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Subacute sclerosing panencephalitis presenting with Balint's syndrome.

¹Division of Child Neurology, Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Millet Cad, Istanbul 34390, Turkey. quitpast@yahoo.com

Brain & Development

|December 27, 2005

Summary

Early diagnosis of subacute sclerosing panencephalitis (SSPE) is crucial. This case highlights Balint

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Area of Science:

Neurology
Neuroscience
Pediatric Neurology

Background:

Subacute sclerosing panencephalitis (SSPE) is a rare, progressive neurological disorder.
Early symptoms can be subtle and mimic other conditions, delaying diagnosis.

Observation:

A 15-year-old boy presented with visual-spatial agnosia, prosopagnosia, simultanagnosia, optic ataxia, and oculomotor apraxia.
These symptoms collectively formed a clinical presentation consistent with Balint syndrome.
MRI revealed abnormal signal changes in the bilateral parieto-occipital regions, more pronounced on the left.

Findings:

The patient was diagnosed with Balint's syndrome based on clinical and neuroradiological findings.
This diagnosis preceded the typical later-stage symptoms of SSPE, such as dementia and myoclonus.

Implications:

This case underscores the importance of recognizing Balint syndrome as an early indicator of SSPE.
Prompt neurological and radiological evaluation of cortical features is essential for early SSPE diagnosis.
Timely diagnosis can potentially allow for earlier intervention and management strategies.

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