PeBenito R
J Dev Behav Pediatr. 1987 Aug;8(4):229-32.
The tetrad of finger agnosia, dyscalculia, dysgraphia, and right-left confusion constitutes the Gerstmann syndrome (GS). A case of developmental Gerstmann syndrome (DGS) that occurred in a normal, highly intelligent child with exceptional reading skills is reported, together with a review of the literature. DGS occurs in both brain-damaged and seemingly normal children. Multiple neurological and behavioral manifestations coexisting with the Gerstmann elements suggest brain injury, whereas the occurrence of the Gerstmann tetrad (plus constructional apraxia) in an otherwise normal and intelligent child implies what is herein referred to as "constitutional." The scarcity of reported cases indicates the rarity of the syndrome in children. Routine testing for the Gerstmann elements in learning-disabled children may uncover unrecognized cases.
手指失认、失算、失写以及左右定向障碍这四联征构成了格斯特曼综合征（GS）。本文报告了一例发育性格斯特曼综合征（DGS），该病例发生在一名正常、高智商且具有超常阅读能力的儿童身上，并对相关文献进行了综述。DGS在脑损伤儿童和看似正常的儿童中均有发生。与格斯特曼综合征相关元素并存的多种神经学和行为学表现提示脑损伤，而在其他方面正常且聪明的儿童中出现格斯特曼四联征（加上结构性失用症）则意味着本文所指称的“体质性”情况。报告病例的稀缺表明该综合征在儿童中较为罕见。对学习障碍儿童进行格斯特曼综合征相关元素的常规检测可能会发现未被识别的病例。
