Dementia and Neurocognitive Disorders (대한치매학회지)

Korean Dementia Association (대한치매학회)
권호 표지

A Case of Gerstmann's Syndrome due to Left Frontal Operculuar Infarction

왼쪽 전두판개 병변으로 발생된 거스트만 증후군 1예

  • Kang, Hyun-Soek (Department of Neurology, Bundang Jesaeng General Hospital) ;
  • Kim, Sook-Hui (Department of Neurology, Konkuk University Medical Center) ;
  • Kim, Young-Jin (Department of Neurology, Konkuk University Medical Center) ;
  • Han, Seol-Heui (Department of Neurology, Konkuk University Medical Center)
  • 강현석 (분당제생병원 신경과) ;
  • 김숙희 (건국대학교병원 신경과) ;
  • 김영진 (건국대학교병원 신경과) ;
  • 한설희 (건국대학교병원 신경과)
  • Published : 2011.12.31
⟨ Previous Next ⟩

Abstract

A 78-year-old woman showed signs of left-right disorientation, finger agnosia, acalculia, and agraphia. Brain MRI revealed ischemic lesion of left frontal operculum. The lesion in the left angular gyrus causes Gerstmann's syndrome, however, there are reports suggesting that lesions in some other areas of brain are responsible for Gerstmann's syndrome. We describe a Gerstmann's syndrome derived from a lesion in the left frontal operculum, which may have different mechanisms from the ones caused by lesion in left angular gyrus.

Keywords

References

  1. Gerstmann J. Zur Symptomatologie der Hirläsionen im Uebergangsgebiet der unteren Parietal-und mittleren Occipitalwindung. Nervenarzt 1930; 3: 691-5.
  2. Benton AL. Gerstmann's syndrome. Arch Neuro 1992; 49: 445-7. https://doi.org/10.1001/archneur.1992.00530290027007
  3. Kwak YT. The homogeneity of phenomenology of Gerstmann syndrome: The Study in Patients with Alzheimer's Disease. J Korean Neurol Assoc 2004; 22: 29-33.
  4. Ando Y, Sawada M, Morita M, Kawamura M, Nakano I. Incomplete Gerstmann syndrome with a cerebral infarct in the left middle frontal gyrus. Rinsho Shinkeigaku 2009; 49: 560-5. https://doi.org/10.5692/clinicalneurol.49.560
  5. Aiko O, Shinichiro M. Gerstmann's syndrome in a patient with left thalamic Hemorrhage. Neurology Asia 2009; 14: 161-4.
  6. Maeshima S, Okumura Y, Nakai K, Itakura T, Komai N. Gerstmann's syndrome associatied with Chronic subdural haematoma. Brain Inj 1998; 12: 697-701. https://doi.org/10.1080/026990598122250
  7. Roeltgen DP, Sevush S, Heilman KM. Pure Gerstmann's syndrome from a focal lesion. Arch Neurol 1983; 40: 46-7. https://doi.org/10.1001/archneur.1983.04050010066019
  8. Lubrano V, Roux FE, Demonet JF. Writing-specific sites in frontal areas: a cortical stimulation Study. J Neurosurg 2004; 101: 787-98. https://doi.org/10.3171/jns.2004.101.5.0787
  9. Takashi H, Manabu H, Tomohisa O, Hidenao F, Hiroshi S. Neural correlates underlying mental calculation in abacus experts: a functional magnetic Resonance imaging study. Neuroimage 2003; 19: 293-307.