Clinical presentation of left angular gyrus ischaemic lesion: finger agnosia, acalculia, agraphia, left–right disorientation and episodic autoscopia

A 57-year-old right-handed man (smoker, suffering from severe gastro-oesophageal reflux disease and operated 5 years earlier for left ear cholesteatoma) while sleeping at home suddenly developed right haemiparesis and aphasia associated with an autoscopic phenomenon for 10 min (out-of-body experience)1 because he was seeing his wife and his own right arm from above (video 1). Video 1 The patient giving details of his out-of-body sensation. After 6 h in stroke unit, haemiparesis was …