Bilateral Occipital Infarction Presenting as Anton-Babinski Syndrome and Charles Bonnet Syndrome

Anton-Babinski syndrome describes visual anosognosia, asomatognosia and confabulation in patients presenting after non-dominant brain injury most often secondary to stroke or in some cases head injury. We present a case of a 67 YO gentleman who had a history of left occipital stroke, who presented with diffuse headache of four days’ duration. CT scan head and MRI of brain showed an acute onset right ischemic occipital infarction and an old left occipital infarction he suffered a year prior to current presentation. Patient was witnessed to be hallucinating and confabulating during his admission. Charles Bonnet syndrome describes visual hallucinations observed in patients presenting with blindness. Various theories, which we will discuss, have been proposed to explain the reason behind the symptoms seen in Anton-Babinski and Charles Bonnet syndrome. We believe this a rare case of Anton-Babinski and Charles Bonnet syndrome presenting in one patient after having suffered infarction to both occipital lobes.