Secondary Gerstmann syndrome, a case report
Introduction Gerstmann syndrome is a rare neurological disorder that consist primarily of 4 neuropsychological signs that include acalculia (impairment in performing calcultaions), digital agnosia (dificulty discriminating their own fingers), agraphia (impairment or dificulty to write by hand); and...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822012159/type/journal_article |
| _version_ | 1797616989132292096 |
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| author | A.L. Orozco Aguirre M. Marín Valdovino M.A. Ruíz Santos A.M. González Meléndez |
| author_facet | A.L. Orozco Aguirre M. Marín Valdovino M.A. Ruíz Santos A.M. González Meléndez |
| author_sort | A.L. Orozco Aguirre |
| collection | DOAJ |
| description |
Introduction
Gerstmann syndrome is a rare neurological disorder that consist primarily of 4 neuropsychological signs that include acalculia (impairment in performing calcultaions), digital agnosia (dificulty discriminating their own fingers), agraphia (impairment or dificulty to write by hand); and left-right disorientation (impairment of distinguishing left from right.
Objectives
Presentation of a case report of a patient with Gertsmann syndrome secondary to breast cancer metastasis.
Methods
We analyze the case of a 79 years-old female with a history of breast cancer in remission, with a severe depressive episode of 8 months of evolution, dysphoria, apathy, decrease in the ability to carry out basic activities of daily life, acute personality changes and sleep disruption. 15 days previous to the first examination the patient suffers gait disturbances, falling from her own height, memory impairment, suicide ideation and nomination aphasia.
Results
At the examination we encounter digital agnosia, acalculia, agraphia, right-left disorientation, right hemiparesis. MRI are taken founding 3 tumor lesions in the left and right frontal lobe, 2 solid lesions with a necrotic appearance in the right parietal lobe, one of them in the angular gyrus of the parietal cortex. CT scan found a solid tumor-like lesion in the left pulmonary apex. CA-125 antigen 429.5 U/mL. She was sent to continue her treatment with oncology, receiving radiotherapy.
Conclusions
The psychiatric abnormalities secondary to Gerstmann syndrome make the relatives of this patient seek psychiatric care, requiring multidisciplinary work to reach an accurate diagnosis. Gerstmann syndrome is a rare neurological condition that can mimic lots of other clinical pictures.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:49:07Z |
| format | Article |
| id | doaj.art-33b0d89a67e040cdaac25b2071f24a70 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:49:07Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-33b0d89a67e040cdaac25b2071f24a702023-11-17T05:07:04ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S478S47810.1192/j.eurpsy.2022.1215Secondary Gerstmann syndrome, a case reportA.L. Orozco Aguirre0M. Marín Valdovino1M.A. Ruíz Santos2A.M. González Meléndez3Hospital San Juan De Dios, Psiquiatria, Zapopan, MexicoHospital San Juan De Dios, Psiquiatria, Zapopan, MexicoHospital San Juan De Dios, Psiquiatria, Zapopan, MexicoHospital San Juan De Dios, Psiquiatria, Zapopan, Mexico Introduction Gerstmann syndrome is a rare neurological disorder that consist primarily of 4 neuropsychological signs that include acalculia (impairment in performing calcultaions), digital agnosia (dificulty discriminating their own fingers), agraphia (impairment or dificulty to write by hand); and left-right disorientation (impairment of distinguishing left from right. Objectives Presentation of a case report of a patient with Gertsmann syndrome secondary to breast cancer metastasis. Methods We analyze the case of a 79 years-old female with a history of breast cancer in remission, with a severe depressive episode of 8 months of evolution, dysphoria, apathy, decrease in the ability to carry out basic activities of daily life, acute personality changes and sleep disruption. 15 days previous to the first examination the patient suffers gait disturbances, falling from her own height, memory impairment, suicide ideation and nomination aphasia. Results At the examination we encounter digital agnosia, acalculia, agraphia, right-left disorientation, right hemiparesis. MRI are taken founding 3 tumor lesions in the left and right frontal lobe, 2 solid lesions with a necrotic appearance in the right parietal lobe, one of them in the angular gyrus of the parietal cortex. CT scan found a solid tumor-like lesion in the left pulmonary apex. CA-125 antigen 429.5 U/mL. She was sent to continue her treatment with oncology, receiving radiotherapy. Conclusions The psychiatric abnormalities secondary to Gerstmann syndrome make the relatives of this patient seek psychiatric care, requiring multidisciplinary work to reach an accurate diagnosis. Gerstmann syndrome is a rare neurological condition that can mimic lots of other clinical pictures. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822012159/type/journal_articleneuroanatomybreast cancerGerstmann syndromeNeuropsychiatry |
| spellingShingle | A.L. Orozco Aguirre M. Marín Valdovino M.A. Ruíz Santos A.M. González Meléndez Secondary Gerstmann syndrome, a case report European Psychiatry neuroanatomy breast cancer Gerstmann syndrome Neuropsychiatry |
| title | Secondary Gerstmann syndrome, a case report |
| title_full | Secondary Gerstmann syndrome, a case report |
| title_fullStr | Secondary Gerstmann syndrome, a case report |
| title_full_unstemmed | Secondary Gerstmann syndrome, a case report |
| title_short | Secondary Gerstmann syndrome, a case report |
| title_sort | secondary gerstmann syndrome a case report |
| topic | neuroanatomy breast cancer Gerstmann syndrome Neuropsychiatry |
| url | https://www.cambridge.org/core/product/identifier/S0924933822012159/type/journal_article |
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