Dement Neurocogn Disord.  2013 Dec;12(4):114-118. 10.12779/dnd.2013.12.4.114.

Clinical Progress of Gerstmann's Syndrome with Left Frontal Lobe Lesion: Two Cases

• Lee H
• Park HS
• Kim M
• Lee Y
• Chin J
• Kim YH

• KMID: 1797944
• DOI: http://doi.org/10.12779/dnd.2013.12.4.114

Abstract

Gerstmann's syndrome, assigned to a lesion of the dominant parietal lobe, is a neurological disorder characterized by acalculia, agraphia, right-left disorientation and finger agnosia. Some studies report that these symptoms are also shown in other brain lesions. We report two patients who presented with this tetrad of symptoms in initial assessment. Their Brain MRI images both showed lesion of left frontal lobe. Over time, these symptoms became better but some still remained in last assessment. Accordingly, we suggest that a left frontal lesion cause Gerstmann's syndrome.

Keyword

Gerstmann's syndrome; Left frontal lobe; Left parietal lobe

MeSH Terms

Agnosia
Agraphia
Brain
Dyscalculia
Frontal Lobe*
Gerstmann Syndrome*
Humans
Magnetic Resonance Imaging
Nervous System Diseases
Parietal Lobe

Figure

• 

  Fig. 1 Brain MRI of a 51 years old male. Brain MRI showed hemorrhagic transformation after acute left MCA infarction involved in left middle frontal gyrus, inferior frontal gyrus and basal ganglia. (A) Diffuse weighted image. (B) T2 FLAIR.

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  Fig. 2 Brain MRI of a 29 years old female. Brain MRI showed an inflitrative glioma involved in left frontal lobe white matter, inferior frontal gyrus, pars opercularis, pars triangularis and insula. And there is hemorrage in left basal ganglia and subcortical area.

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