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Gerstmann 's syndrome in 2 cases


Chang , physiological reflex is present and normal, pathological reflex was not elicited . Head CT scan : left parietooccipital visible diameter of about 1.0cm × 1.0cm, 1.2cm × 1.2cm two low density , CT value 20Hu, ventricle slightly expanded; brain atlas reports: on the left Parietooccipital low voltage , d -right wave , clinical diagnosis: the left parietal occipital multiple lacunar infarction . After admission by the vasodilators, lipid lowering blood pressure , and promote the comprehensive treatment of brain cell metabolism , were discharged 4 weeks , both sides of the finger agnosia , miscalculation , failure to write resume , verbal fluency , memory improvement. 2 discussion Gerstmann · after parietal lobe syndrome , also known as the lower syndrome, common in the dominant hemisphere parietooccipital hemangioma , trauma or tumors , especially parietooccipital branch middle cerebral artery infarction more common. Parietooccipital branch of middle cerebral artery supply the lateral hemisphere angular gyrus , anterior and posterior parietal lobe . Non- dominant hemisphere dominant hemisphere and the performance of different, only when the dominant hemisphere angular gyrus artery occlusion , the contralateral lesions can occur in Gerstmann 's syndrome Hou groups, finger agnosia are the main symptoms of Gerstmann 's sign . The group mainly related to the main Hou Zheng hemisphere angular gyrus , supramarginal gyrus to the occipital and parietal parts of the lesions in transitional , the main performance of the , 2 cases of this paper are in line with the syndrome. In addition to typical symptoms , and some may appear alexia , apraxia , aphasia and so on. L have read this case or copying obstacles, this is due to the primary side of the parietal lobe lesions around the expansion of the adjacent structure, the result of injury ,[link widoczny dla zalogowanych], while the occipital lobe or the lingual gyrus is also wedge back to the injured , while the opposite side of the quadrant lesions show Blind Non- dominant hemisphere lesions , these symptoms is not obvious.