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왼쪽 전두판개 병변으로 발생된 거스트만 증후군 1예

A Case of Gerstmann’s Syndrome due to Left Frontal Operculuar Infarction

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주제분류신경과학

초록

A 78-year-old woman showed signs of left-right disorientation, finger agnosia, acalculia, and agraphia. Brain MRI revealed ischemic lesion of left frontal operculum. The lesion in the left angular gyrus causes Gerstmann’s syndrome, however, there are reports suggesting that lesions in some other areas of brain are responsible for Gerstmann’s syndrome. We describe a Gerstmann’s syndrome derived from a lesion in the left frontal operculum, which may have different mechanisms from the ones caused by lesion in left angular gyrus.

Abstract

A 78-year-old woman showed signs of left-right disorientation, finger agnosia, acalculia, and agraphia. Brain MRI revealed ischemic lesion of left frontal operculum. The lesion in the left angular gyrus causes Gerstmann’s syndrome, however, there are reports suggesting that lesions in some other areas of brain are responsible for Gerstmann’s syndrome. We describe a Gerstmann’s syndrome derived from a lesion in the left frontal operculum, which may have different mechanisms from the ones caused by lesion in left angular gyrus.

참고문헌 (9)

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  2. Benton AL, "Gerstmann’s syndrome", Arch Neuro, 49, pp.445~447 (1992)
  3. 곽용태, "Gerstmann 증후군 증상의 동질성 -알쯔하이머병을 이용한 연구-", 대한신경과학회지, 22(1), pp.29~33 (2004), 대한신경과학회
  4. Ando Y, "Incomplete Gerstmann syndrome with a cerebral infarct in the left middle frontal gyrus", Rinsho Shinkeigaku, 49, pp.560~565 (2009)
  5. Aiko O, "Gerstmann’s syndrome in a patient with left thalamic Hemorrhage", Neurology Asia, 14, pp.161~164 (2009)
  6. Maeshima S, "Gerstmann’s syndrome associatied with Chronic subdural haematoma", Brain Inj, 12, pp.697~701 (1998)
  7. Roeltgen DP, "Pure Gerstmann’s syndrome from a focal lesion", Arch Neurol, 40, pp.46~47 (1983)
  8. Lubrano V, "Writing-specific sites in frontal areas: a cortical stimulation Study", J Neurosurg, 101, pp.787~798 (2004)
  9. Takashi H, "Neural correlates underlying mental calculation in abacus experts: a functional magnetic Resonance imaging study", Neuroimage, 19, pp.293~307 (2003)

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