Gerstmann Syndrome

Testing for the four features of Gerstmann Syndrome in this patient with two separate left sided strokes (left frontoparietal ischaemic stroke followed by left posterior parietal haemorrhagic stroke). He exhibits (i) acalculia, (ii) agraphia, (iii) left-right disorientation, and (iv) finger agnosia. Complicating the issue is his obvious nonfluent aphasia (expressive dysphasia) with paraphasic errors (replacing words with associated words (e.g. says ’fork’ instead of ’spoon’)) and some comprehension issues. Here I will concentrate on testing for Gerstmann Syndrome specifically. I will, however, test for his expressive and receptive language functions first so I can then reliably deduce from the findings of the test for Gerstmann syndrome. 1. Acalculia 0:52 2. Agraphia 1:20 3. Left-Right disorientation 1:56 4. Finger agnosia 2:31 Sorry for the bad audio quality. Written and verbal consent obtained from the patient. Filmed in a public hospital in NS