J Korean Epilepsy Soc.  2008 Jun;12(1):59-61.

Transient Hyperorality during Automotor Seizure in a Patient with Right Temporal Lobe Epilepsy. Epileptic Kluver-Bucy Syndrome?

• Jung KY
• Han SG
• Seo DW

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.

Keyword

Kluver-Bucy Syndrome; Hyperorality; Temporal lobe epilepsy; Complex partial seizure

MeSH Terms

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