Gerstmann Syndrome usually results from a stroke in the middle cerebral artery (MCA), in the dominant hemisphere, which is usually the left.
Gerstmann Syndrome arises from a compromise of the angular gyrus in the dominant hemisphere (usually the left hemisphere).
The angular gyrus is a portion of the posteroinferior parietal lobe.
When Gerstmann Syndrome ensues, the hemisphere affected is the dominant, which is usually the left one.
The region of the angular gyrus in the dominant hemisphere integrates visual, acoustic, and sensory information.
Gerstmann Syndrome secondary to a stroke is described as a tetrad. The first component is left-right disorientation.
The second component of Gerstmann Syndrome is finger agnosia.
The third component of Gerstmann Syndrome is agraphia, or the inability to write.
The fourth component of Gerstmann Syndrome is acalculia, which is the inability to perform simple calculations.
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