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Published in: Journal of Inherited Metabolic Disease 3/2010

01-12-2010 | Case Report

Klüver Bucy syndrome following hypoglycaemic coma in a patient with glycogen storage disease type Ib

Authors: Alix Mollet Boudjemline, Arnaud Isapof, Jean-Bernard Witas, François M. Petit, Vincent Gajdos, Philippe Labrune

Published in: Journal of Inherited Metabolic Disease | Special Issue 3/2010

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Abstract

Patients with type I glycogen storage disease (GSD) have poor tolerance to fasting, sometimes less than 3 hours during infancy. Even though most patients are able, as they get older, to tolerate a longer fasting period, they are at permanent risk for fast-induced hypoglycaemia, even in adulthood. Klüver Bucy syndrome, is characterized by psychic blindness (inability to recognize familiar objects), hypermetamorphosis (strong tendency to react to visual stimulus), increased oral exploration, placidity, indiscriminate hyper-sexuality and change in dietary habits. In this case report, we describe the development of Klüver Bucy syndrome in a 28-year-old man with type Ib GSD, following prolonged and severe hypoglycaemia triggered by a common respiratory infection.
Literature
go back to reference Auvichayapat N, Auvichayapat P, Watanatorn J, Thamaroj J, Jitpimolmard S (2006) Klüver Bucy syndrome after mycoplasmal bronchitis. Epilepsy behav 8:3220–3322CrossRef Auvichayapat N, Auvichayapat P, Watanatorn J, Thamaroj J, Jitpimolmard S (2006) Klüver Bucy syndrome after mycoplasmal bronchitis. Epilepsy behav 8:3220–3322CrossRef
go back to reference Bucy PC, Klüver H (1955) An anatomical investigation of the temporal lobe in the monkey (Macaca mulatta). J Comp Neurol 103:151–251PubMedCrossRef Bucy PC, Klüver H (1955) An anatomical investigation of the temporal lobe in the monkey (Macaca mulatta). J Comp Neurol 103:151–251PubMedCrossRef
go back to reference Formisano R, Saltuari L, Gerstenbrand F (1995) The presence of Klüver Bucy syndrome as a positive prognostic feature for the remission of traumatic prolonged disturbances of consciousness. Acta Neurol Scand 91:54–57PubMed Formisano R, Saltuari L, Gerstenbrand F (1995) The presence of Klüver Bucy syndrome as a positive prognostic feature for the remission of traumatic prolonged disturbances of consciousness. Acta Neurol Scand 91:54–57PubMed
go back to reference Hashimoto NK, Ikeda S (2008) Klüver Bucy syndrome following status epilepticus associated with hepatic encephalopathy. Epilepsy behav 12:337–339PubMedCrossRef Hashimoto NK, Ikeda S (2008) Klüver Bucy syndrome following status epilepticus associated with hepatic encephalopathy. Epilepsy behav 12:337–339PubMedCrossRef
go back to reference Jha S, Patel R (2004) Kluver Bucy syndrome-An experience with six cases. Neurol India 52:369–371PubMed Jha S, Patel R (2004) Kluver Bucy syndrome-An experience with six cases. Neurol India 52:369–371PubMed
go back to reference Juryńczyk M, Rozniecki J, Zaleski K, Selmaj K (2010) Hypoglycemia as a trigger for the syndrome of acute bilateral basal ganglia lesions in uremia. J Neurol Sci 297:74–75PubMedCrossRef Juryńczyk M, Rozniecki J, Zaleski K, Selmaj K (2010) Hypoglycemia as a trigger for the syndrome of acute bilateral basal ganglia lesions in uremia. J Neurol Sci 297:74–75PubMedCrossRef
go back to reference Lilly R, Cummings JL, Benson DF, Frankel M (1983) The human Klüver-Bucy syndrome. Neurology 33:1141–1145PubMedCrossRef Lilly R, Cummings JL, Benson DF, Frankel M (1983) The human Klüver-Bucy syndrome. Neurology 33:1141–1145PubMedCrossRef
go back to reference Melis D, Parenti G, Della Casa R, Sibilio M, Romano A, Di Salle F, Elefante R, Mansi G, Santoro L, Perretti A, Paludetto R, Sequino L, Andria G (2004) Brain damage in glycogen storage disease type I. J Pediatr 144:637–642PubMedCrossRef Melis D, Parenti G, Della Casa R, Sibilio M, Romano A, Di Salle F, Elefante R, Mansi G, Santoro L, Perretti A, Paludetto R, Sequino L, Andria G (2004) Brain damage in glycogen storage disease type I. J Pediatr 144:637–642PubMedCrossRef
go back to reference Ott BR (1995) Leuprolide treatment of sexual aggression in a patient with dementia and Klüver Bucy syndrome. Clin Neuropharmacol 18:443–447PubMedCrossRef Ott BR (1995) Leuprolide treatment of sexual aggression in a patient with dementia and Klüver Bucy syndrome. Clin Neuropharmacol 18:443–447PubMedCrossRef
go back to reference Pradhan S, Singh MN, Pandey N (1998) Kluver Bucy syndrome in young children. Clin Neurol Neurosurg 100:254–258PubMedCrossRef Pradhan S, Singh MN, Pandey N (1998) Kluver Bucy syndrome in young children. Clin Neurol Neurosurg 100:254–258PubMedCrossRef
go back to reference Rake JP, Visser G, Labrune P, Leonard JV, Ullrich K, Smit GPA (2002a) Glycogen storage disease type I: diagnosis, management, clinical course and outcome. Results of the European study on glycogen storage disease type I. Eur J Pediatr 161:S20–S34PubMed Rake JP, Visser G, Labrune P, Leonard JV, Ullrich K, Smit GPA (2002a) Glycogen storage disease type I: diagnosis, management, clinical course and outcome. Results of the European study on glycogen storage disease type I. Eur J Pediatr 161:S20–S34PubMed
go back to reference Rake JP, Visser G, Labrune P, Leonard JV, Ullrich K, Smit GPA (2002b) Guidelines for management of glycogen storage disase type I- European study on glycogen storage disease type I (ESGSD I). Eur J Pediatr 161:S112–S119PubMedCrossRef Rake JP, Visser G, Labrune P, Leonard JV, Ullrich K, Smit GPA (2002b) Guidelines for management of glycogen storage disase type I- European study on glycogen storage disease type I (ESGSD I). Eur J Pediatr 161:S112–S119PubMedCrossRef
go back to reference Rake JP, Visser G, Labrune P, Leonard JV, Moses S, Ullrich K, Wendel U, Smit GPA (2002c) Consensus guidelines for management of glycogen storage disease type Ib – European study on glycogen storage disease type I. Eur J Pediatr 61:S120–S123 Rake JP, Visser G, Labrune P, Leonard JV, Moses S, Ullrich K, Wendel U, Smit GPA (2002c) Consensus guidelines for management of glycogen storage disease type Ib – European study on glycogen storage disease type I. Eur J Pediatr 61:S120–S123
go back to reference Shieh JJ, Pan CJ, Mansfield BC, Chou JY (2003) A glucose-6-phosphate hydrolase, widely expressed outside the liver, can explain age-dependent resolution of hypoglycaemia in glycogen storage disease type Ia. J Biol Chem 278:47098–47103PubMedCrossRef Shieh JJ, Pan CJ, Mansfield BC, Chou JY (2003) A glucose-6-phosphate hydrolase, widely expressed outside the liver, can explain age-dependent resolution of hypoglycaemia in glycogen storage disease type Ia. J Biol Chem 278:47098–47103PubMedCrossRef
go back to reference Slaughter J, Bobo W, Childer MK (1999) selective serotonin reuptake inhibitor treatmentof post-traumatic Klüver-Bucy syndrome. Brain Inj 13:59–62PubMedCrossRef Slaughter J, Bobo W, Childer MK (1999) selective serotonin reuptake inhibitor treatmentof post-traumatic Klüver-Bucy syndrome. Brain Inj 13:59–62PubMedCrossRef
go back to reference Tonsgard JH, Harwicke N, Levine SC (1987) Kluver Bucy syndrome in children. Pediatr Neurol 3:162–165PubMedCrossRef Tonsgard JH, Harwicke N, Levine SC (1987) Kluver Bucy syndrome in children. Pediatr Neurol 3:162–165PubMedCrossRef
Metadata
Title
Klüver Bucy syndrome following hypoglycaemic coma in a patient with glycogen storage disease type Ib
Authors
Alix Mollet Boudjemline
Arnaud Isapof
Jean-Bernard Witas
François M. Petit
Vincent Gajdos
Philippe Labrune
Publication date
01-12-2010
Publisher
Springer Netherlands
Published in
Journal of Inherited Metabolic Disease / Issue Special Issue 3/2010
Print ISSN: 0141-8955
Electronic ISSN: 1573-2665
DOI
https://doi.org/10.1007/s10545-010-9243-y

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