{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T07:51:04Z","timestamp":1766044264232,"version":"3.48.0"},"reference-count":0,"publisher":"Jaypee Brothers Medical Publishing","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAPI"],"published-print":{"date-parts":[[2025,11,10]]},"abstract":"<jats:p>Hyperglycemic hyperosmolar nonketotic syndrome (HHNS) is a complication of type 2 diabetes \nmellitus that can progress to coma and death if left untreated. Focal hyperglycemic seizures are \nstill an uncommon but noteworthy association of HHNS and most commonly involve the occipital \nand parietal lobes. Gerstmann syndrome, also called angular gyrus syndrome, consists of a tetrad \nof finger agnosia, acalculia, left-right disorientation, and agraphia that is usually accompanied \nby aphasia and most commonly presents in parietal lobe pathology. Here we report a case of \na 50-year-old right-handed male with complaints of focal right-sided upper limb and facial \nseizures and findings of acalculia, finger agnosia, left-right disorientation, semantic aphasia, and \nloss of comprehension. Laboratory reports suggested HHNS seizures that presented clinically as \nGerstmann syndrome. Magnetic resonance imaging (MRI) of the brain revealed dominant (left \nin our case) parietal lobe pathology. Although it is understood that HHNS is linked with focal \nneurological deficits, the exact mechanism by which this happens is still unknown, and Gerstmann \nsyndrome associated with hyperglycemic seizures is still underreported, necessitating additional \nresearch.<\/jats:p>","DOI":"10.59556\/japi.73.1225","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T07:48:52Z","timestamp":1766044132000},"page":"13-14","source":"Crossref","is-referenced-by-count":0,"title":["Gerstmann Syndrome: A Rare Clinical Presentation of Focal  Hyperglycemic Seizures"],"prefix":"10.59556","volume":"73","author":[{"given":"Shifa","family":"Karatela","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaya","family":"Pathak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kavya","family":"Mankad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2914","published-online":{"date-parts":[[2025,11,10]]},"container-title":["Journal of the Association of Physicians of India"],"original-title":[],"deposited":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T07:48:53Z","timestamp":1766044133000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.japi.org\/article\/japi-73-11-s1-13"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,10]]},"references-count":0,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,11,10]]},"published-print":{"date-parts":[[2025,11,10]]}},"URL":"https:\/\/doi.org\/10.59556\/japi.73.1225","relation":{},"ISSN":["0004-5772"],"issn-type":[{"value":"0004-5772","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11,10]]}}}