Balint's syndrome and post-acute brain injury rehabilitation: A case report

Abstract

Neuropsychological test improvements were noted on tasks that assess visuospatial functioning, although most gains were noted for functional and physical abilities.

Ocular Dysfunctions Presenting in Tacrolimus‐Induced Posterior Reversible Encephalopathy Syndrome: A Case Presentation

“…In our case, knowledge of the potential side effects of immunosuppressant therapies allowed the early detection of Balint syndrome in a patient with PRES and subsequently led to prompt initiation of appropriate therapy. Rehabilitation of Balint syndrome, as discussed in the literature, has occurred primarily in the outpatient setting [3,9,11], and findings have been encouraging. Rosselli et al, for example, described a visuoperceptual and functional rehabilitation program for a patient with Balint syndrome 1 year after injury [9].…”

“…Rosselli et al, for example, described a visuoperceptual and functional rehabilitation program for a patient with Balint syndrome 1 year after injury [9]. The rehabilitation described by Rosselli et al included a Trail Making exercise similar in its construct to neuropsychological testing [3]. Rosselli was not initiated until 12 months after the patient's initial hospitalization [9].…”

“…Tacrolimus has been associated with neurotoxicity, including posterior reversible encephalopathy syndrome (PRES). Visual abnormalities have been described as the most disabling side effects in tacrolimus‐induced PRES [1‐3]. Such visual deficits typically include hemianopia, visual neglect, and cerebral blindness.…”

The neuropsychological rehabilitation of visual agnosia and Balint’s syndrome

“…A small number of studies attempted to train the specific deficits arising from Balint's syndrome (Perez, Tunkel, Lachmann, & Nagler, 1996;Rosselli, Ardila, & Beltran, 2001;Zgaljardic, Yancy, Levinson, Morales, & Masel, 2011), with for example eye movement exercises or convergence exercises, which proved to be successful in some patients (Rosselli et al, 2001). Yet, some attempts remained less successful (Zgaljardic et al, 2011), allowing for little conclusiveness about the effectiveness of neuropsychological training or eye movement exercises. Several authors emphasised the importance of psychoeducation, strategies to promote the transfer from training situations to real-life situations, functional abilities, as well as building on strengths.…”

Effectiveness of the Bridge/Adapt Program on Functional Skill Generalization After Acquired Brain Injury

“…The multicontext approach has been used in conjunction with other approaches or frames of reference (Zgaljardic, Yancy, Levinson, Morales, & Masel, 2011;Zlotnik, Sachs, Rosenblum, Shpasser, & Josman, 2009). However, only two studies have implemented all components of the multicontext approach, while a third paper was a case study of a participant from one of the aforementioned studies (Landa-Gonzalez, 2001;Toglia et al, 2010;Toglia, Rodger, & Polatajko, 2012).…”