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The Dide-Botcazo syndrome: forgotten and misunderstood.

Lucio G Lazzarino De Lorenzo¹, Dominic H Ffytche², Eva Di Camillo¹

¹SOC di Neurologia, Ospedale Civile, Gorizia, Italy.

Cortex; a Journal Devoted to the Study of the Nervous System and Behavior

|March 12, 2013

Summary

Dide-Botcazo syndrome, characterized by visual deficits and memory impairment, results from bilateral posterior cerebral artery infarcts. This historical review revives the syndrome

Keywords:

Amnesia Anton's syndrome Posterior cerebral artery Vascular dementia

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Area of Science:

Neuroscience
Neurology
Vascular Neurology

Background:

The Dide-Botcazo syndrome, first described in 1902, links visual field defects, topographical disorientation, and amnesia to bilateral occipito-temporal lesions.
The syndrome was largely forgotten until its revival in the 1980s, with some later cases including visual anosognosia (Anton's syndrome).

Observation:

This review presents a historical analysis of the Dide-Botcazo syndrome.
A recent case with clinical features mirroring the original description is illustrated.

Findings:

Bilateral posterior cerebral artery infarcts are associated with visual and memory deficits.
The original Dide and Botcazo case study highlighted the role of the occipital lobe and inferior longitudinal fasciculus in memory.

Implications:

The Dide-Botcazo syndrome is proposed as a variant of vascular dementia.
It encompasses visual field deficits, memory impairment, and potentially visual perceptual, topographic, imagery, or dreaming deficits depending on lesion location.