Gerstmann’s syndrome in a patient with left thalamic hemorrhage
- Author:
Aiko Osawa
;
Shinichiro Maeshima
- Publication Type:Case Reports
- From:Neurology Asia
2009;14(2):161-164
- CountryMalaysia
- Language:English
-
Abstract:
A 78-year-old right-handed man presented with mild right hemiplegia and impaired deep sensation
on his right side. He had no aphasia, but showed Gerstmann’s syndrome which is characterized by
four primary symptoms: fi nger agnosia, right-left disorientation, agraphia, and acalculia. A cranial CT
revealed hemorrhagic lesions in the left thalamus, and single photon emission CT showed decreased
regional cerebral blood fl ow in the superior portion of the left temporoparietal lobe, especially angular
gyrus area. It is infered that in this case, corticofugal fi bers from the thalamus to the parietal lobe had
been damaged by hemorrhage, secondarily causing decreased function of the cerebral cortex.
- Full text:P020150902322831293038.pdf