Balint syndrome due to Creutzfeldt–Jakob disease
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Since Balint originally described a patient with striking disturbances in vision and movement,1 this syndrome has been reported to result from stroke, metastatic lesions, demyelinating disorders, carbon monoxide poisoning, corticobasal ganglionic degeneration, Alzheimer disease, and HIV infection.2 We report a patient with Balint syndrome resulting from Creutzfeldt–Jakob disease (CJD).
Case report.
A 65-year-old man with no medical history developed personality changes during a 3-week period. He experienced visual hallucinations and paranoid delusion of neighbors stealing his money and Internet identity. Initial brain MRI revealed T2 hyperintensities within the parietal and occipital lobes. Progressive neuropsychiatric decline required hospitalization. On admission he had disorganized perseverative behavior, fixation on guilt, mild apraxia, and a Mini-Mental State Examination (MMSE) of 26 of 30 with errors in orientation and recall. MRI at admission showed T2 hyperintensities within the parietal and occipital lobes, whereas diffusion-weighted …
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