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Transient Gerstmann syndrome as manifestation of stroke: Case report and brief literature review

2017; Associação Neurologia Cognitiva e do Comportamento; Volume: 11; Issue: 2 Linguagem: Inglês

10.1590/1980-57642016dn11-020013

1980-5764

Rafael Batista João, Raquel Mattos Filgueiras, Marcelo Lucci Mussi, João Eliezer Ferri de Barros,

Hemispheric Asymmetry in Neuroscience

ABSTRACT Gerstmann Syndrome (GS) is a rare neurological condition described as a group of cognitive changes corresponding to a tetrad of symptoms comprising agraphia, acalculia, right-left disorientation and finger agnosia. It is known that some specific brain lesions may lead to such findings, particularly when there is impairment of the angular gyrus and adjacent structures. In addition, the possibility of disconnection syndrome should be considered in some cases. The purpose of this article is to report a case of a young, cardiac patient, non-adherent to treatment, who presented with a stroke in which transient clinical symptoms were compatible with the tetrad of GS. The case report is followed by a discussion and brief review of the relevant literature.