GERSTMANNS-SYNDROME ASSOCIATED WITH CHRONIC SUBDURAL-HEMATOMA - A CASE-REPORT

We report a patient who exhibited Gerstmann's syndrome in association with a chronic subdural haematoma. A 71-year-old right-handed woman pr esented with mild right arm and leg weakness that began 2 weeks prior to admission. Neurological examination on admission revealed a mild ri ght hemiparesis. Neuropsychological examination revealed right-left di sorientation, finger agnosia, agraphia, and acalculia, but no language disturbance. A computerized tomographic (CT) scan revealed a large le ft frontoparietal, extra-axial hypodense fluid collection containing s cattered hypodense foci. A left parietal evacuation of the haematoma w as performed. Following surgery the patient dramatically improved. We suggest that the direct compression by the chronic subdural haematoma or a hemispheric pressure difference caused Gerstmann's syndrome. This is an unusual report of a Gerstmann's syndrome following chronic subd ural haematoma.