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- W109968649 abstract "Histoire d'un malade qui présenta une thrombose de la carotide interne gauche et une sténose de la carotide interne droite. Au stade initial, hémiplégie droite, hémiparésie gauche, troubles du langage, et fixité du regard. Bonne récupération des troubles moteurs et des troubles du langage, mais persistance d'agnosie spatiale (méconnaissance droite-gauche, perte de la mémoire topographique, troubles de la perception de l'espace, profondeur en particulier), de troubles oculo-moteurs (impossibilité de diriger volontairement le regard, de suivre une cible, de converger) sans contexte d'agnosie visuelle. Mise en évidence électro-oculographique des difficultés oculo-motrices, de la persistance des mouvements des yeux lors de la phase onirique du sommeil. Discussion physio-pathologique: pas de troubles sensoriels ou moteurs fondamentaux, mais difficultés à moduler l'afférentation visuelle en passant de la perception maculaire à la perception périphérique et vice-versa. Constatations anatomiques: lésions bilatérales en “cimier de casque” à la jonction des territoires des cérébrales antérieures, moyennes et postérieures, prédominant dans les aires pariéto-occipitales. Discussion nosologique évoquant les hypothesès d'une fixation spasmodique, d'une apraxie du regard, d'un syndrome de Balint. Ce cas est plus proche du syndrome décrit par Gordon Holmes. Story of a patient who suffered from a left internal carotid thrombosis and a right internal carotid stenosis. At the initial stage, right hemiplegia, left hemiparesis, disorders of language, and fixity of gaze were present. Good recovery of the motor disturbances and of the language difficulties, but persistence of a spatial agnosia (right-left disorientation, loss of topographic memory, disorders of spatial perception — of depth perception in particular), of oculomotor disturbances (inability to direct the gaze, to follow a moving target, to converge) without visual agnosia. An electro-oculographic study of the oculomotor troubles and of the persistence of normal rapid eye movements during the oniric phase of sleep was carried out. Physiological discussion: no basic sensory or motor defects, but difficulties to modulate the visual afferentation by transitions between peripheric and macular perception. Anatomical data: bilateral lesions “en cimier de casque” at the boundaries of the territories of anterior, middle and posterior cerebral arteries, predominant in the parieto-occipital areas. Nosological discussion with the hypothesis of a spasmodic fixation, an apraxia of gaze, a Balint's syndrome. This case would better be called a case of Gordon Holmes's syndrome." @default.
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- W109968649 title "Trouble de L'Orientation Visuelle Dans Les Trois Dimensions de L'Espace" @default.
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