title: [Ictal Gerstmann's syndrome in a patient with symptomatic parietal lobe epilepsy].
abstract: A 34-year-old man with astrocytoma in the left parietal lobe had symptomatic partial epilepsy, and he presented transient episodes of acalculia, agraphia and finger agnosia. Occasionally he had difficulty in finding appropriate letters when making an e-mail, and difficulty in writing and calculation. Neurological examinations revealed ictal symptoms of Gerstmann's syndrome without right to left disorientation. No other higher cortical dysfunction or neurological deficits were noted. Scalp EEGs showed frequent, regional ictal discharges in the left parietal area lasting for 60-240 seconds. These clinico-electrographical observations strongly support that epileptic seizures produced a loss of cortical higher function manifesting Gerstmann's syndrome.
authors.affiliation: Department of Neurology, Graduate School of Medicine, Kyoto University.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Shimotake
authors.forename: Youshi
authors.initials: Y
authors.lastname: Fujita
authors.forename: Akio
authors.initials: A
authors.lastname: Ikeda
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Tomimoto
authors.forename: Jun
authors.initials: J
authors.lastname: Takahashi
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Takahashi
mesh_terms: D000328:Adult; D001254:Astrocytoma / Q000150:complications; D001932:Brain Neoplasms / Q000150:complications; D004569:Electroencephalography; D017029:Epilepsy, Complex Partial / Q000150:complications* / Q000175:diagnosis; D005862:Gerstmann Syndrome / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male