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克吕弗-布西综合征

Kluver-Bucy Syndrome

作者信息

Das Joe M., Siddiqui Waquar

机构信息

Imperial College Healthcare NHS Trust, London

Abstract

Kluver-Bucy syndrome (KBS) is a neuropsychiatric disorder due to lesions affecting bilateral temporal lobes, especially the hippocampus and amygdala. 1. Hyperorality (A tendency or compulsion to examine objects by mouth). 2. Hypermetamorphosis (Excessive attentiveness to visual stimuli with a tendency to touch every such stimulus regardless of its history or reward value). 3. Hypersexuality . 4. Bulimia. 5. Placidity. 6. Visual agnosia and 7. Amnesia. Patients having a combination of three or more different elements listed above are described as having partial KBS. The clinical features of KBS were initially reported by Sanger Brown and Edward Albert Sharpey-Schäfer, two British experimental neurologists, in 1888. They described the behavioral transformations after the removal of bilateral temporal lobes in monkeys. But the complete syndrome was described later by Heinrich Kluver (neuropsychologist) and Paul Clancy Bucy (neurosurgeon) in 1939, unaware of the previous reporting. They described the behavioral syndrome which occurred in a Rhesus monkey (named Aurora) three weeks after bilateral temporal lobectomy. The first description of KBS in humans came from Dr. Hrayr Terzian (1925-1988) and Dr. Giuseppe Ore in 1955 in a 19-year-old man who underwent bilateral temporal lobectomy for seizures. The first identified and reported case of KBS was in a 22-year-old male patient with bilateral temporal damage due to herpes simplex meningoencephalitis by Marlowe et al.

摘要

克吕弗-布西综合征(KBS)是一种神经精神障碍,由影响双侧颞叶,尤其是海马体和杏仁核的病变引起。1. 口欲亢进(一种用嘴检查物体的倾向或冲动)。2. 变换物体癖(对视觉刺激过度关注,倾向于触摸每一个此类刺激物,无论其既往情况或奖励价值如何)。3. 性欲亢进。4. 贪食症。5. 平静淡漠。6. 视觉失认症和7. 失忆症。具有上述三种或更多不同症状组合的患者被描述为患有部分克吕弗-布西综合征。克吕弗-布西综合征的临床特征最初由两位英国实验神经学家桑格·布朗和爱德华·阿尔伯特·沙佩伊-谢弗于1888年报道。他们描述了猴子双侧颞叶切除术后的行为变化。但完整的综合征后来由神经心理学家海因里希·克吕弗和神经外科医生保罗·克兰西·布西于1939年描述,他们不知道之前的报道。他们描述了一只恒河猴(名为奥罗拉)在双侧颞叶切除术后三周出现的行为综合征。人类克吕弗-布西综合征的首次描述来自赫拉伊尔·特尔齐安医生(1925 - 1988)和朱塞佩·奥雷医生,1955年他们对一名因癫痫接受双侧颞叶切除术的19岁男性进行了描述。首次确诊并报道的克吕弗-布西综合征病例是由马洛等人报道的一名22岁男性患者,因单纯疱疹性脑膜脑炎导致双侧颞叶损伤。

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