Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)Suárez Escudero, Juan CamiloOrtega, ErnestoPalacio Amaya, Gina Tatiana2021-03-022021-03-022020-11-24http://repositorio.uan.edu.co/handle/123456789/2354Antón syndrome is a neuropsychiatric syndrome which refers to cortical blindness combined with the denial of the visual deficit (anosognosia) that the patient is presenting and whose main characteristic is the collusion of the visual environment. Although several clinical cases of patients have been described over the years, the etiology of denial is still not clear, the damage has only been recognized in areas of association. The most common lesion associated with the syndrome is ischemia in the cerebral territory, specifically in the posterior cerebral arteries, although it should be taken into account that it has also occurred during some procedures or in the course of some pathologies. When the eye care professions make an exhaustive review, the absence of pathologies in the eyeball is evidenced that can explain the low visual perception of patients, for them it is important that they learn to identify the characteristic signs that may lead them to suspect the present syndrome during consultations.El síndrome de Antón es un síndrome neuropsiquiatrico el cual hace referencia a la ceguera cortical combinada con la negación del déficit visual (anosognosia) que está presentando el paciente y cuya característica principal es la confabulación del entorno visual. Aunque a lo largo de los años se han descrito varios casos clínicos de pacientes aun no es clara la etiología de la negación, solo se ha llegado a reconocer el daño en áreas de asociación. La lesión más habitual asociada al síndrome es la isquemia en el territorio cerebral, de manera específica en las arterias cerebrales posteriores aunque se debe tener en cuenta que también se ha presentado durante algunos procedimientos o en el curso de algunos patologías. Cuando los profesiones del cuidado ocular hacen una revisión exhausta se evidencia la ausencia de patologías en el globo ocular que pueda explicar la baja percepción visual de los pacientes, por ellos es importante que aprendan a identificar los signos característicos que los pueden llevar a sospechar del presente síndrome durante la realización de las consultas.spaAcceso a solo metadatosConfabulaciones visualesAnosognosia visualceguera corticalTrabajo de grado (Pregrado y/o Especialización)info:eu-repo/semantics/closedAccesshttp://purl.org/coar/access_right/c_14cbOlivero-Cid A. CAPÍTULO 8: Agnosias visuales: concepto y tipos.Maureira F, Flores E. Principios de neuropsicobiologia para estudiantes de educación [Internet]. 2019 [cited 2020 Mar 19]. 336 p. Available from: https://www.researchgate.net/publication/308441613_Principios_de_Neur opsicobiologia_para_estudiantes_de_educacionMehndiratta M, Pandey S, Nayak R, Alam A. Posterior Circulation Ischemic Stroke—Clinical Characteristics, Risk Factors, and Subtypes in a North Indian Population. The Neurohospitalist [Internet]. 2012 Apr 16 [cited 2020 Mar 5];2(2):46–50. Available from: http://journals.sagepub.com/doi/10.1177/1941874412438902Kwong Yew K, Abdul Halim S, Liza-Sharmini AT, Tharakan J. Recurrent bilateral occipital infarct with cortical blindness and anton syndrome. Case Rep Ophthalmol Med [Internet]. 2014 [cited 2020 Mar 5];2014:795837. Available from: http://dx.doi.org/10.1155/2014/795837Valle W, Chimbote S. Compilado de neuropsicología. 2015.Kwong Yew K, Abdul halim S, Liza-Sharmini AT, Tharakan J. Recurrent Bilateral Occipital Infarct with Cortical Blindness and Anton Syndrome. Case Rep Ophthalmol Med [Internet]. 2014 [cited 2020 Mar 17];2014:1–3. Available from: http://www.hindawi.com/journals/criopm/2014/795837/Gainotti G. Anosognosia, denial of illness and the right hemisphere dominance for emotions: Some historical and clinical notes. Vol. 58, Consciousness and Cognition. Academic Press Inc.; 2018. p. 44–50.Donoso A. Anosognosia en enfermedades cerebrales. Rev Chil Neuropsiquiatr [Internet]. 2002 Apr [cited 2020 Mar 5];40(2):69–79. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717- 92272002000200008&lng=en&nrm=iso&tlng=enMarková IS, Berrios GE. The construction of anosognosia: History and implications. Cortex [Internet]. 2014 Dec 1 [cited 2020 Mar 17];61:9–17. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25481463Bernalk P. Alteraciones visuales y comorbilidades en población adulta mayor institucionalizada en medellin 2011 [Internet]. [cited 2020 Mar 17]. p. 84. Available from: http://publicaciones.ustabuca.edu.co/images/Documentos Publicaciones/Volumen 12.pdfNatera Cisneros L, Lamas Gómez C, Proubasta Renart I, Moya Gómez E. Síndrome de Fenton. Rev Esp Cir Ortop Traumatol [Internet]. 2012 Sep 3 [cited 2020 Mar 17];56(5):369–73. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30844182Catani M, Dell’Acqua F, Bizzi A, Forkel SJ, Williams SC, Simmons A, et al. Beyond cortical localization in clinico-anatomical correlation. Cortex [Internet]. 2012 Nov 1 [cited 2020 Mar 17];48(10):1262–87. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0010945212002328Lorente-Rovira E, Berrios G, McKenna P, Moro-lpola M, Villagran-Moreno JM. Confabulations (I): Concept, classification and neuropathology. Vol. 39, Actas Espanolas de Psiquiatria. 2011. p. 251–9.Zukić S, Sinanović O, Zonić L, Hodžić R, Mujagić S, Smajlović E. Anton’s Syndrome due to Bilateral Ischemic Occipital Lobe Strokes. Case Rep Neurol Med [Internet]. 2014 [cited 2020 Mar 17];2014:1–4. Available from: http://www.hindawi.com/journals/crinm/2014/474952/Azzopardi CP, Matity L, Muscat S. Anton’s syndrome as a presentation of decompression illness. Diving Hyperb Med. 2017;47(1):59–61.Kim N, Anbarasan D, Howard J. Anton syndrome as a result of MS exacerbation. Neurol Clin Pract [Internet]. 2017 Apr 1 [cited 2020 Mar 19];7(2):e19–22. Available from: http://cp.neurology.org/lookup/doi/10.1212/CPJ.0000000000000273Maddula M, Lutton S, Keegan B. Anton’s syndrome due to cerebrovascular disease: A case report. J Med Case Rep [Internet]. 2009 [cited 2020 Mar 17];3(1):9028. Available from: http://www.jmedicalcasereports.com/content/3/1/9028de Dios-Cuadras U, Hernández-Abrego MP, Martínez-Báez BE, JuárezDomínguez BY. Anosognosia visual en una paciente con lesión isquémica occipital bilateral. Rev Mex Oftalmol [Internet]. 2019 Jul 19 [cited 2020 Mar 17];93(4):203–8. Available from: www.rmo.com.mxGonzalez B. Alteraciones Visuales, Atencionales y Perceptivas Después de un Daño Cerebral Adquirido: Aportaciones desde la Neuropsicología. Rev sobre Discapac Vis [Internet]. 2014 [cited 2020 Mar 18];(64):1–14. Available from: http://www.once.es/new/servicios-especializados-endiscapacidad-visual/publicaciones-sobre-discapacidad-visual/nuevaCohen L, Ponchel A, Kas A, Ströer S, Del Cul A, Guérineau de Lamérie G, et al. Recovery from cortical blindness with mepivacaïne. Ann Clin Transl Neurol [Internet]. 2019 Jul 10 [cited 2020 Mar 18];6(8):acn3.50832. Available from: http://www.once.es/new/servicios-especializados-endiscapacidad-visual/publicaciones-sobre-discapacidad-visual/nuevaestructura-%5Cnrevista-integracionSuárez-Escudero J, Restrepo Cano S, Ramírez E, Liliana Bedoya C, Jiménez V. Clinical, social, occupational and of self – perception description of stroke patients. Acta Neurológica Colomb. 2011;27(2).Duffau H. Brain plasticity: From pathophysiological mechanisms to therapeutic applications. J Clin Neurosci [Internet]. 2006 Nov [cited 2020 Mar 19];13(9):885–97. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0967586806004383Arias-Uribe J, Llano-Naranjo Y, Astudillo-Valverde E, Suárez-Escudero JC. Caracterización clínica y etiología de baja visión y ceguera en una población adulta con discapacidad visual. Rev Mex Oftalmol [Internet]. 2020 [cited 2020 Mar 20];92(4):398–410. Available from: http://scielo.sld.cuArias-Uribe J, Llano-Naranjo Y, Astudillo-Valverde E, Suárez-Escudero JC. Caracterización clínica y etiología de baja visión y ceguera en una población adulta con discapacidad visual. Rev Mex Oftalmol [Internet]. 2020 [cited 2020 Mar 20];92(4). Available from: www.rmo.com.mxJuan Camilo Suárez Escudero. Discapacidad visual y ceguera en el adulto: revisión de tema. Med UPB [Internet]. 2011 [cited 2020 Mar 20];30(2):170–80. Available from: https://revistas.upb.edu.co/index.php/Medicina/article/view/924/834Luco F C. Neuro-oftalmologia. [cited 2020 Mar 29]; Available from: https://www.oftalandes.cl/assets/uploads/2017/05/neuro-oftalmo_-_dr- _luco.pdfRomán Lapuente F, Del Pino Sánchez M, Rabadán MJ. Organización y Función cerebral. Neuropsicología. 2010;52.Godasi R, Rupareliya C, Bollu P. Bilateral Occipital Lobe Hemorrhages Presenting as Denial of Blindness in Posterior Reversible Encephalopathy Syndrome– A Rare Combination of Anton Syndrome and Encephalopathy. Cureus [Internet]. 2017 Oct 4 [cited 2020 Apr 15];9(10). Available from: https://www.cureus.com/articles/9074-bilateral-occipital- lobe-hemorrhages-presenting-as-denial-of-blindness-in-posteriorreversible-encephalopathy-syndrome--a-rare-combination-of-antonsyndrome-and-encephalopathyVallejo Agudelo EO, Rendón Villa S, Colina Vargas A, Bustamante J, Suárez-Escudero JC. Revisión anatomofuncional de la neurología visual. Reporte de caso: discapacidad visual neurológica pos-TEC con hematomas subdurales subcrónicos bilaterales parietooccipitales. Rev Mex Oftalmol [Internet]. 2016 Jan [cited 2020 Apr 15];90(1):33–42. Available from: http://doi.wiley.com/10.1016/j.pmrj.2009.08.406Rotkopf LT, Kunz WG, Meinel FG, Plate A, Langner S, Klein M, et al. Bioccipital Lobe Hypoperfusion and Anton’s Syndrome Resolution with Intravenous Thrombolysis. J Stroke Cerebrovasc Dis [Internet]. 2019 Jan 1 [cited 2020 May 26];28(1):227–8. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1052305718305184Blazuk J, Herzog K, Lee R. Poster 546 Anton Syndrome - Rare Complication of Cortical Blindness: A Case Report. PM&R [Internet]. 2012 Oct [cited 2020 May 29];4:S377–S377. Available from: https://kundoc.com/pdf-poster-546-anton-syndrome-rare-complication-ofcortical-blindness-a-case-report-.htmlMaddula M, Lutton S, Keegan B. Anton’s syndrome due to cerebrovascular disease: A case report. J Med Case Rep [Internet]. 2009 [cited 2020 Apr 15];3(1):9028. Available from: http://www.jmedicalcasereports.com/content/3/1/9028Kondziella D, Frahm-Falkenberg S. Anton’s Syndrome and Eugenics. J Clin Neurol [Internet]. 2011 Jun 1 [cited 2020 May 26];7(2):96. Available from: https://www.thejcn.com/DOIx.php?id=10.3988/jcn.2011.7.2.96Galetović D, Karlica D, Bojić L, Znaor L. Bilateral cortical blindness--Anton syndrome: case report. Coll Antropol [Internet]. 2005 [cited 2020 May 26];29 Suppl 1(SUPPL. 1):145–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16193699Davis GP, Sewell RA, Levy B, Price BH, Cunningham MG. An Atypical Presentation of Anton Syndrome in a Patient with Preserved Cognition Despite Multiple Cerebral Infarcts: A Case Report. CNS Spectr [Internet]. 2009 Jan 7 [cited 2020 May 26];14(1):15–8. Available from: http://dx.doi.org/10.4236/jbbs.2012.23045PublishedOnlineAugust2012Davis GP, Sewell RA, Levy B, Price BH, Cunningham MG. An Atypical Presentation of Anton Syndrome in a Patient with Preserved Cognition Despite Multiple Cerebral Infarcts: A Case Report. CNS Spectr [Internet]. 2009 Jan 7 [cited 2020 May 26];14(1):15–8. Available from: https://www.cambridge.org/core/product/identifier/S1092852900020010/ty pe/journal_articleArgenta P. Cortical Blindness and Anton Syndrome in a Patient with Obstetric Hemorrhage. Obstet Gynecol [Internet]. 1998 May 1 [cited 2020 May 26];91(5):810–2. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0029784497007187Marmor MF, Kellner U, Lai TYY, Melles RB, Mieler WF, Lum F. Recommendations on Screening for Chloroquine and Hydroxychloroquine Retinopathy (2016 Revision). Ophthalmology. 2016 Jun 1;123(6):1386– 94.Adeyemo BO, Howard J. No. 54 A Rare Reversible Case of Anton Syndrome and the Role of Amantadine in Management: A Case Report. PM&R [Internet]. 2014 Aug 1 [cited 2020 May 29];6(8):S107. Available from: http://doi.wiley.com/10.1016/j.pmrj.2014.08.195Mutyala A, Cruz R, Iversen S, Siddiqui F, Weiss L. Poster 17 Anton Syndrome After Gun Shot Wound to Head: A Case Report. PM&R [Internet]. 2012 Oct 1 [cited 2020 May 26];4(10):S194–5. Available from: http://doi.wiley.com/10.1016/j.pmrj.2012.09.647Avci S, Büyükcam F, Demir ÖF, Özkan S. Anton syndrome during oxygen-ozone therapy. Am J Emerg Med [Internet]. 2015 Jun 1 [cited 2020 May 29];33(6):856.e1-856.e2. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0735675714008766Perez-Ceballos S, Fernandez-Rodriguez FT, Shah N, Wani-Parekh P, Gondin-Hernandez L, Gonzalez-Martinez JL, et al. The Eyes Are Useless When the Mind Is Blind: A Rare Case of Anton-Babinski Syndrome in Hepatic Encephalopathy. Am J Med [Internet]. 2017 May 1 [cited 2020 May 26];130(5):e215–6. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0002934317300165Alemdar M, Iseri P, Selekler M, Budak F, Demirci A, Komsuoglu SS. MELAS Presented With Status Epilepticus and Anton-Babinski Syndrome; Value of ADC Mapping in MELAS. J Neuropsychiatry Clin Neurosci [Internet]. 2007 Oct [cited 2020 May 26];19(4):482–3. Available from: http://psychiatryonline.org/doi/abs/10.1176/jnp.2007.19.4.482Kartsounis LD, James-Galton M, Plant GT. Anton syndrome, with vivid visual hallucinations, associated with radiation induced leucoencephalopathy [Internet]. Vol. 80, Journal of Neurology, Neurosurgery and Psychiatry. BMJ Publishing Group Ltd; 2009 [cited 2020 May 26]. p. 937–8. Available from: https://jnnp.bmj.com/lookup/doi/10.1136/jnnp.2008.151118Goldenberg G, Mu¨llbacher W, Nowak A. Imagery without perception—A case study of anosognosia for cortical blindness. Neuropsychologia [Internet]. 1995 Nov 1 [cited 2020 Aug 27];33(11):1373–82. Available from: https://linkinghub.elsevier.com/retrieve/pii/002839329500070J