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Revista Cubana de Medicina

On-line version ISSN 1561-302X

Abstract

RIOL LOZANO, Juan Miguel et al. Whole Gerstmann syndrome. Rev cubana med [online]. 2017, vol.56, n.1, pp. 81-84. ISSN 1561-302X.

Gerstmann syndrome is a rare neurological disease of vascular cause that affects the parietal lobe. The case is reported of a 63-year-old male patient with a personal pathological history of dilated cardiomyopathy. In the morning of January 24, 2016, the patient presented sudden loss of consciousness with a fall to the ground. After recovering, he experienced a confusion state, short-lived topographical disorientation, and difficulty in expressing language and the naming of objects, a reason why his admittance was decided. During the admittance, simple magnetic resonance imaging to the skull was performed, which permitted to observe a hypo-intense image in FLAIR in the left parietal region and that was compatible with an ischemic lesion. A neuropsychological evaluation was performed: digital agnosia, agraphia, acalculia and confusion regarding right or left. A whole Gerstmann syndrome was diagnosed.

Keywords : Gerstmann syndrome; finger agnosia; confusion; agraphia; acalculia.

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