Balint-like syndrome as an unusual representation of non-convulsive status epilepticus

作者：Ristic Aleksandar J^*; Marjanovic Ivan; Brajkovic Leposava; Wolgamuth Barbara R; Odalovic Strahinja; Lavrnic Slobodan; Vojvodic Nikola; Jankovic Slavko; Bascarevic Vladimir; Sokic Dragoslav

来源：Epileptic Disorders, 2012, 14(1): 80-84.

DOI：10.1684/epd.2012.0492

• Balint-like syndrome
• chronic epilepsy
• nonconvulsive status epilepticus
• parietal lobe
• FDG-PET

The clinical signs of posterior cortex dysfunction are, due to their paucity and subtlety, very often ignored as non-specific during clinical evaluation of non-convulsive status epilepticus. Therefore, focal non-convulsive status epilepticus emerging from the posterior cortex, and especially the parietal lobes, can be fairly under-recognised. We report a 66-year-old patient with focal non-convulsive status epilepticus presenting as isolated Balint-like syndrome, successfully treated to full clinical and electrophysiological recovery. The diagnostic and pathophysiological features are discussed. Focal non-convulsive status epilepticus can be associated with negative phenomena such as neuropsychological deficits mimicking those detected more often in degenerative and vascular brain diseases. [Published with video sequences]

• 出版日期2012-3