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일과성 과잉구강증을 보인 우측 측두엽간질 1예
Transient Hyperorality during Automotor Seizure in a Patient with Right Temporal Lobe Epilepsy

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Authors
한석근; 정기영; 서대원
Issue Date
2008-06
Publisher
대한간질학회
Citation
대한간질학회지, Vol.12 No.1, pp. 59-61
Keywords
의약학Klüver-Bucy SyndromeHyperoralityTemporal lobe epilepsyComplex partial seizure
Abstract
Klüver-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
Language
Korean
URI
http://hdl.handle.net/10371/91867
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Neurology (신경과학교실)Journal Papers (저널논문_신경과학교실)
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