Disruption of the White Matter Tracts in Frontal Gerstmann Syndrome due to Brain Retraction Injury.

Sawaki, Masaharu; Yoshida, Manaka; Yamauchi, Takahiro; Saito, Osamu; Yamamoto, Masahiko

A 49-year-old woman underwent clipping surgery for a ruptured aneurysm, resulting in brain retraction injury and lesions in the left frontal and temporal lobes. This led to the presentation of Gerstmann syndrome, with specific deficits in word-finding, apraxia, and inattention. Diffusion tensor tractography revealed thinner white matter tracts in the left hemisphere, contributing to the syndrome, but improvements were observed over time. The study provides valuable insights into the impact of frontal lobe damage on cognitive functions and highlights the importance of visualizing white matter fibers in understanding neuropsychological disturbances.

FRONTAL lobe diseases; WHITE matter (Nerve tissue); DIFFUSION tensor imaging; PARIETAL lobe; BRAIN injuries

Neurology & Clinical Neuroscience, 2025, Vol 13, Issue 3, p225

2049-4173

Academic Journal

10.1111/ncn3.70005