Gerstmann syndrome in a young man: a case report

Gerstmann syndrome is a classical cerebral syndrome in neurology, named after Joseph Gerstmann, a Jewish Austrian-born American neurologist. Patients present with a tetrad of cognitive symptoms, including agraphia, acalculia, finger agnosia and left-right disorientation. The syndrome is known to res...

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Main Authors: Iv. Dimitrov, S. Atanasova, A. Kaprelyan, B. Ivanov, V. Nestorova, K. Drenska, Zh. Chuperkova, Iv. Aleksandrov
Format: Article
Language:English
Published: Trakia University 2018-09-01
Series:Trakia Journal of Sciences
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Online Access:http://tru.uni-sz.bg/tsj/Vol.16,%20N%203,%202018/Iv.Dimitrov.pdf
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author Iv. Dimitrov
S. Atanasova
A. Kaprelyan
B. Ivanov
V. Nestorova
K. Drenska
Zh. Chuperkova
Iv. Aleksandrov
author_facet Iv. Dimitrov
S. Atanasova
A. Kaprelyan
B. Ivanov
V. Nestorova
K. Drenska
Zh. Chuperkova
Iv. Aleksandrov
author_sort Iv. Dimitrov
collection DOAJ
description Gerstmann syndrome is a classical cerebral syndrome in neurology, named after Joseph Gerstmann, a Jewish Austrian-born American neurologist. Patients present with a tetrad of cognitive symptoms, including agraphia, acalculia, finger agnosia and left-right disorientation. The syndrome is known to result from a lesion of the posterior portion of the dominant parietal lobe and is usually due to stroke or to developmental problems. We describe the case of a 35-year-old man whose illness debuted about 9 months before the initial presentation to the neurology clinic, with memory complaints, anxiety, verbal aggression, sleeping problems, as well as subjective word finding difficulty and depressed mood. The patient had 3 out of the 4 classic symptoms of Gerstmann syndrome, among other, mostly neuropsychiatric symptoms. Initially, structural lesions were sought for, but were not found on magnetic resonance imaging. Psychiatric conditions were discussed but not confirmed by the consulting psychiatrist. We are prone to accepting a non-organic reason for the condition of the patient, but follow-up of the clinical course and repeated assessments, including neuropsychological and psychiatric evaluations, structural and possibly functional neuroimaging will be required to verify and confirm this presumption.
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spelling doaj-art-c16a8a56371642cda5290cf8dee2b4fc2025-08-20T02:54:54ZengTrakia UniversityTrakia Journal of Sciences1312-17231313-35512018-09-0116323924110.15547/tjs.2018.03.011Gerstmann syndrome in a young man: a case reportIv. DimitrovS. AtanasovaA. KaprelyanB. IvanovV. NestorovaK. DrenskaZh. ChuperkovaIv. AleksandrovGerstmann syndrome is a classical cerebral syndrome in neurology, named after Joseph Gerstmann, a Jewish Austrian-born American neurologist. Patients present with a tetrad of cognitive symptoms, including agraphia, acalculia, finger agnosia and left-right disorientation. The syndrome is known to result from a lesion of the posterior portion of the dominant parietal lobe and is usually due to stroke or to developmental problems. We describe the case of a 35-year-old man whose illness debuted about 9 months before the initial presentation to the neurology clinic, with memory complaints, anxiety, verbal aggression, sleeping problems, as well as subjective word finding difficulty and depressed mood. The patient had 3 out of the 4 classic symptoms of Gerstmann syndrome, among other, mostly neuropsychiatric symptoms. Initially, structural lesions were sought for, but were not found on magnetic resonance imaging. Psychiatric conditions were discussed but not confirmed by the consulting psychiatrist. We are prone to accepting a non-organic reason for the condition of the patient, but follow-up of the clinical course and repeated assessments, including neuropsychological and psychiatric evaluations, structural and possibly functional neuroimaging will be required to verify and confirm this presumption.http://tru.uni-sz.bg/tsj/Vol.16,%20N%203,%202018/Iv.Dimitrov.pdfGerstmann syndromeagraphiaacalculiafinger agnosialeft-right disorientation
spellingShingle Iv. Dimitrov
S. Atanasova
A. Kaprelyan
B. Ivanov
V. Nestorova
K. Drenska
Zh. Chuperkova
Iv. Aleksandrov
Gerstmann syndrome in a young man: a case report
Trakia Journal of Sciences
Gerstmann syndrome
agraphia
acalculia
finger agnosia
left-right disorientation
title Gerstmann syndrome in a young man: a case report
title_full Gerstmann syndrome in a young man: a case report
title_fullStr Gerstmann syndrome in a young man: a case report
title_full_unstemmed Gerstmann syndrome in a young man: a case report
title_short Gerstmann syndrome in a young man: a case report
title_sort gerstmann syndrome in a young man a case report
topic Gerstmann syndrome
agraphia
acalculia
finger agnosia
left-right disorientation
url http://tru.uni-sz.bg/tsj/Vol.16,%20N%203,%202018/Iv.Dimitrov.pdf
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AT bivanov gerstmannsyndromeinayoungmanacasereport
AT vnestorova gerstmannsyndromeinayoungmanacasereport
AT kdrenska gerstmannsyndromeinayoungmanacasereport
AT zhchuperkova gerstmannsyndromeinayoungmanacasereport
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