Right parietal stroke with Gerstmann's syndrome. Appearance on computed tomography, magnetic resonance imaging, and single-photon emission computed tomography

Arch Neurol. 1991 Apr;48(4):432-5. doi: 10.1001/archneur.1991.00530160102023.

Abstract

We examined a patient who exhibited Gerstmann's syndrome (left-right disorientation, finger agnosia, dyscalculia, and dysgraphia) in association with a perioperative stroke in the right parietal lobe. This is the first description of the Gerstmann tetrad occurring in the setting of discrete right hemisphere pathologic findings. A well-localized vascular lesion was demonstrated by computed tomography, magnetic resonance imaging, and single-photon emission computed tomographic studies. The patient had clinical evidence of reversed functional cerebral dominance and radiologic evidence of reversed anatomic cerebral asymmetries.

Publication types

  • Case Reports

MeSH terms

  • Cerebrovascular Disorders / complications*
  • Cerebrovascular Disorders / diagnosis
  • Cerebrovascular Disorders / metabolism
  • Cerebrovascular Disorders / pathology
  • Female
  • Gerstmann Syndrome / complications*
  • Gerstmann Syndrome / diagnosis
  • Gerstmann Syndrome / metabolism
  • Gerstmann Syndrome / pathology
  • Humans
  • Magnetic Resonance Imaging
  • Middle Aged
  • Parietal Lobe*
  • Tomography, Emission-Computed, Single-Photon
  • Tomography, X-Ray Computed