Gerstmann's syndrome associated with chronic subdural haematoma: a case report

Brain Inj. 1998 Aug;12(8):697-701. doi: 10.1080/026990598122250.

Abstract

We report a patient who exhibited Gerstmann's syndrome in association with a chronic subdural haematoma. A 71-year-old right-handed woman presented with mild right arm and leg weakness that began 2 weeks prior to admission. Neurological examination on admission revealed a mild right hemiparesis. Neuropsychological examination revealed right-left disorientation, finger agnosia, agraphia, and acalculia, but no language disturbance. A computerized tomographic (CT) scan revealed a large left frontoparietal, extra-axial hypodense fluid collection containing scattered hypodense foci. A left parietal evacuation of the haematoma was performed. Following surgery the patient dramatically improved. We suggest that the direct compression by the chronic subdural haematoma or a hemispheric pressure difference caused Gerstmann's syndrome. This is an unusual report of a Gerstmann's syndrome following chronic subdural haematoma.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Female
  • Functional Laterality
  • Gerstmann Syndrome / diagnostic imaging
  • Gerstmann Syndrome / etiology*
  • Gerstmann Syndrome / psychology
  • Hematoma, Subdural / complications*
  • Hematoma, Subdural / diagnostic imaging
  • Hematoma, Subdural / psychology
  • Humans
  • Neuropsychological Tests
  • Psychomotor Performance
  • Tomography, X-Ray Computed