Gerstmann's syndrome associated with chronic subdural haematoma: a case report.
We report a patient who exhibited Gerstmann's syndrome in association with a chronic subdural haematoma. A 71-year-old right-handed woman presented with mild right arm and leg weakness that began 2 weeks prior to admission. Neurological examination on admission revealed a mild right hemiparesis. Neuropsychological examination revealed right-left disorientation, finger agnosia, agraphia, and acalculia, but no language disturbance. A computerized tomographic (CT) scan revealed a large left frontoparietal, extra-axial hypodense fluid collection containing scattered hypodense foci. A left parietal evacuation of the haematoma was performed. Following surgery the patient dramatically improved. We suggest that the direct compression by the chronic subdural haematoma or a hemispheric pressure difference caused Gerstmann's syndrome. This is an unusual report of a Gerstmann's syndrome following chronic subdural haematoma.
Maeshima
S
S
Department of Neurological Surgery, Wakayama Medical College, Japan.
Okumura
Y
Y
Nakai
K
K
Itakura
T
T
Komai
N
N
D000368:Aged; D005260:Female; D007839:Functional Laterality; D005862:Gerstmann Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000523:psychology; D006408:Hematoma, Subdural / Q000150:complications* / Q000000981:diagnostic imaging / Q000523:psychology; D006801:Humans; D009483:Neuropsychological Tests; D011597:Psychomotor Performance; D014057:Tomography, X-Ray Computed