Acute parietal lobe infarction presenting as Gerstmann's syndrome and cognitive decline mimicking senile dementia.

Abstract:

:Gerstmann's syndrome encompasses the tetrad of finger agnosia, agraphia, acalculia, and right-left confusion. An elderly man with a history of several cardiovascular diseases was initially brought to the psychiatric outpatient department by his family because of worsening of recent memory, executive function, and mixed anxious-depressive mood. Gerstmann's syndrome without obvious motor function impairment and dementia-like features could be observed at first. Emergent brain computed tomography scan revealed new left-middle cerebral artery infarction over the left posterior parietal lobe. This case reminds us that acute cerebral infarction involving the parietal lobe may present as Gerstmann's syndrome accompanied by cognitive decline mimicking dementia. As a result, emergent organic workups should be arranged, especially for elderly patients at high risk for cerebral vascular accident.

authors

Chen TY,Chen CY,Yen CH,Kuo SC,Yeh YW,Chang S,Huang SY

doi

10.2147/NDT.S43527

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

937-40

eissn

1176-6328

issn

1178-2021

pii

ndt-9-937

journal_volume

9

pub_type

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