visual confabulation, but without global cognitive impairment. We herein report a rare case of Anton’s syndrome as a presentation of Trousseau syndrome involving the bilateral optic radiation. The patient had been diagnosed with gallbladder cancer 2 months previously, and he was admitted to the hospital with confusion and quadriplegia. He was found to be blind, but denied any visual impairment and demonstrated visual confabulation despite evidence of his blindness. These signs were consistent with a diagnosis of Anton’s syndrome. Brain computed tomography (CT) and magnetic resonance imaging revealed infarcts in the bilateral temporo-parieto-occipital junction with hemorrhagic transformation, mainly involving the bilateral optic radiation. The presence of gallbladder cancer with peripheral metastasis on abdominal CT, as well as markedly increased tumor markers and D-dimer levels, supported the presence of cancer-related hypercoagulability and the diagnosis of Trousseau syndrome.https://doi.org/10.1177/0300060520972907
spellingShingle Shugang Cao
Xiaoxia Zhu
Wenting Zhang
Mingwu Xia
Anton’s syndrome as a presentation of Trousseau syndrome involving the bilateral optic radiation
Journal of International Medical Research
title Anton’s syndrome as a presentation of Trousseau syndrome involving the bilateral optic radiation
title_full Anton’s syndrome as a presentation of Trousseau syndrome involving the bilateral optic radiation
title_fullStr Anton’s syndrome as a presentation of Trousseau syndrome involving the bilateral optic radiation
title_full_unstemmed Anton’s syndrome as a presentation of Trousseau syndrome involving the bilateral optic radiation
title_short Anton’s syndrome as a presentation of Trousseau syndrome involving the bilateral optic radiation
title_sort anton s syndrome as a presentation of trousseau syndrome involving the bilateral optic radiation
url https://doi.org/10.1177/0300060520972907
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