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      Simultanagnosia as a cause of visual disturbance following Posterior Reversible Encephalopathy Syndrome (PRES): A case report

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          Abstract

          Simultanagnosia resulting from dorsal stream dysfunction is an under recognized condition. In this case report we describe the case of a young woman who developed posterior reversible encephalopathy syndrome (PRES), and who recovered visual acuities of 20/20 in each eye, along with normal visual fields and contrast sensitivities, yet experienced persistent symptoms of perceptual dysfunction. Detailed and systematic history taking revealed consistent visual difficulties typical of dorsal stream dysfunction. After a detailed explanation of her symptomatology and training in a range of strategies to cope, the patient experienced a great improvement in her day-to-day functioning.

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          Reliability of a question inventory for structured history taking in children with cerebral visual impairment.

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            Posterior reversible encephalopathy syndrome in eclampsia.

            Posterior reversible encephalopathy syndrome is characterized by acute headache, visual impairment, seizures, and altered mental status; neuroimaging may show cerebral edema affecting the parietal and occipital lobes of the brain. The objective of this article is to review the current understanding of posterior reversible encephalopathy syndrome in eclampsia. Literature was searched from PubMed, Scopus, and Google Scholar databases. The search terms included "eclampsia", "eclampsia and posterior reversible encephalopathy syndrome", and "pregnancy and posterior reversible encephalopathy syndrome". We reviewed all published original articles with the search term "posterior reversible encephalopathy syndrome". Up to 100% of eclamptic patients may have reversible posterior leukoencephalopathy syndrome. Two putative mechanisms - "vasogenic" and "vasospasm" - are considered to be responsible. Cerebral edema and petechial cortical hemorrhages are common autopsy findings. Clinical and neuroimaging manifestations are reversible in the majority of patients. Prompt correction of increased blood pressure and treatment of seizures are the cornerstones of treatment. Magnesium sulfate is the drug of choice for seizures. Some survivors may have permanent vision loss and other disabling sequelae. In conclusion, posterior reversible encephalopathy is a devastating complication of eclampsia. Early recognition helps in preventing some of its devastating sequelae.
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              Impairment of vision in children due to damage to the brain: a practical approach

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                Author and article information

                Journal
                Indian J Ophthalmol
                Indian J Ophthalmol
                IJO
                Indian Journal of Ophthalmology
                Wolters Kluwer - Medknow (India )
                0301-4738
                1998-3689
                January 2020
                19 December 2019
                : 68
                : 1
                : 254-256
                Affiliations
                [1]The David Brown Children's Eye Care Centre, Child Sight Institute, L V Prasad Eye Institute, Vijayawada, Andhra Pradesh, India
                [1 ]Department of Vision Science, Glasgow Caledonian University, Glasgow
                [2 ]Department of Paediatric Neuro-Radiology Consultant Radiologist, Great Ormond Street Hospital, London, United Kingdom
                Author notes
                Correspondence to: Dr. Niranjan K Pehere, The David Brown Children's Eye Care Centre, L V Prasad Eye Institute, Kode Venkatadri Chowdary Campus, Tadigadapa, Vijayawada - 521 137, Andhra Pradesh, India. E-mail: niranjan@ 123456lvpei.org
                Article
                IJO-68-254
                10.4103/ijo.IJO_807_19
                6951156
                31856545
                4b6db189-e7e2-4055-bb36-19f925eb70fd
                Copyright: © 2019 Indian Journal of Ophthalmology

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 26 April 2019
                : 28 May 2019
                : 06 August 2019
                Categories
                Case Reports

                Ophthalmology & Optometry
                balint syndrome,neuro-rehabilitation,posterior reversible encephalopathy syndrome,simultanagnosia

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