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CASE REPORT
Year : 2018  |  Volume : 21  |  Issue : 3  |  Page : 175-178

Bilateral cortical blindness with Anton–Babinski syndrome in an elderly Nigerian woman: Challenges for tertiary prevention


1 Geriatrics Unit, Department of Medicine, University of Benin Teaching Hospital, Benin City, Nigeria
2 Department of Medicine, University of Benin Teaching Hospital, Benin City, Nigeria

Correspondence Address:
Dr. Obehi Aituaje Akoria
Geriatrics Unit, Department of Medicine, University of Benin Teaching Hospital, P. O. Box 5212, Benin City
Nigeria
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DOI: 10.4103/smj.smj_31_17

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Anton–Babinski syndrome (Anton's syndrome) is well described in the scientific literature even though it is a rare neurological condition. Most publications have highlighted the anatomy, neurophysiology, and pathology of visual anosognosia, which is the hallmark of the syndrome. We are not aware of any published report of cortical blindness with Anton's syndrome from Africa. We report a catastrophic complication of severe hypertension in an elderly Nigerian woman who was on follow-up for stroke, chronic heart failure, diabetes mellitus, and glaucoma. She developed bilateral cortical blindness with Anton's syndrome as a complication of severe hypertension, following 3 weeks of missed medications. This report highlights some challenges of tertiary prevention in this elderly woman without health insurance, who before becoming blind, had been largely dependent on family members' goodwill for her medical care.


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