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

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

Tien-Yu Chen,1 Chun-Yen Chen,1,3 Che-Hung Yen,2,3 Shin-Chang Kuo,1,3 Yi-Wei Yeh,1,3 Serena Chang,1 San-Yuan Huang1,31Department of Psychiatry, 2Department of Neurology, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, 3Graduate Institute of Medical Sciences, Nationa...

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Autores principales: Chen TY, Chen CY, Yen CH, Kuo SC, Yeh YW, Chang S, Huang SY
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2013
Materias:
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Acceso en línea:https://doaj.org/article/9fbc0fe37096407d9e7b37c14cbc5032
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spelling oai:doaj.org-article:9fbc0fe37096407d9e7b37c14cbc50322021-12-02T01:35:53ZAcute parietal lobe infarction presenting as Gerstmann’s syndrome and cognitive decline mimicking senile dementia1176-63281178-2021https://doaj.org/article/9fbc0fe37096407d9e7b37c14cbc50322013-07-01T00:00:00Zhttp://www.dovepress.com/acute-parietal-lobe-infarction-presenting-as-gerstmannrsquos-syndrome--a13547https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Tien-Yu Chen,1 Chun-Yen Chen,1,3 Che-Hung Yen,2,3 Shin-Chang Kuo,1,3 Yi-Wei Yeh,1,3 Serena Chang,1 San-Yuan Huang1,31Department of Psychiatry, 2Department of Neurology, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, 3Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, Republic of ChinaAbstract: 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.Keywords: Gerstmann’s syndrome, dementia, parietal lobe infarctionChen TYChen CYYen CHKuo SCYeh YWChang SHuang SYDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 937-940 (2013)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Chen TY
Chen CY
Yen CH
Kuo SC
Yeh YW
Chang S
Huang SY
Acute parietal lobe infarction presenting as Gerstmann’s syndrome and cognitive decline mimicking senile dementia
description Tien-Yu Chen,1 Chun-Yen Chen,1,3 Che-Hung Yen,2,3 Shin-Chang Kuo,1,3 Yi-Wei Yeh,1,3 Serena Chang,1 San-Yuan Huang1,31Department of Psychiatry, 2Department of Neurology, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, 3Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, Republic of ChinaAbstract: 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.Keywords: Gerstmann’s syndrome, dementia, parietal lobe infarction
format article
author Chen TY
Chen CY
Yen CH
Kuo SC
Yeh YW
Chang S
Huang SY
author_facet Chen TY
Chen CY
Yen CH
Kuo SC
Yeh YW
Chang S
Huang SY
author_sort Chen TY
title Acute parietal lobe infarction presenting as Gerstmann’s syndrome and cognitive decline mimicking senile dementia
title_short Acute parietal lobe infarction presenting as Gerstmann’s syndrome and cognitive decline mimicking senile dementia
title_full Acute parietal lobe infarction presenting as Gerstmann’s syndrome and cognitive decline mimicking senile dementia
title_fullStr Acute parietal lobe infarction presenting as Gerstmann’s syndrome and cognitive decline mimicking senile dementia
title_full_unstemmed Acute parietal lobe infarction presenting as Gerstmann’s syndrome and cognitive decline mimicking senile dementia
title_sort acute parietal lobe infarction presenting as gerstmann’s syndrome and cognitive decline mimicking senile dementia
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/9fbc0fe37096407d9e7b37c14cbc5032
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