T Nyffeler1, M Regard. 1. Department of Neurology, University Hospital Bern, Switzerland.
Abstract
OBJECTIVE: The authors report the case of a patient in whom kleptomania developed in the course of a right frontolimbic behavior syndrome after undergoing surgery. BACKGROUND: Kleptomania is a behavior abnormality that is classified as an impulse-control disorder; however, little is known about its organic correlates. METHOD: History included neurologic data, neuropsychological data, electroencephalographic data, and magnetic resonance images. RESULTS: Observation of kleptomania associated with a large sellar craniopharyngioma with right-sided extension suggests that the site of a lesion may be crucial for the development of an impulse-control disorder. CONCLUSIONS: The authors discuss kleptomania in the context of functional deficits associated with damage to orbitofrontal-subcortical circuits, and they suggest that kleptomania is a neuropsychiatric symptom that can be conceptualized as being an uncommon compulsive display of impulse dyscontrol.
OBJECTIVE: The authors report the case of a patient in whom kleptomania developed in the course of a right frontolimbic behavior syndrome after undergoing surgery. BACKGROUND:Kleptomania is a behavior abnormality that is classified as an impulse-control disorder; however, little is known about its organic correlates. METHOD: History included neurologic data, neuropsychological data, electroencephalographic data, and magnetic resonance images. RESULTS: Observation of kleptomania associated with a large sellar craniopharyngioma with right-sided extension suggests that the site of a lesion may be crucial for the development of an impulse-control disorder. CONCLUSIONS: The authors discuss kleptomania in the context of functional deficits associated with damage to orbitofrontal-subcortical circuits, and they suggest that kleptomania is a neuropsychiatric symptom that can be conceptualized as being an uncommon compulsive display of impulse dyscontrol.
Authors: Michael E Sughrue; Isaac Yang; Ari J Kane; Shanna Fang; Aaron J Clark; Derrick Aranda; Igor J Barani; Andrew T Parsa Journal: J Neurooncol Date: 2010-06-10 Impact factor: 4.130