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[Case report: kleptomania and other psychiatric symptoms after carbon monoxide intoxication].
Turk Psikiyatri Derg 2007; 18(1):80-6TP

Abstract

Carbon monoxide (CO) intoxication is usually a serious condition, which can result in neurological disturbances or death. In some patients with CO intoxication, but not usually, a biphasic pattern can be seen. In this condition, after antitoxic treatment, patients may completely recover and after a short recovery period, neurological and/or psychiatric symptoms appear again. This condition is known as delayed encephalopathy and its occurrence rate is between 0.06% and 11.8%. Herein, we report a case with delayed encephalopathy after CO intoxication, which began with neurological symptoms and continued with obsessive-compulsive disorder, depression, kleptomania, and psychotic disorder. The 41-year-old female patient had no psychiatric or neurological symptoms or disorders prior to CO intoxication. Increased signal intensity changes in the basal region of the left temporal lobe (including the cortex and subcortical white matter), globus pallidus (bilateral), and cerebellar cortical and subcortical white matter (bilaterally symmetrical) was detected on axial T2-weighted magnetic resonance imaging (MRI). In addition, there were atrophic changes in both cerebellar hemispheres. To the best of our knowledge, this is the first case of kleptomania described after CO intoxication in the literature. We discuss the organic etiology of kleptomania and the other psychiatric symptoms of this patient in the light of recent research. We concluded that the kleptomania seen in this patient was related to concurrent lesions in the temporal lobe and globus pallidus; in other words, her kleptomania may have been related to dysfunction simultaneously seen in both the temporolimbic and frontal-subcortical circuits.

Authors+Show Affiliations

Psikiyatri AD., Celal Bayar U Tip Fak., Manisa, Turkey. ebrugurlek@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

tur

PubMed ID

17364271

Citation

Gürlek Yüksel, Ebru, et al. "[Case Report: Kleptomania and Other Psychiatric Symptoms After Carbon Monoxide Intoxication]." Turk Psikiyatri Dergisi = Turkish Journal of Psychiatry, vol. 18, no. 1, 2007, pp. 80-6.
Gürlek Yüksel E, Taşkin EO, Yilmaz Ovali G, et al. [Case report: kleptomania and other psychiatric symptoms after carbon monoxide intoxication]. Turk Psikiyatri Derg. 2007;18(1):80-6.
Gürlek Yüksel, E., Taşkin, E. O., Yilmaz Ovali, G., Karaçam, M., & Esen Danaci, A. (2007). [Case report: kleptomania and other psychiatric symptoms after carbon monoxide intoxication]. Turk Psikiyatri Dergisi = Turkish Journal of Psychiatry, 18(1), pp. 80-6.
Gürlek Yüksel E, et al. [Case Report: Kleptomania and Other Psychiatric Symptoms After Carbon Monoxide Intoxication]. Turk Psikiyatri Derg. 2007;18(1):80-6. PubMed PMID: 17364271.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Case report: kleptomania and other psychiatric symptoms after carbon monoxide intoxication]. AU - Gürlek Yüksel,Ebru, AU - Taşkin,E Oryal, AU - Yilmaz Ovali,Gülgün, AU - Karaçam,Melek, AU - Esen Danaci,Ayşen, PY - 2007/3/17/pubmed PY - 2007/4/25/medline PY - 2007/3/17/entrez SP - 80 EP - 6 JF - Turk psikiyatri dergisi = Turkish journal of psychiatry JO - Turk Psikiyatri Derg VL - 18 IS - 1 N2 - Carbon monoxide (CO) intoxication is usually a serious condition, which can result in neurological disturbances or death. In some patients with CO intoxication, but not usually, a biphasic pattern can be seen. In this condition, after antitoxic treatment, patients may completely recover and after a short recovery period, neurological and/or psychiatric symptoms appear again. This condition is known as delayed encephalopathy and its occurrence rate is between 0.06% and 11.8%. Herein, we report a case with delayed encephalopathy after CO intoxication, which began with neurological symptoms and continued with obsessive-compulsive disorder, depression, kleptomania, and psychotic disorder. The 41-year-old female patient had no psychiatric or neurological symptoms or disorders prior to CO intoxication. Increased signal intensity changes in the basal region of the left temporal lobe (including the cortex and subcortical white matter), globus pallidus (bilateral), and cerebellar cortical and subcortical white matter (bilaterally symmetrical) was detected on axial T2-weighted magnetic resonance imaging (MRI). In addition, there were atrophic changes in both cerebellar hemispheres. To the best of our knowledge, this is the first case of kleptomania described after CO intoxication in the literature. We discuss the organic etiology of kleptomania and the other psychiatric symptoms of this patient in the light of recent research. We concluded that the kleptomania seen in this patient was related to concurrent lesions in the temporal lobe and globus pallidus; in other words, her kleptomania may have been related to dysfunction simultaneously seen in both the temporolimbic and frontal-subcortical circuits. SN - 1300-2163 UR - https://www.unboundmedicine.com/medline/citation/17364271/[Case_report:_kleptomania_and_other_psychiatric_symptoms_after_carbon_monoxide_intoxication]_ L2 - http://www.turkpsikiyatri.com/ftr.aspx?id=569 DB - PRIME DP - Unbound Medicine ER -