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Journal of Korean Epilepsy Society ; : 59-61, 2008.
Artículo en Coreano | WPRIM | ID: wpr-105946

RESUMEN

Kluver-Bucy Syndrome (KBS) is consisting of hyperorality, emotional blunting, hypersexuality, altered dietary habits, visual and auditory agnosia. It has been reported in variable neurological diseases. However, only a few cases reported in epilepsy. We report a patient with unilateral temporal lobe epilepsy who presents transient hyperorality during seizure. A 46-year-old man has complex partial seizures which were abdominal aura followed by hyperorality and hand automatisms. Hyperorality was characterized by putting patient's hand or seizure button into his mouth. Brain MRI demonstrated right hippocampal sclerosis. The interictal and ictal SPECT suggested right temporal lobe dysfunction, and PET showed bitemporal hypometabolism. Rhythmic ictal activities were arising from right temporal region when patient presented hyperorality. We speculate that transient hyperorality in this patient could be a symptom of KBS. This case suggests that transient KBS can be occurred in a unilateral temporal lobe epilepsy when ictal discharges cause bitemporal dysfunction during temporal lobe seizure.


Asunto(s)
Humanos , Persona de Mediana Edad , Agnosia , Encéfalo , Epilepsia , Epilepsia del Lóbulo Temporal , Conducta Alimentaria , Mano , Síndrome de Kluver-Bucy , Boca , Esclerosis , Convulsiones , Lóbulo Temporal , Tomografía Computarizada de Emisión de Fotón Único
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