Dide-Botcazo syndrome due to bilateral occlusion of posterior cerebral artery.
Dide-Botcazo syndrome is a rare clinical syndrome characterized by a combination of cortical blindness with anosognosia for blindness, amnesia and topographical disorientation, secondary to bilateral occipital cortex lesions also involving the infero-medial temporal lobe structure. We report a case of a man who acutely presented confusion and cortical blindness. The cerebral angiography demonstrated bilateral occlusion of posterior cerebral artery (PCA). Sequential intravenous (i.v.) and intra-arterial (i.a.) thrombolysis were ineffective and the patient developed a complete Dide-Botcazo syndrome.
Cappellari
Manuel
M
Dipartimento di Scienze Neurologiche e della Visione, Azienda Ospedaliera-Universitaria, Verona, Italy.
Tomelleri
Giampaolo
G
Di Matteo
Alessandro
A
Carletti
Monica
M
Magalini
Alessandra
A
Bovi
Paolo
P
Moretto
Giuseppe
G
D000368:Aged; D001921:Brain / Q000098:blood supply / Q000000981:diagnostic imaging / Q000473:pathology; D002533:Cerebral Angiography; D003221:Confusion / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D038524:Diffusion Magnetic Resonance Imaging; D006801:Humans; D020762:Infarction, Posterior Cerebral Artery / Q000150:complications* / Q000473:pathology / Q000628:therapy; D008297:Male; D001523:Mental Disorders / Q000209:etiology / Q000473:pathology / Q000628:therapy; D035583:Rare Diseases; D013577:Syndrome; D015912:Thrombolytic Therapy / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014786:Vision Disorders / Q000209:etiology* / Q000473:pathology / Q000628:therapy