Author/Authors :
Shugaiv, Erkingül Istanbul University - Faculty of Medicine - Department of Neurology, Turkey , Kıyat-Atamer, Aslı Istanbul Bilim University - School of Medicine - Department of Neurology, Turkey , Tüzün, Erdem Istanbul University - Institute of Experimental Medicine and Research - Department of Neuroscience, Turkey , Kürtüncü, Murat Istanbul University - Faculty of Medicine - Department of Neurology, Turkey , Baral-Kulaksızoğlu, Işın Istanbul University - Faculty of Medicine - Department of Psychiatry, Turkey , Demir, Gülşen Akman Istanbul Bilim University - School of Medicine - Department of Neurology, Turkey , Demir, Gülşen Akman Istanbul University - Faculty of Medicine - Department of Neurology, Turkey
Abstract :
Objective: This study was conducted to characterize the prevalence and clinical features of kleptomania, an impulse control disorder, in patients with Behçet s disease involving the central nervous system. Subjects and Methods: Medical records of 350 patients with neuro-Behçet s disease were evaluated, and clinical and neuropsychological features of patients with kleptomania were noted. Results: Of the 350 neuro-Behçet s disease patients 6 (1.7%) had presented with symptoms that fulfilled the criteria of kleptomania according to the revised 4th version of the Diagnostic and Statistical Manual of Mental Disorders. The 6 patients (5 men, 1 woman) had parenchymal lesions and had developed kleptomania during remission. Magnetic resonance imaging done on the 6 patients before the onset of kleptomania mostly revealed brainstem lesions. Psychiatric assessment did not show any comorbid psychiatric disorders and neuropsychological evaluation showed executive dysfunction in all patients. Conclusion: The 6 patients with kleptomania had developed a frontal lobe syndrome.
Keywords :
Neuro , Behçet’s disease , Meningoencephalitis , Kleptomania , Impulse control disorder
