Department of Neurology, School of Medicine, Istanbul Bilim University, Istanbul, Turkey.
Med Princ Pract. 2013;22(6):550-4. doi: 10.1159/000351798. Epub 2013 Jul 30.
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.
Medical records of 350 patients with neuro-Behçet's disease were evaluated, and clinical and neuropsychological features of patients with kleptomania were noted.
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.
The 6 patients with kleptomania had developed a frontal lobe syndrome.
本研究旨在描述涉及中枢神经系统的贝切特病患者中，偷窃癖这一冲动控制障碍的患病率和临床特征。
评估了 350 例神经贝切特病患者的病历，并记录了有偷窃癖患者的临床和神经心理学特征。
在 350 例神经贝切特病患者中，根据修订后的《精神障碍诊断与统计手册》第 4 版的标准，有 6 例（1.7%）出现了符合偷窃癖诊断标准的症状。这 6 例患者（5 男 1 女）有实质病变，在缓解期出现了偷窃癖。在偷窃癖发作前对 6 例患者进行的磁共振成像检查主要显示脑干病变。精神科评估未发现任何合并的精神障碍，神经心理学评估显示所有患者均存在执行功能障碍。
这 6 例有偷窃癖的患者出现了额叶综合征。
