Abstract

IN A RECENT communication, Juba1has reported the occasional occurrence of the various elements of the Gerstmann syndrome (finger agnosia, right-left disorientation, agraphia, acalculia) as an immediate consequence of electroshock treatment in psychiatric patients. The typical picture is described as follows: After the cessation of convulsions and the clearing of consciousness, and at a time when the patient is personally oriented (i. e., is able to give his name, date and place of birth, residence, etc.), is able to name colors and a variety of objects, and can identify various parts of his body (nose, mouth, eyes, etc.), he may show a striking inability to point out or name his fingers when requested to do so. In some cases the finger agnosia is accompanied by one or more of the other elements of the Gerstmann syndrome—right-left disorientation, agraphia, and acalculia. Further, at this time the behavior of the patient

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