Anton–Babinski syndrome is a rare neuropsychiatric condition characterized by cortical blindness, visual anosognosia (denial of blindness), and confabulation resulting from bilateral occipital lobe damage despite preserved anterior visual pathways. We report a 75-year-old female who presented with sudden, painless bilateral visual loss of 6 days’ duration, accompanied by confusion and persistent denial of visual impairment. Ophthalmic evaluation revealed severe visual loss with preserved pupillary reflexes and no ocular pathology explaining the deficit, although fundus examination showed features of hypertensive retinopathy. Neuroimaging demonstrated bilateral occipital lobe infarcts, and cognitive assessment revealed slowing with disorientation. Based on the clinical findings and imaging, a diagnosis of Anton–Babinski syndrome secondary to bilateral posterior circulation infarction was established. This case highlights the importance of considering Anton–Babinski syndrome in elderly patients presenting with acute bilateral visual loss, intact pupillary reflexes, and denial of blindness, as early recognition can prevent misdiagnosis and facilitate timely neurological management and rehabilitation.
Patil et al. (2026) studied this question.