[Clinical analysis of 7 patients with Gerstmann syndrome secondary to cerebral vascular disease].
OBJECTIVE
To analyze clinical features of patients with Gerstmann syndrome (GS).


METHODS
We retrospectively analysed the clinical manifestations of 7 patients (6 men and 1 woman) with GS secondary to cerebral vascular diseases and reviewed the literatures.


RESULTS
The age ranged from 51 to 70 years with a mean of 70 years. They all had sudden onset and the tetrad of GS-finger agnosia, left-right disorientation, agraphia and acalculia, 3 patients accompanied by incomplete aphasia, 3 by anomic aphasia, 2 by alexia and 1 by constructional apraxia. Cranial computed tomographic scan showed low-density focus of the left parietal lobe in 6 cases and high-density focus of the left parietal lobe in 1 case.


CONCLUSIONS
GS has the high value in localization and the lesion is mainly localized to angular gyrus of the dominant hemisphere.
Zhou
Xiang-qin
XQ
Department of Neurology, PUMC Hospital, CAMS, PUMC, Beijing 100730, China.
He
Rui
R
Liu
Zhi
Z
Wang
Chang-qing
CQ
D000368:Aged; D000369:Aged, 80 and over; D002544:Cerebral Infarction / Q000150:complications*; D005260:Female; D005862:Gerstmann Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed