Ictal asomatognosia with hemiparesis

Area of Science:

• Neurology
• Epileptology
• Neuroscience

Background:

• Anton-Babinski syndrome, typically associated with vascular events, presents as asomatognosia (unawareness of one's body) and hemiparesis.
• Understanding the diverse etiologies of neurological syndromes is crucial for accurate diagnosis and treatment.

Observation:

• A 69-year-old woman exhibited symptoms consistent with Anton-Babinski syndrome during a seizure.
• Clinical presentation included hemiparesis, head and eye deviation, epileptic nystagmus, impaired consciousness, and automatisms.
• Standard MRI revealed no structural abnormalities.

Findings:

• Electroencephalography (EEG) identified nonconvulsive status epilepticus originating from the right parieto-temporal lobe.
• The patient's symptoms mimicked vascular-induced Anton-Babinski syndrome.

Implications:

• This case suggests that focal status epilepticus can manifest as Anton-Babinski syndrome.
• It highlights the importance of considering epileptic disorders in the differential diagnosis of Anton-Babinski syndrome.
• This broadens the spectrum of clinical presentations for focal status epilepticus.