Gerstmanns Syndrome

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Gerstmanns Syndrome

What are the features of Gerstmanns syndrome and where is the lesion responsible for it? 

Gerstmanns syndrome is characterized by four primary symptoms: acalculia, agraphia or dysgraphia, an inability to identify fingers (finger agnosia), and right–left confusion.

These occur in the absence of additional language deficits. 

The underlying lesion includes the angular gyrus in the dominant hemisphere.

A pure Gerstmanns syndrome is rare: more commonly, it is associated with aphasia and/or other parietal lobe symptoms.

Sources

Barton JS: Disorders of color and object recognition: syndromes of the ventral occipitotemporal pathway. Continuum Lifelong Learning Neurol 16(4):111-127, 2010. Bradshaw JL, Mattingley JB: Clinical neuropsychology . San Diego: Academic Press, 1995. Brazis PW, Masdeu JC, Biller J: Localization in clinical neurology, ed 6. Philadelphia: Lippincott Williams & Wilkins, 2011. Damasio A, Tranel D, Rizzo M: Disorders of complex visual processing. In Mesulam MM (ed): Principles of behavioral and cognitive neurology, ed 2. New York: Oxford University Press, 2000, pp. 294-315. Dobbins IG, Davachi L: Functional neuroimaging of episodic memory. In Cabeza R, Kingstone A (eds): Handbook of functional neuroimaging of cognition , ed 2. Cambridge, MA: MIT Press, 2006. Feinberg TE, Farah MJ: Behavioral neurology and neuropsychology , ed 2 New York: McGraw-Hill, 2003. Heilman KM, Valenstein E (eds): Clinical neuropsychology, ed 5. New York: Oxford University Press, 2011. Topographagnosia : Grusser OJ, Landis T: Visual agnosias and other disturbances of visual perception and cognition. London: Macmillan, 1991. Kanwisher N, Downing P, Epstein R, Kourtzi Z: Functional neuroimaging of visual cognition. In Cabeza R, Kingstone A (eds): Handbook of functional neuroimaging of cognition . Cambridge, MA: MIT Press, 2001. Prosopagnosia : Kanwisher N, Downing P, Epstein R, Kourtzi Z: Functional neuroimaging of visual recognition. In Cabeza R, Kingstone A (eds): Handbook of functional neuroimaging of cognition . Cambridge, MA: MIT Press, 2001. Feinberg TE, Farah MJ: Behavioral neurology and neuropsychology , ed 2 New York: McGraw-Hill, 2003.

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