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Gerstmann Syndrome

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Anterior Cerebral Artery

Gerstmann Syndrome

MCA Stroke
Middle Brain Attacked by Artery-archer in Stroke Crew

Gerstmann Syndrome usually results from a stroke in the middle cerebral artery (MCA), in the dominant hemisphere, which is usually the left.

Angular Gyrus
Anglerfish Gyroscope

Gerstmann Syndrome arises from a compromise of the angular gyrus in the dominant hemisphere (usually the left hemisphere).

Parietal Lobe

The angular gyrus is a portion of the posteroinferior parietal lobe.

Dominant Hemisphere

When Gerstmann Syndrome ensues, the hemisphere affected is the dominant, which is usually the left one.

Integration of Visual, Acoustic, and Sensory Information
Eye and Acoustic-guitar Sensor

The region of the angular gyrus in the dominant hemisphere integrates visual, acoustic, and sensory information.

Left-Right Disorientation
Left-Right Disorientation

Gerstmann Syndrome secondary to a stroke is described as a tetrad. The first component is left-right disorientation.

Finger Agnosia
Finger with Egg-nose

The second component of Gerstmann Syndrome is finger agnosia.


The third component of Gerstmann Syndrome is agraphia, or the inability to write.


The fourth component of Gerstmann Syndrome is acalculia, which is the inability to perform simple calculations.


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