Transient Gerstmann syndrome as manifestation of stroke: Case report and brief literature review

Author:

João Rafael Batista1,Filgueiras Raquel Mattos1,Mussi Marcelo Lucci1,Barros João Eliezer Ferri de1

Affiliation:

1. Hospital Municipal Dr Jose de Carvalho Florence, Brazil

Abstract

ABSTRACT Gerstmann Syndrome (GS) is a rare neurological condition described as a group of cognitive changes corresponding to a tetrad of symptoms comprising agraphia, acalculia, right-left disorientation and finger agnosia. It is known that some specific brain lesions may lead to such findings, particularly when there is impairment of the angular gyrus and adjacent structures. In addition, the possibility of disconnection syndrome should be considered in some cases. The purpose of this article is to report a case of a young, cardiac patient, non-adherent to treatment, who presented with a stroke in which transient clinical symptoms were compatible with the tetrad of GS. The case report is followed by a discussion and brief review of the relevant literature.

Publisher

FapUNIFESP (SciELO)

Subject

Cognitive Neuroscience,Geriatrics and Gerontology,Clinical Neurology,Neurology,Sensory Systems

Reference21 articles.

1. Syndrome of finger agnosia, disorientation for right and left, agraphia and acalculia;Gerstmann J;Arch Neurol Psychiatry,1940

2. A study of finger agnosia;Kinsbourne M;Brain,1962

3. Fingeragnosie. Eine umschriebene Störung der Orientierung am eigenen Körper;Gerstmann J;Wien Klin Wochenschr,1924

4. Fingeragnosie und Agraphie-ein neues Syndrom;Gerstmann J;Arch Psychiatr Nervenkr Z Gesamte Neurol Psychiatr,1927

5. Some observations on apraxia;Mayer-Gross W;Proc R Soc Med,1935

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