Anton’s Syndrome Due to Bilateral Occipito-Parietal Haemorrhage: A Case Report

Abstract

Background: Anton’s syndrome is a rare syndrome characterised by denial of blindness by a patient who obviously cannot see. Visual anosognosia and usually caused by bilateral occipital infarct. Rarely caused by demyelination or haemorrhage. Objective: The aim was to report a case of Anton’s syndrome due to bilateral occipito-parietal lobar haemorrhage following percutaneous coronary intervention due to myocardial infarction. Methods: The case was thoroughly evaluated clinically then diagnosis was confirmed by CT scan of head showing bilateral occipito-parietal haemorrhage. Result: The possible cause of bilateral lobar haemorrhage was due to use of Heparin during procedure and duel antiplatelet after percutaneous coronary intervention. Conclusion: A suspicion of cortical blindness and Anton’s syndrome should be raised in patients with atypical visual loss and evidence of bilateral occipital lobe injury. Though infarction is the common cause but any other cause that leads to bilateral occipital damage like haemorrhage in this patient may cause this syndrome. Drug induced extensive intracerabral haemorrhage is difficult to manage in the setting of myocardial infarction. Bangladesh Med Res Counc Bull 2021; 47(1): 98-100