@article{2982603, title = "Gerstmann syndrome as a disconnection syndrome, evidence from DTI tractography: A case report", author = "Papadopoulos, V.E. and Tsatsou, K. and Toulas, P. and Christidi, F. and Karavasilis, E. and Angelopoulou, M.K. and Euthimiou, A.", journal = "Journal of Neurolinguistics", year = "2021", volume = "57", publisher = "ELSEVIER SCIENCE LTD.", issn = "0911-6044", doi = "10.1016/j.jneuroling.2020.100955", keywords = "acalculia; acute myelomonocytic leukemia; adult; agnosia; anemia; anomia; Article; case report; clinical article; computer assisted tomography; diffusion tensor imaging; disorientation; dysgraphia; female; frontal lobe; Gerstmann syndrome; human; hypertension; middle aged; middle cerebral artery occlusion; neuroimaging; parietal lobe; platelet count; priority journal; superior longitudinal fasciculus; tobacco use; unconsciousness", abstract = "Gerstmann's syndrome is a syndrome caused by lesions of the dominant parietal lobe. It has historically been a subject of dispute as it is often accompanied by other neuropsychological deficits such as aphasia. Novel neuropsychological tests and neuroimaging techniques have lately changed the perspective allowing to decode a conjunction of symptoms like Gerstmann's. In our case, we present Diffusion Tensor Imaging Tractography findings of a patient who acutely exhibited Gerstmann's tetrad. Using advanced structural neuroimaging we tested a hypothesis that up until recently could only be challenged post mortem. Our study offers much needed patient neuroimaging data helping to establish Gerstmann's as a disconnection syndrome. More reports of Gerstmann's syndrome patients including high resolution tractography and fMRI data are needed. © 2020 Elsevier Ltd" }