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老年患者的格斯特曼综合征:一例表现出完全四组症状的病例报告。

Gerstmann Syndrome in an Elderly Patient: A Case Report Presented with a Complete Tetrad of Symptoms.

机构信息

Department of Neurosurgery, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Department of Vascular Neurosurgery, National Institute of Neurology and Neurovascular Diseases, 077160 Bucharest, Romania.

出版信息

Medicina (Kaunas). 2024 Oct 7;60(10):1640. doi: 10.3390/medicina60101640.

Abstract

Gerstmann syndrome, alternatively recognized as angular gyrus syndrome, epitomizes a complex cognitive impairment that has ignited substantial scholarly discourse within the realms of neurology and neuropsychology. The syndrome's original portrayal was, however, changed. It was demonstrated that the manifestation of its symptomatic tetrad, consisting of four main neurological impairments, is not invariably complete and frequently occurs alongside additional cognitive deficits. Furthermore, the precise cerebral localization of Gerstmann syndrome was traditionally posited to be the left angular gyrus; however, studies mention the possible involvement of other eloquent cerebral areas being pathognomonic. This case report delves into the case of an 86-year-old subject who exhibited the quintessential quartet of symptoms initially delineated by Josef Gerstmann, proposing that elderly patients may manifest a predisposition towards presenting the fully characterized symptomatology initially outlined by Gerstmann.

摘要

斯特曼综合征,也被称为角回综合征,是一种复杂的认知障碍,在神经学和神经心理学领域引发了大量的学术讨论。然而,该综合征的最初表现发生了变化。研究表明,其症状四联征(由四个主要的神经损伤组成)的表现并非完全一致,并且经常伴随着其他认知缺陷。此外,传统上认为斯特曼综合征的确切大脑定位是左角回;然而,研究提到其他相关大脑区域的可能参与是其特征性表现。本病例报告深入探讨了一位 86 岁患者的病例,该患者最初表现出约瑟夫·斯特曼(Josef Gerstmann)最初描述的典型四重症状,提出老年患者可能表现出呈现最初由斯特曼(Gerstmann)概述的完全特征性症状的倾向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c66/11509380/f844fece30c3/medicina-60-01640-g001.jpg

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