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Letters   |    
Mirror Visual Feedback for Right–Left Discrimination in a Patient With Developmental Gerstmann Syndrome
Chieh Chang, M.D.; Yi-Chien Hsu, M.D.; Chiu-Ping Hsiao, M.D.; Hsin-An Chang, M.D.; Nian-Sheng Tzeng, M.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2014;26:E50-E51. doi:10.1176/appi.neuropsych.13030054
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Dept. of Psychiatry, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC (CC, Y-CH, C-PH, H-AC, N-ST)
Dept. of Psychiatry, Vita Hospital, Keelung, Taiwan, ROC (C-P H)
Student Counseling Center, National Defense Medical Center, Taipei, Taiwan (H-AC, N-ST)

Correspondence: Dr. Tzeng; e-mail: pierrens@yahoo.com.tw; pierrens@mail.ndmctsgh.edu.tw

Copyright © 2014 American Psychiatric Association

Extract

To the Editor: Gerstmann described a syndrome that included finger agnosia, right–left disorientation, agraphia, and acalculia,1 and was related to cerebral vascular disease, traumatic brain injuries, neurodegenerative disease, and other miscellaneous causes.2 Developmental Gerstmann syndrome (DGS) has also been described in those who are challenged with writing and mathematical exercises in childhood, adolescence,35 and even in military service.6 Here, we report the use of mirror visual feedback for management of right–left disorientation in a patient with DGS.

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References

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Benson  DF;  Geschwind  N:  Developmental Gerstmann syndrome.  Neurology 1970; 20:293–298
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Spellacy  F;  Peter  B:  Dyscalculia and elements of the developmental Gerstmann syndrome in school children.  Cortex 1978; 14:197–206
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PeBenito  R:  Developmental Gerstmann syndrome: case report and review of the literature.  J Dev Behav Pediatr 1987; 8:229–232
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Tzeng  NS;  Hu  MC;  Cheng  WY  et al:  Developmental Gerstmann syndrome in a young Taiwanese male: a case report.  Prog Neuropsychopharmacol Biol Psychiatry 2009; 33:1275–1276
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Gracia-Bafalluy  M;  Noël  MP:  Does finger training increase young children’s numerical performance? Cortex 2008; 44:368–375
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Worthington  RK;  Typpo  M;  Worthington  EL  Jr:  Spatial concept learning in preschool children: motoric experiences and verbal repetition as adjuncts to passive listening.  Percept Mot Skills 1980; 50:183–186
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