Clinical analysis of 7 patients with Gerstmann syndrome secondary to cerebral vascular disease.
- Author:
Xiang-qin ZHOU
1
;
Rui HE
;
Zhi LIU
;
Chang-qing WANG
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Aged, 80 and over; Cerebral Infarction; complications; Female; Gerstmann Syndrome; diagnosis; diagnostic imaging; etiology; Humans; Male; Middle Aged; Retrospective Studies; Tomography, X-Ray Computed
- From: Acta Academiae Medicinae Sinicae 2002;24(5):510-511
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo analyze clinical features of patients with Gerstmann syndrome (GS).
METHODSWe retrospectively analysed the clinical manifestations of 7 patients (6 men and 1 woman) with GS secondary to cerebral vascular diseases and reviewed the literatures.
RESULTSThe age ranged from 51 to 70 years with a mean of 70 years. They all had sudden onset and the tetrad of GS-finger agnosia, left-right disorientation, agraphia and acalculia, 3 patients accompanied by incomplete aphasia, 3 by anomic aphasia, 2 by alexia and 1 by constructional apraxia. Cranial computed tomographic scan showed low-density focus of the left parietal lobe in 6 cases and high-density focus of the left parietal lobe in 1 case.
CONCLUSIONGS has the high value in localization and the lesion is mainly localized to angular gyrus of the dominant hemisphere.