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Ocular Dysfunctions Presenting in Tacrolimus‐Induced Posterior Reversible Encephalopathy Syndrome: A Case Presentation
Author(s) -
Brown Cora H.,
Feng Alexander J.,
Cruz Ernesto
Publication year - 2018
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2017.07.079
Subject(s) - posterior reversible encephalopathy syndrome , medicine , tacrolimus , presentation (obstetrics) , apraxia , encephalopathy , pediatrics , case presentation , surgery , magnetic resonance imaging , psychiatry , transplantation , radiology , aphasia
The constellation of ocular symptoms known as Balint syndrome is a rare disorder seen in bilateral parieto‐occipital lesions and is most frequently due to arterial occlusive disease or acute hypertension. Here we present the case of a patient with tacrolimus‐induced posterior reversible encephalopathy syndrome (PRES) who presented with optic ataxia, simultanagnosia, and ocular apraxia. These ocular findings, consistent with Balint syndrome, are rarely the initial presentation of PRES. This case highlights the importance of early recognition of this unusual phenomenon, as well as the importance of an individualized rehabilitation plan to maximize functional independence in these patients. Level of Evidence V