Parietal lobe dysfunction

Parietal lobe dysfunction


Dominant parietal lobe dysfunction

Gerstmann's syndrome

Gerstmann's syndrome consists of:-

  • finger agnosia (loss in ability to name or recognise specific fingers on the patient's own or on others hands)
  • dyscalculia (an impaired ability to perform mental arithmetic)
  • dysgraphia (inability to write)
  • right-left disorientation (inability to carry out instructions that involve an appreciation of the right and left)

It results from dominant parietal lobe lesions and is usually caused by a stroke.

Non dominant parietal lobe dysfunction

Non dominant parietal lobe lesions are associated with the following problems:-

  • anosognosia (lack of awareness of a disability or disease)
  • dressing apraxia (difficulty in getting dressed)
  • spatial neglect (lack of awareness of one side of the body)
  • constructional apraxia (inability to copy pictures or combine parts of something into a meaningful whole)

Bilateral parietooccipital lobe dysfunction

Bilateral damage to the parietooccipital lobe (at the junction of the two) is rare but can result in a condition called Balint's syndrome. This is characterised by:-

  • ocular apraxia (difficulty keeping the eyes still)
  • optic ataxia (difficulty moving the eyes to a specific position)
  • simultanagnosia (inability to simultaneously perceive the different aspects of a picture and appreciate it as a whole)