{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T17:53:18Z","timestamp":1777312398601,"version":"3.51.4"},"reference-count":42,"publisher":"Hamad bin Khalifa University Press (HBKU Press)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025]]},"abstract":"\n Background:<\/jats:bold>\n Parinaud syndrome is a rare condition that can arise as a consequence of strokes, hemorrhages, and neoplasms. Due to the debilitating after-effects of this condition, such as functional dependency, a high risk of falls, decreased mobility, and increased caregiver burden, immediate and holistic intervention is essential.\n <\/jats:p>\n \n Case presentation:<\/jats:bold>\n A 40-year-old male patient presented with Parinaud syndrome following an episode of stroke. Physical examination on admission revealed self-care dependence, limited mobility and upper limb function, limited visual fields, and reduced therapy tolerance.\n <\/jats:p>\n \n Discussion:<\/jats:bold>\n The patient was treated with belay glasses, an innovative strategy, to assess functional changes. This intervention resulted in notable improvements in overall function, contributing to greater independence in daily activities. Standardized assessments indicated improvements in self -care, mobility, and hand function. The use of belay glasses not only increased visual function but also facilitated overall functional gain.\n <\/jats:p>\n \n Conclusion:<\/jats:bold>\n Parinaud syndrome is an unusual condition that can arise following a stroke or brain trauma. This case report aimed to explore the functional gain of a patient diagnosed with Parinaud syndrome during an 8-week rehabilitation program, using a multidisciplinary approach and the application of prism glasses. Clinically significant differences were observed using belay glasses, representing an innovative intervention strategy.\n <\/jats:p>","DOI":"10.5339\/qmj.2025.30","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T03:30:26Z","timestamp":1745206226000},"source":"Crossref","is-referenced-by-count":0,"title":["Innovative rehabilitation intervention in a young stroke patient with Parinaud syndrome: A case report"],"prefix":"10.5339","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8483-7347","authenticated-orcid":true,"given":"Thajus","family":"Asirvatham","sequence":"first","affiliation":[{"name":"Department of Occupational Therapy, Qatar Rehabilitation Institute, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay","family":"Boppana","sequence":"additional","affiliation":[{"name":"Qatar Rehabilitation Institute, Hamad Medical Corporation, Doha, Qatar*Correspondence: Thajus Asirvatham. Email: TAsirvatham@hamad.qa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Premraj","family":"Issac Chandran","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Qatar Rehabilitation Institute, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6450-1963","authenticated-orcid":true,"given":"Muhaiadeen","family":"Sheik Abubacker Jamaludeen","sequence":"additional","affiliation":[{"name":"Qatar Rehabilitation Institute, Hamad Medical Corporation, Doha, Qatar*Correspondence: Thajus Asirvatham. Email: TAsirvatham@hamad.qa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3277","reference":[{"issue":"(3):","key":"CIT0001","series-title":"NeuroRehabilitation","first-page":"237\u201342","article-title":"Vision examination of TBI patients in an acute rehabilitation hospital","volume":"27","author":"Cilo\n \nM\n,","year":"2010;"},{"issue":"(4):","key":"CIT0002","series-title":"Acta Neurol Scand","first-page":"310\u201321","article-title":"A pilot randomized controlled trial comparing effectiveness of prism glasses, visual search training and standard care in hemianopia","volume":"136","author":"Rowe\n \nFJ\n,","year":"2016"},{"issue":"8:","key":"CIT0003","series-title":"Health Qual Life Outcomes","first-page":"33","article-title":"Vision-related quality of life in first stroke patients with homonymous visual field defects","author":"Gall\n \nC\n,","year":"2010"},{"key":"CIT0004","series-title":"StatPearls Publishing","article-title":"Parinaud syndrome [online]. Nih.gov","author":"Feroze\n \nKB\n,","year":"2019"},{"issue":"(5):","key":"CIT0005","series-title":"J Neurosurg Pediatr","first-page":"558\u201363","article-title":"Ophthalmological outcomes of patients treated for pineal region tumors","volume":"17","author":"Hankinson\n \nEV\n,","year":"2016"},{"issue":"(5):","key":"CIT0006","series-title":"Can J Ophthalmol","first-page":"445\u20136","article-title":"Primary central nervous system lymphoma presenting as Parinaud syndrome","volume":"46","author":"Cheung\n \nT\n,","year":"2011"},{"issue":"(1):","key":"CIT0007","series-title":"Delta J Ophthalmol","first-page":"56\u20139","article-title":"A rare case of Parinaud syndrome with astasia","volume":"23","author":"Gupta\n \nA\n,","year":"2022"},{"issue":"(12):","key":"CIT0008","series-title":"J Phys Ther Sci","first-page":"3941\u20133","article-title":"The effects of prism glasses and intensive upper limb exercise on hemineglect, upper limb function, and activities of daily living in stroke patients: a case series","volume":"27","author":"Oh\n \nSI\n,","year":"2015"},{"issue":"(75)(1):","key":"CIT0009","series-title":"J Educ Sci Psychol","first-page":"131\u20138","article-title":"Application of strobe training as motor-cognitive strategy in sport climbing","volume":"13","author":"Vasile\n \nAI\n,","year":"2023"},{"issue":"(6):","key":"CIT0010","series-title":"Technol Health Care","first-page":"1\u20139","article-title":"Effects of Fresnel prism glasses on balance and gait in stroke patients with hemiplegia: a randomized controlled trial pilot study","volume":"28","author":"Ha\n \nSY\n,","year":"2020"},{"issue":"(1):","key":"CIT0011","series-title":"Disabil Rehabil","first-page":"10\u20134","article-title":"The Functional independence measure: a comparative validity and reliability study","volume":"17","author":"Kidd\n \nD\n,","year":"1995"},{"issue":"(1):","key":"CIT0012","series-title":"Int J Rehabil Res","first-page":"59\u201364","article-title":"U. 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Klinische Monatsbl\u00e4tter f\u00fcr","volume":"238","author":"Eppenberger\n \nLS\n,","year":"2021"},{"issue":"(3):","key":"CIT0001","series-title":"NeuroRehabilitation","first-page":"237\u201342","article-title":"Vision examination of TBI patients in an acute rehabilitation hospital","volume":"27","author":"Cilo\n \nM\n,","year":"2010;"},{"issue":"(4):","key":"CIT0002","series-title":"Acta Neurol Scand","first-page":"310\u201321","article-title":"A pilot randomized controlled trial comparing effectiveness of prism glasses, visual search training and standard care in hemianopia","volume":"136","author":"Rowe\n \nFJ\n,","year":"2016"},{"issue":"8:","key":"CIT0003","series-title":"Health Qual Life Outcomes","first-page":"33","article-title":"Vision-related quality of life in first stroke patients with homonymous visual field defects","author":"Gall\n \nC\n,","year":"2010"},{"key":"CIT0004","series-title":"StatPearls Publishing","article-title":"Parinaud syndrome [online]. Nih.gov","author":"Feroze\n \nKB\n,","year":"2019"},{"issue":"(5):","key":"CIT0005","series-title":"J Neurosurg Pediatr","first-page":"558\u201363","article-title":"Ophthalmological outcomes of patients treated for pineal region tumors","volume":"17","author":"Hankinson\n \nEV\n,","year":"2016"},{"issue":"(5):","key":"CIT0006","series-title":"Can J Ophthalmol","first-page":"445\u20136","article-title":"Primary central nervous system lymphoma presenting as Parinaud syndrome","volume":"46","author":"Cheung\n \nT\n,","year":"2011"},{"issue":"(1):","key":"CIT0007","series-title":"Delta J Ophthalmol","first-page":"56\u20139","article-title":"A rare case of Parinaud syndrome with astasia","volume":"23","author":"Gupta\n \nA\n,","year":"2022"},{"issue":"(12):","key":"CIT0008","series-title":"J Phys Ther Sci","first-page":"3941\u20133","article-title":"The effects of prism glasses and intensive upper limb exercise on hemineglect, upper limb function, and activities of daily living in stroke patients: a case series","volume":"27","author":"Oh\n \nSI\n,","year":"2015"},{"issue":"(75)(1):","key":"CIT0009","series-title":"J Educ Sci Psychol","first-page":"131\u20138","article-title":"Application of strobe training as motor-cognitive strategy in sport climbing","volume":"13","author":"Vasile\n \nAI\n,","year":"2023"},{"issue":"(6):","key":"CIT0010","series-title":"Technol Health Care","first-page":"1\u20139","article-title":"Effects of Fresnel prism glasses on balance and gait in stroke patients with hemiplegia: a randomized controlled trial pilot study","volume":"28","author":"Ha\n \nSY\n,","year":"2020"},{"issue":"(1):","key":"CIT0011","series-title":"Disabil Rehabil","first-page":"10\u20134","article-title":"The Functional independence measure: a comparative validity and reliability study","volume":"17","author":"Kidd\n \nD\n,","year":"1995"},{"issue":"(1):","key":"CIT0012","series-title":"Int J Rehabil Res","first-page":"59\u201364","article-title":"U. Inter-rater reliability of the Modified Ashworth Scale and modified Modified Ashworth Scale in assessing poststroke elbow flexor spasticity","volume":"34","author":"Kaya\n \nT\n,","year":"2011"},{"issue":"(1):","key":"CIT0013","series-title":"Neurorehabil Neural Repair","first-page":"78\u201390","article-title":"A standardized approach to performing the action research arm test","volume":"22","author":"Yozbatiran\n \nN\n,","year":"2007"},{"issue":"11:","key":"CIT0014","series-title":"Swiss Med Wkly","first-page":"142:w13688","article-title":"Sport climbing from a medical point of view","author":"Schweizer\n \nA","year":"2012"},{"key":"CIT0015"},{"issue":"(4):","key":"CIT0016","series-title":"Neuron","first-page":"577\u201385","article-title":"Experience-dependent plasticity in adult visual cortex","volume":"52","author":"Karmarkar\n \nUR\n,","year":"2006"},{"issue":"(1):","key":"CIT0017","series-title":"Balneo PRM Res J","first-page":"487","article-title":"Case report and related comments in a relatively young male patient with right hemiplegia after left thalamo-mesencephalic hemorrhage and a consequent Parinaud syndrome \u2013 interdisciplinary therapeutic \u2013 rehabilitative approach","volume":"13","author":"Sp\u00eenu\n \nA\n,","year":"2022"},{"issue":"(10):","key":"CIT0018","series-title":"Neurology","first-page":"1597\u20139","article-title":"Fresnel prisms improve visual perception in stroke patients with homonymous hemianopia or unilateral visual neglect","volume":"40","author":"Rossi\n \nPW\n,","year":"1990"},{"issue":"(6):","key":"CIT0019","series-title":"Age Ageing","first-page":"560\u20135","article-title":"Improving outcome in stroke patients with visual problems","volume":"35","author":"Jones\n \nSA\n,","year":"2006"},{"issue":"(7):","key":"CIT0020","series-title":"BMJ Open","first-page":"e005885\u20135","article-title":"A randomised controlled trial to compare the clinical and cost-effectiveness of prism glasses, visual search training and standard care in patients with hemianopia following stroke: a protocol","volume":"4","author":"Rowe\n \nFJ\n,","year":"2014"},{"issue":"(04):","key":"CIT0021","series-title":"Augenheilkunde","first-page":"474\u20137","article-title":"Prismen zur Blickverlagerung und Schielkorrektur bei Augenmotilit\u00e4tsst\u00f6rungen und Kopfzwangshaltung. 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