Anton-Babinski syndrome, case report

Arch Soc Esp Oftalmol (Engl Ed). 2018 Nov;93(11):555-557. doi: 10.1016/j.oftal.2018.04.004. Epub 2018 May 30.
[Article in English, Spanish]


Clinical case: A 22 year-old woman complained about blurred vision after an episode of recovered cardiorespiratory arrest. She had bilateral low visual acuity («count fingers») and no ophthalmological or visual pathways changes. She also had an apparent lack of awareness of the deficit. The Magnetic Resonance Imaging (MRI) showed ischaemic changes in both occipital lobes. As a result, she was diagnosed with Anton-Babinski syndrome.

Discussion: This is a rare disease that should be suspected in strange or poorly congruent visual loss. It is usually due to an ischaemic injury in this region of brain, manifesting itself with low vision not perceived by the patient (visual confabulation). It can simulate a non-organic visual loss or psychiatric disease.

Keywords: Agudeza visual; Blindness; Ceguera; Neurology; Neurología; Oftalmología; Ophthalmology; Visual acuity.

Publication types

  • Case Reports

MeSH terms

  • Agnosia / etiology
  • Blindness, Cortical / diagnosis*
  • Blindness, Cortical / diagnostic imaging
  • Blindness, Cortical / psychology
  • Brain Ischemia / diagnosis*
  • Brain Ischemia / diagnostic imaging
  • Brain Ischemia / psychology
  • Female
  • Heart Arrest / complications
  • Humans
  • Hypesthesia / etiology
  • Hypoxia-Ischemia, Brain / etiology
  • Magnetic Resonance Imaging
  • Paresis / etiology
  • Tomography, Optical Coherence
  • Visual Cortex / blood supply*
  • Visual Cortex / diagnostic imaging
  • Young Adult