Kleptomania in Patients with Neuro-Behcet's Disease

Shugaiv E., Kiyat-Atamer A., Tuzun E., Kurtuncu M., Baral-Kulaksizoglu I., Demir G. A.

MEDICAL PRINCIPLES AND PRACTICE, vol.22, no.6, pp.550-554, 2013 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 22 Issue: 6
  • Publication Date: 2013
  • Doi Number: 10.1159/000351798
  • Journal Name: MEDICAL PRINCIPLES AND PRACTICE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.550-554
  • Istanbul University Affiliated: Yes

Abstract

Objective: This study was conducted to characterize the prevalence and clinical features of kleptomania, an impulse control disorder, in patients with Behcet's disease involving the central nervous system. Subjects and Methods: Medical records of 350 patients with neuro-Behcet's disease were evaluated, and clinical and neuropsychological features of patients with kleptomania were noted. Results: Of the 350 neuro-Behcet'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. Copyright (C) 2013 S. Karger AG, Basel