Gerstmann Syndrome (Dominant Hemisphere Syndrome; Left Angular Gyrus Syndrome)
General: Most frequently caused by tumors of dominant hemisphe 353c22d re in which the angular gyrus is involved; may follow an ischemic posterior cerebellar artery (PCA) lesion affecting the inferior parietal lobule and resulting in jargon aphasia, dyscalculia, agraphia right-left confusion, constructional dyspraxia, and alexia.
Ocular: Homonymous hemianopsia; visual agnosia for colors.
Clinical: Agraphia (inability to write); finger agnosia; anosognosia; aciculae (difficulties in or inability to perform serial number projects); confusion (mainly between left and right).
Benton AL. Gerstmann's syndrome. Arch Neurol 1992; 49:445-447.
Ca RL. Transient ischemia and brain and ocular infarction. In: Albert DM, Jakobiec FA eds. Principles and Practice of Ophthalmology, vol. IV. Philadelphia: WB Saunders, 1994:2661.
Gerstmann J. Fingeragnosie und Isolierte Agraphie, ein neues Syndrom. Z Neurol Psychiatr 1927; 108:152.
Magalini SI, Scrascia E. Dictionary of Medical Syndromes, 2nd ed. Philadelphia: JB Lippincott, 1981.
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