{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T10:05:47Z","timestamp":1783073147970,"version":"3.54.6"},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dement. neuropsychol."],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>ABSTRACT Gerstmann Syndrome (GS) is a rare neurological condition described as a group of cognitive changes corresponding to a tetrad of symptoms comprising agraphia, acalculia, right-left disorientation and finger agnosia. It is known that some specific brain lesions may lead to such findings, particularly when there is impairment of the angular gyrus and adjacent structures. In addition, the possibility of disconnection syndrome should be considered in some cases. The purpose of this article is to report a case of a young, cardiac patient, non-adherent to treatment, who presented with a stroke in which transient clinical symptoms were compatible with the tetrad of GS. The case report is followed by a discussion and brief review of the relevant literature.<\/jats:p>","DOI":"10.1590\/1980-57642016dn11-020013","type":"journal-article","created":{"date-parts":[[2017,7,9]],"date-time":"2017-07-09T19:53:36Z","timestamp":1499630016000},"page":"202-205","source":"Crossref","is-referenced-by-count":16,"title":["Transient Gerstmann syndrome as manifestation of stroke: Case report and brief literature review"],"prefix":"10.1590","volume":"11","author":[{"given":"Rafael Batista","family":"Jo\u00e3o","sequence":"first","affiliation":[{"name":"Hospital Municipal Dr Jose de Carvalho Florence,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel Mattos","family":"Filgueiras","sequence":"additional","affiliation":[{"name":"Hospital Municipal Dr Jose de Carvalho Florence,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo Lucci","family":"Mussi","sequence":"additional","affiliation":[{"name":"Hospital Municipal Dr Jose de Carvalho Florence,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Eliezer Ferri de","family":"Barros","sequence":"additional","affiliation":[{"name":"Hospital Municipal Dr Jose de Carvalho Florence,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1001\/archneurpsyc.1940.02280080158009","article-title":"Syndrome of finger agnosia, disorientation for right and left, agraphia and acalculia","volume":"44","author":"Gerstmann J","year":"1940","journal-title":"Arch Neurol Psychiatry"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1093\/brain\/85.1.47","article-title":"A study of finger agnosia","volume":"85","author":"Kinsbourne M","year":"1962","journal-title":"Brain"},{"key":"ref3","first-page":"1010","article-title":"Fingeragnosie. Eine umschriebene St\u00f6rung der Orientierung am eigenen K\u00f6rper","volume":"40","author":"Gerstmann J","year":"1924","journal-title":"Wien Klin Wochenschr"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1007\/BF02863963","article-title":"Fingeragnosie und Agraphie-ein neues Syndrom","volume":"108","author":"Gerstmann J","year":"1927","journal-title":"Arch Psychiatr Nervenkr Z Gesamte Neurol Psychiatr"},{"key":"ref5","first-page":"1203","article-title":"Some observations on apraxia","volume":"28","author":"Mayer-Gross W","year":"1935","journal-title":"Proc R Soc Med"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1001\/archneur.1983.04050010066019","article-title":"Pure Gerstmann's syndrome","volume":"40","author":"Roeltgen DP","year":"1983","journal-title":"Arch Neurol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/S0010-9452(13)80096-2","article-title":"Gerstmann syndrome: a case report","volume":"26","author":"Mazzoni M","year":"1990","journal-title":"Cortex"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1136\/jnnp.63.3.399","article-title":"Toe agnosia in Gerstmann syndrome","volume":"63","author":"Tucha O","year":"1997","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1093\/brain\/96.2.307","article-title":"Alexia without agraphia or hemianopsia. 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