Integrating visual search, eye movement training and reversing prism exposure in the treatment of Balint-Holmes syndrome: a single case report

Top Stroke Rehabil. 2022 May;29(4):280-285. doi: 10.1080/10749357.2021.1923319. Epub 2021 May 7.

Abstract

Objective: For the first time, we administered reversing prism exposure to treat optic ataxia in a single patient with Balint-Holmes Syndrome (BHS), who also underwent specific trainings for simultanagnosia and ocular apraxia.

Method and results: By an introduction and withdrawal experimental design, we observed that the active treatment periods improved patient's visuospatial defects and functional autonomy.

Conclusions: We thus provided a proof of principle supporting the use of reversing prism exposure in optic ataxia within an integrated and personalized rehabilitative approach for BHS.

Keywords: Balint-Holmes syndrome; optic ataxia; prism exposure; rehabilitation; visuo-spatial disorders.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Apraxias* / congenital
  • Apraxias* / etiology
  • Apraxias* / therapy
  • Ataxia
  • Cogan Syndrome
  • Eye Movements
  • Humans
  • Parietal Lobe
  • Perceptual Disorders* / etiology
  • Perceptual Disorders* / therapy
  • Stroke* / complications
  • Stroke* / therapy

Supplementary concepts

  • Apraxia, oculomotor, Cogan type