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Living with Gerstmann syndrome

A very rare brain condition with trouble doing math, telling fingers apart, telling left from right, and writing.

Understanding Gerstmann syndrome

Gerstmann syndrome is a very rare neurological disorder with four specific problems that occur together.

The four features are trouble with math (acalculia), trouble recognizing fingers (finger agnosia), mixing up left and right, and trouble writing (agraphia). It is thought to follow damage to a small area of white matter deep in the parietal lobe of the brain.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. The summary names four main features.

  • Trouble with math (acalculia)
  • Trouble recognizing fingers (finger agnosia)
  • Trouble telling left from right
  • Trouble writing (agraphia)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Brain and nervous system specialists (neurologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What caused the damage in the parietal lobe in my case?
Which tests or therapies can help with writing, math, and orientation?
Which specialists should follow this, such as a neurologist or therapist?

Quick facts

GARD says it is thought to be secondary to damage in a small area of white matter in the parietal lobe of the brain. It does not describe other causes.

Neurological

Also known as: aphasia-angular gyrus syndrome; developmental gerstmann syndrome; gerstmann badal syndrome; gerstmann tetrad; gerstmann's syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Gerstmann syndromeGARD ID 8660 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Gerstmann syndrome.

Explore the Gerstmann syndrome blog

Explore research for Gerstmann syndrome

Explore actively recruiting Gerstmann syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Gerstmann syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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