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

BROWN CH; FENG AJ; CRUZ E
PM & R , 2018, vol. 10, n° 1, p. 105-111
Doc n°: 186256
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.pmrj.2017.07.079
Descripteurs : AD91 - VISION

The constellation of ocular symptoms known as Balint syndrome is a rare disorder
seen in bilateral parieto-occipital lesions and is most frequently due to
arterial occlusive disease or acute hypertension. Here we present the case of a
patient with tacrolimus-induced posterior reversible encephalopathy syndrome
(PRES) who presented with optic ataxia, simultanagnosia, and ocular apraxia.
These ocular findings, consistent with Balint syndrome, are rarely the initial
presentation of PRES. This case highlights the importance of early recognition of
this unusual phenomenon, as well as the importance of an individualized
rehabilitation plan to maximize functional independence in these patients. LEVEL
OF EVIDENCE: V.
CI - Copyright (c) 2018 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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