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 NSW, Australia.
Пікірлер: 90
this patient was trying his damn hardest glad he's fighting to stay well
Acalculia (0:52)- loss of the ability to perform simple arithmetic calculations, typically resulting from disease or injury of the parietal lobe of the brain. Agraphia (1:20)- loss in the ability to communicate through writing. Left-Right disorientation (1:56)- confusion of the right and left limbs Finger agnosia (2:31)- loss in the ability to distinguish, name, or recognize the fingers-not only the patient's own fingers, but also the fingers of others, and drawings and other representations of fingers.
@Dr.Ambekar.Neurosurgery
3 жыл бұрын
What is first one?
@daemiellanron844
3 жыл бұрын
Alexia (2:56)- Unable to comprehend written language
@soham357
Жыл бұрын
Thank u, that was helpful
Our sympathy and empathy to the patient. In addition we thank him for helping us better recognize and understand other patients with German's synd. Thank you too Doc for teaching us. @ John Kangarlu; excellent highlight. Hesbon MD
I would like to thank the doctor and the patient , its really helpful .
Currently studying it for an exam... Horrible, horrible disease. Thanks for the clear video, very professional
Very useful, couldn't understand it until I saw it, wish both the doctor and the patient all the best! Exams on the way...
I also would like to thank the doctor and the patient! It really helped a lot to understand the syndrome!
Thanks for the video and for the patient for allowing many of us to learn. Blessed him.
Thank you both doctor and patient!
thanks to the patient for giving us the chance to learn
the examiner is good enough!! praiseworthy!
Thank you for the doctor and the patient God bless you both
Wholeheartedly want to thank the patient for helping us better our understanding of Gerstmann Syndrome and thank you too Doctor for teaching us.
Thanks to both patient and doctor!
Thank you so much for making this video.
Thank you for posting, this video has been very helpful!
I'm liking neuro more and more, thanks for this video :)
Thank you for the patient and doctor .. hope he is good 😔
Thank you so much ❤ I hope he is good 😢
Thank you! This was just perfect for my exam.
TQ whole team your efforts improving our knowledge
Thanking the doc and the patient. Finally Understood the symptoms of this syndrome ! :D
Thank you sir for helping us understanding the disease 🙏🙏 hope you are fine and ❤
thankyou for the learning oppurtunity
Excellent video!! I really would love to learn more about this topics! I am a teacher and I really want to help some students with difficulties.
Thank you. Neurology is scary and fascinating at the same time
ThumbsUP! Thankyou &the patient.
Thank you so much. This video was super helpful.
God bless his soul… he made me learn more about this condition ❤
thanks. good luck to this man!
thanks for this vid, it's so much helpful
Thank you! Very helpful!
Thank you so much this was so accurate
Thank you. This helps me study
thank you
Thanks. Is very instructive video y excellent by my neuropsychology class. Greetings from Panamá
@taxidermy_12
2 жыл бұрын
That's neurology! Neuropsychology is a fake.
I have this condition it's very hard to live with , it's thanks to my home physio that understand a bit bout this
@jakubszudrawski1324
4 жыл бұрын
louise kingsnorth do you also have agraphia? If so, are you able to write on the computer but not using pen and paper?
I heat to see old ppl like that I’m going to cry 😢
Thank u Very helpful
excellent
Thank you. Syndorme de Gestermann : 1. Acalculie 2. Agraphie 3. Agnosie digitale 4. Indistinction droite gauche Lésion pariétale dans l'hémisphère dominant.
Very good, Excellent :D
I'm a little confused as I associate the paraphasic errors "spoon" instead of fork as a Fluent Aphasia problem? Is this also common in Broca's Aphasia?
Thanks to the doctor and the patient for this video. Helped a ton in remembering the features. P.S. anyone else crushing over the doctor? no? only me? ok nvm :]
@luellapenvennen6623
2 жыл бұрын
Yeah not that it’s relevant as the video was extremely helpful, and bless this patient for allowing us to learn from him…. But wow what a Dr. McDreamy🔥 Lol.
thx doc
mark on neck = clot retrieval?
Gerstmann Syndrome (Fluent aphasia, not nonfluent) occurs due to damage in the angular gyrus, at the inferior-parietal lobe, not frontotemporal as you stated in your video. Though these symptoms fit the mold of Gerstmann Syndrome, your neuroanatomy and classification of disease are incorrect.
@c0ncretejung1e
8 жыл бұрын
+LayZeeBro Awesome critique! Thanks for clarifying
@casvanderplaetse7067
6 жыл бұрын
Well as I'm studying neuropsychological diagnostics at this moment with my university course right in front of me, I can say that this comment (nearly) hits the spot. It's typically located in the parietal-occipital lobe, specifically the left angular gyrus.
@Dsquaredforever
5 жыл бұрын
@@casvanderplaetse7067 In the description it says that he had two separate strokes. One frontotemporal the other posterior parietal
@shubhankardeshmukh19
Ай бұрын
So basically on the dominant side hm
Can you tell me what de doctor say when he asks the pacient to fold the paper please? I can't understand very well. :(
nice video fr understanding..but my heart cries to see people in misery 😢😢
Me at 2:35 : o that doc is cute
very useful..:)
Perhaps do you know what is his name?
Just curious….since individuals with Gerstmann Syndrome have difficulty in understanding, is this man's consent even valid? (i'm not trying to be as ass, I'm just really curious)
@ned9819
9 жыл бұрын
Amanda Graves Im also curious ,but i think since he has gretsman with agraphia but no alexia(inability to read) then his comprehension is still intact so probably found a way to make a valid consent.
@arianasanchez8450
8 жыл бұрын
+Mohanned Alnammi we are talking about a syndrome here, that means all of the symptoms must be present. Gerstmann syndrome's symptoms are acalculia, agraphia, alexia, finger agnocia and nonfluent aphasia. If any of this symptoms are not present it is not acurate to talk about Gerstmann syndrome as a diagnosis. The man in the video is being interviewed and we can see he is able to respond to the interviewer's questions, wich shows that, yes, his comprehension is still intact BUT he was never tested for alexia during the video so there's no way to know whether he has it or not so there's no way to know (for us) if this is actually a patient with gerstmann syndrome.
@jasondmckelvey
8 жыл бұрын
+Ariana Sánchez My resources do not include alexia as a component of the syndrome. I believe according to ICD 9 & 10 that this patient does have Gerstmann syndrome based on the 4 positive tests conducted during th examination. Let us know if your resources states something differently and what it is. Take care.
@gautamgiri4991
8 жыл бұрын
We should always take the patient consent until and unless it's a suicidal patient or if he is in unconscious state.. in case of mentally unfit we can ask the patient but his or her consent doesn't matter the legal guardian has to be asked for..
@HashemSmashem
6 жыл бұрын
Couldn't his consent be obtained verbally? Given that he has a difficulty writing/signing but not in comprehension (as illustrated by him following the doctor's instructions).
Acalculia ( 2+1 = 😢 ) Dysgraphia Finger agnosia Confusion about right and left sides
no right left disorientation, no finger agnosia and still Gerstmann???
@dineshkothamasu4853
6 жыл бұрын
Same doubt
@AbuDaia
6 жыл бұрын
Finger agnosia mainly happens on the right hand, in the video he was examining patients left hand.
Good
GSS has almost wiped out 4 generations of my family and is so prevalent it is terrifyingl If there is anyone at all that can trace their family back to the Odell line in Bedford England would love to find more from this family group.
Can't really hear the patient's voice, maybe next time a mic can be placed closer to the patient as well? The mic is catching all kinds of secondary sounds of everything that is going on around.
Who else is watching this from the Plabable app?
that broke my heart my Allah bless this old gentleman
Gerstmann’s syndrome is what I suffer from after a bullet or wire through head as a child. Stabbed through roof of mouth and through the parietal lobe I would have preferred death when young. I was used by military in banking warfare in federal banking regulation immediately prior to 2001. I can withstand many mini brain strokes due to my brain being like a large mass of scar tissue in the left brain lobe. I don’t burst a big vein but instead burst small veins with less amnesia effect 18 year amnesia from federal robbery hostage situation during 1999 I have had severe depression my entire life which explains my willingness to die. Belligerence was part of my malady as well. I chose occupations and hoped for my death because to me suicide was forbidden During the robberies of 1999 I walked up on robbers and sat among them and they thought I was in their crew. One said he would go by an actors house nearby. His statement was in jest I suppose. A side effect is the inability to recognize shapes. But I tend to recognize horrific images in everyday things like contorted faces in mold on a wall or images of the half dead contorted from ordinary items like a blanket or jacket in the yard. I view it as being in hell on earth. I used to linger in graveyards when young sometimes taking a flower from a grave I also walked in my sleep when young. I also was able to escape the robbery of 1999 by walking out of a federal office and passing out in my automobile and then being awakened by a robber and driving off. I was passing out between sacramento and San Francisco and between San Francisco and Santa Rosa California. I have not been paid workers compensation. I would prefer painless death It is my belief in 1999 we lost because I have not been paid and the attacks on the wtc and pentagon in 2001 followed. I am labeled criminal and insane by a doctor or agent on federal government medical records when I mistakenly trusted them in California in 2001. I was taken hostage and knocked unconscious in 2004 due to notes on medical records from 2001 by foreigners in federal healthcare in California in 2001. Federal agents allowed a sheriff to steal and abused me instead in 2001. The sheriff was terminated in 2005. Jesus said heal thine self physician. I no longer use government healthcare and want to be euthanized. It would be easier to have a sex change. The USA government does not want us to take our own lives. I was also shot through testes or operated upon and I appear infertile. I look forward to my death. I do not believe there is a god as proclaimed in texts. I do believe in mercy in death and see it as a big sleep. Danglng chad as I call him is my illegitimate son. He is a mifepristone abortion pill survivor. He has microcephaly and learning and emotional disability. He goes to court December 8 2022. I wanted to euthanize he and I in 2021 but he declined. Dear lord what have thine wrought? Who am I speaking to ? No one No one admires a martyr is a quote by a federal agent in 1999 after my hostage situation and returning to California from DC. Kurt Brown Saintrambone Mobile Audit Club
Useful demonstration, but why do the examiner stand.. ? Not at good setup for good communication and comforting a patient. Just a constructive comment, hopefully :)
@kenzothiazepine
Жыл бұрын
Yes you are absolutely right there! 😊 I should have set it up better with quiet space, eye level communication and better pacing. Thank you for the feedback! 🙏
So heartbreaking. Life is so fragile :-(
Zaadu ki jhappi dena tha na.. let's see who will understand what I meant..
great video...however, the background was quite noisy and distracting
anyone studying for plab my exam in about 10 days wish me luck
why the examiner is so handsome 😂😂😂
@poojabhole9153
Ай бұрын
i know, someone should tag him already.
and that's how you get your weed card ladies and gentlemen
seems wrong this is filmed even if he agreed