Case Report: SMART ANTON: Anton-Babinski Syndrome in Stroke-Like Migraine Attacks (SMART) After Radiation Therapy: Two Rare Syndromes, One Case
IntroductionWe describe the case of a 57-years-old patient who presented an Anton-Babinski syndrome in the context of a stroke-like migraine attack after radiation therapy (SMART).Case ReportThe patient was brought to the emergency room following a sudden loss of vision in the context of a pre-exist...
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.887287/full |
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| author | Nicolas Nagysomkuti Mertse Nicolas Nagysomkuti Mertse Nicolas Nagysomkuti Mertse René Müri |
| author_facet | Nicolas Nagysomkuti Mertse Nicolas Nagysomkuti Mertse Nicolas Nagysomkuti Mertse René Müri |
| author_sort | Nicolas Nagysomkuti Mertse |
| collection | DOAJ |
| description | IntroductionWe describe the case of a 57-years-old patient who presented an Anton-Babinski syndrome in the context of a stroke-like migraine attack after radiation therapy (SMART).Case ReportThe patient was brought to the emergency room following a sudden loss of vision in the context of a pre-existing left-sided hemianopia after excision of a right occipital astrocytoma followed by radio-chemotherapy 35 years prior to his admission in our services. At admittance, he also presented hyperthermia, hypertension, and a GCS of 7. The MRI showed a leptomeningeal enhancement in the left temporal, parietal, and occipital lobes. After exclusion of other differential diagnoses, we diagnosed a cortical blindness in the context of a SMART syndrome affecting the left hemisphere. While the symptoms improved under corticosteroid therapy, the patient successively presented an Anton-Babinski syndrome, a Riddoch syndrome and a visual associative agnosia before finally regaining his usual sight.DiscussionThis is, to our knowledge, the first report of an Anton-Babinski syndrome in the context of a SMART syndrome. A dual etiology is mandatory for cortical blindness in SMART syndrome since the latter affects only one hemisphere. A SMART syndrome affecting the contralateral hemisphere in respect to the radiation site seems to be uncommon, which makes this case even more exceptional. |
| first_indexed | 2024-04-09T23:35:10Z |
| format | Article |
| id | doaj.art-6d40a4a3f2d74c6ab576a6c14d11c9c6 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-09T23:35:10Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-6d40a4a3f2d74c6ab576a6c14d11c9c62023-03-20T13:43:58ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-06-011310.3389/fneur.2022.887287887287Case Report: SMART ANTON: Anton-Babinski Syndrome in Stroke-Like Migraine Attacks (SMART) After Radiation Therapy: Two Rare Syndromes, One CaseNicolas Nagysomkuti Mertse0Nicolas Nagysomkuti Mertse1Nicolas Nagysomkuti Mertse2René Müri3Department of Neurology, University Hospital Bern, Bern, SwitzerlandDepartment of Psychiatry, University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, SwitzerlandTranslational Research Center, University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, SwitzerlandDepartment of Neurology, University Hospital Bern, Bern, SwitzerlandIntroductionWe describe the case of a 57-years-old patient who presented an Anton-Babinski syndrome in the context of a stroke-like migraine attack after radiation therapy (SMART).Case ReportThe patient was brought to the emergency room following a sudden loss of vision in the context of a pre-existing left-sided hemianopia after excision of a right occipital astrocytoma followed by radio-chemotherapy 35 years prior to his admission in our services. At admittance, he also presented hyperthermia, hypertension, and a GCS of 7. The MRI showed a leptomeningeal enhancement in the left temporal, parietal, and occipital lobes. After exclusion of other differential diagnoses, we diagnosed a cortical blindness in the context of a SMART syndrome affecting the left hemisphere. While the symptoms improved under corticosteroid therapy, the patient successively presented an Anton-Babinski syndrome, a Riddoch syndrome and a visual associative agnosia before finally regaining his usual sight.DiscussionThis is, to our knowledge, the first report of an Anton-Babinski syndrome in the context of a SMART syndrome. A dual etiology is mandatory for cortical blindness in SMART syndrome since the latter affects only one hemisphere. A SMART syndrome affecting the contralateral hemisphere in respect to the radiation site seems to be uncommon, which makes this case even more exceptional.https://www.frontiersin.org/articles/10.3389/fneur.2022.887287/fullSMART syndromeAnton-Babinski syndromedual etiologyRiddoch syndromevisual associative agnosiacortical blindness |
| spellingShingle | Nicolas Nagysomkuti Mertse Nicolas Nagysomkuti Mertse Nicolas Nagysomkuti Mertse René Müri Case Report: SMART ANTON: Anton-Babinski Syndrome in Stroke-Like Migraine Attacks (SMART) After Radiation Therapy: Two Rare Syndromes, One Case Frontiers in Neurology SMART syndrome Anton-Babinski syndrome dual etiology Riddoch syndrome visual associative agnosia cortical blindness |
| title | Case Report: SMART ANTON: Anton-Babinski Syndrome in Stroke-Like Migraine Attacks (SMART) After Radiation Therapy: Two Rare Syndromes, One Case |
| title_full | Case Report: SMART ANTON: Anton-Babinski Syndrome in Stroke-Like Migraine Attacks (SMART) After Radiation Therapy: Two Rare Syndromes, One Case |
| title_fullStr | Case Report: SMART ANTON: Anton-Babinski Syndrome in Stroke-Like Migraine Attacks (SMART) After Radiation Therapy: Two Rare Syndromes, One Case |
| title_full_unstemmed | Case Report: SMART ANTON: Anton-Babinski Syndrome in Stroke-Like Migraine Attacks (SMART) After Radiation Therapy: Two Rare Syndromes, One Case |
| title_short | Case Report: SMART ANTON: Anton-Babinski Syndrome in Stroke-Like Migraine Attacks (SMART) After Radiation Therapy: Two Rare Syndromes, One Case |
| title_sort | case report smart anton anton babinski syndrome in stroke like migraine attacks smart after radiation therapy two rare syndromes one case |
| topic | SMART syndrome Anton-Babinski syndrome dual etiology Riddoch syndrome visual associative agnosia cortical blindness |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2022.887287/full |
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