Transient Hyperorality during Automotor Seizure in a Patient with Right Temporal Lobe Epilepsy. Epileptic Kluver-Bucy Syndrome?.
- Author:
Ki Young JUNG
1
;
Suk Geun HAN
;
Dae Won SEO
Author Information
1. Department of Neurology, Korea University Medical Center, Korea University College of Medicine, Seoul, Korea. jungky@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Kluver-Bucy Syndrome;
Hyperorality;
Temporal lobe epilepsy;
Complex partial seizure
- MeSH:
Agnosia;
Brain;
Epilepsy;
Epilepsy, Temporal Lobe;
Food Habits;
Hand;
Humans;
Kluver-Bucy Syndrome;
Middle Aged;
Mouth;
Sclerosis;
Seizures;
Temporal Lobe;
Tomography, Emission-Computed, Single-Photon
- From:Journal of Korean Epilepsy Society
2008;12(1):59-61
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
