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Epileptic Disorders

The Educational Journal of the International League Against Epilepsy

Bálint-like syndrome as an unusual representation of non-convulsive status epilepticus Volume 14, issue 1, March 2012


Neurology Clinic, Clinical Center of Serbia, Belgrade, Serbia, National PET Center, Clinical Center of Serbia, Belgrade, Serbia, Cleveland Clinic Epilepsy Center, Cleveland, Ohio, USA, MRI Center Clinical Center of Serbia, Belgrade, Serbia, Clinic of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
  • Key words: Bálint-like syndrome, chronic epilepsy, nonconvulsive status epilepticus, parietal lobe, FDG-PET
  • DOI : 10.1684/epd.2012.0492
  • Page(s) : 80-4
  • Published in: 2012

The clinical signs of posterior cortex dysfunction are, due to their paucity and subtlety, very often ignored as non-specific during clinical evaluation of non-convulsive status epilepticus. Therefore, focal non-convulsive status epilepticus emerging from the posterior cortex, and especially the parietal lobes, can be fairly under-recognised. We report a 66-year-old patient with focal non-convulsive status epilepticus presenting as isolated Bálint-like syndrome, successfully treated to full clinical and electrophysiological recovery. The diagnostic and pathophysiological features are discussed. Focal non-convulsive status epilepticus can be associated with negative phenomena such as neuropsychological deficits mimicking those detected more often in degenerative and vascular brain diseases. [Published with video sequences]