Abstract
In the Resident & Fellow Clinical Reasoning paper by Rossi et al.,1 the authors described an unusual case of Balint syndrome caused by focal nonconvulsive status epilepticus in a patient with cirrhosis and hyponatremia. I am curious about the nature of the clinical finding: “…horizontal nystagmus in all directions including on primary gaze.”1 Horizontal nystagmus in all directions localizes to the brainstem/cerebellum; however, in this case,1 the lesions were parieto-occipital.
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