Kluver-Bucy syndrome as a result of minor head trauma. (Letters to the Editor).To the Editor: I and my coauthors thank Dr. Olson for his thoughtful letter (1) about our study. (2) As he so aptly put it, our patient exhibited three of the key diagnostic features of the Kluver-Bucy syndrome Kluver-Bucy syndrome Psychiatry A syndrome following bilateral temporal lobe removal characterized by ↓ recognition of people, loss of fear, rage reactions, hypersexuality, excess oral behavior, memory defects, overreaction to visual stimuli . With regard to outbursts of irritation, their presence does not exclude the diagnosis of this syndrome. The patient's behavior was rather passive most of the time, and her affect was blunted. Nowhere in our case report did we state that she developed aggressive behaviors. There were no frontal lesions shown on computed tomographic (CT) scans of the head, which we obtained twice. Similarly, magnetic resonance imaging magnetic resonance imaging (MRI), noninvasive diagnostic technique that uses nuclear magnetic resonance to produce cross-sectional images of organs and other internal body structures. (MRI 1. (application) MRI - Magnetic Resonance Imaging. 2. MRI - Measurement Requirements and Interface. ) disclosed no lesions. I certainly think that these three rounds of imaging would have revealed any frontal lobe frontal lobe n. The largest portion of each cerebral hemisphere, anterior to the central sulcus. Frontal lobe The largest, most forward-facing part of each side or hemisphere of the brain. lesions. My coauthors and I asked our colleagues in neurology to review the case once again, and they agreed with the original diagnosis. Therefore, we stand by our diagnosis and description of this case. Juan A. Asensio, MD, FACS FACS Fellow of the American College of Surgeons. FACS abbr. Fellow of the American College of Surgeons FACS fluorescence-activated cell sorter. Division of Trauma Surgery and Surgical Critical Care Department of Surgery Keck School of Medicine University of Southern California The U.S. News & World Report ranked USC 27th among all universities in the United States in its 2008 ranking of "America's Best Colleges", also designating it as one of the "most selective universities" for admitting 8,634 of the almost 34,000 who applied for freshman admission Los Angeles, CA References (1.) Olson DA. Kluver-Bucy syndrome as a result of minor head trauma. South Med J2003; 96:323 (letter). (2.) Salim A, Kim KA, Kimbrell BJ, Petrone P, Roldan G, Asensio JA. Kluver-Bucy syndrome as a result of minor head trauma. South Med J 2002;95;929-931. |
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