Some evidence on Gerstmann's syndrome: A case study on a variant of the clinical disorder

Autor: Antonio De Tanti, Girolamo Crisi, Claudio Luzzatti, Benedetta Basagni, Francesca Bozzetti, Leonardo Fogassi, Chiara Pinardi, Antonino Errante
Přispěvatelé: Basagni, B, Luzzatti, C, De Tanti, A, Bozzetti, F, Crisi, G, Pinardi, C, Errante, A, Fogassi, L
Jazyk: angličtina
Rok vydání: 2021
Předmět:
medicine.medical_specialty
Autotopoagnosia
Gerstmann Syndrome
Cognitive Neuroscience
Acalculia
Experimental and Cognitive Psychology
Intraparietal sulcus
Audiology
M-PSI/02 - PSICOBIOLOGIA E PSICOLOGIA FISIOLOGICA
050105 experimental psychology
Angular gyrus
03 medical and health sciences
Gerstmann's syndrome
0302 clinical medicine
Arts and Humanities (miscellaneous)
Supramarginal gyrus
Dysgraphia
Parietal Lobe
Developmental and Educational Psychology
medicine
Humans
0501 psychology and cognitive sciences
05 social sciences
Superior longitudinal fasciculus
Neuropsychology
medicine.disease
Magnetic Resonance Imaging
Right-left confusion
Diffusion Tensor Imaging
Neuropsychology and Physiological Psychology
medicine.anatomical_structure
medicine.symptom
Psychology
030217 neurology & neurosurgery
Diffusion MRI
Popis: We describe the case of a bilingual patient with persistent symptoms largely, although not fully, consistent with those that are usually reported in Gerstmann’s syndrome. Twenty months after a spontaneous primary intracranial hemorrhage, the patient was evaluated with a series of neuropsychological tasks and underwent an MRI investigation based on Diffusion Tensor Imaging probabilistic tractography. The patient suffered from dysgraphia (difficulty in the access to the graphemic representation of letter forms), autotopoagnosia (difficulties in locating body parts on verbal command), right–left confusion (difficulties in localizing right and left side of symmetrical body parts), and number processing/calculation impairments (predominant difficulties on transcoding tasks). Probabilistic tractography revealed a relatively spared superior longitudinal fasciculus and severe damage to the subcortical white matter connecting the angular gyrus with other parietal regions, such as the intraparietal sulcus and the supramarginal gyrus. Within the framework of the contemporary cognitive accounts of Gerstmann’s syndrome, the case supports the assumption of an anatomical intraparietal disconnection more than a functional Grundstorung (core impairment).
Databáze: OpenAIRE