Kluver - Bucy综合征:临床相互作用综述

Adedeji Okikiade, Aromedonghene Osharode, Natalie Aremu, K. U. Chibuike, Damisola Ogunesan, Olojede Olubunmi
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引用次数: 0

摘要

Kluver - Bucy综合征(KBS)最早由Sanger Brown和Edward Albert Sharpey-Schafer报道。1939年,对一只名叫奥罗拉的恒河猴进行了双侧颞叶切除术。手术后三周,奥罗拉开始表现出行为上的变化。神经外科医生保罗·克兰西·布西和神经精神病学家海因里希·克鲁弗观察并记录了奥罗拉表现出的这些行为变化;这些行为变化被命名为Kluver-Bucy综合征。第一例人类Kluver-Bucy病例于1955年在一名22岁的男性患者中被诊断出来。Kluver-Bucy综合征(KBS)是一种复杂的神经精神疾病,通常发生在双侧内侧颞叶损伤后。该综合征主要见于成年人,男女平等。然而,虽然该综合征也可以在儿童中看到,但儿童的症状与成人的症状表现略有不同。KBS的病因和表现多种多样,但最常见的表现是性欲亢进、性欲亢进和贪食症。KBS的诊断主要是通过体征和症状,影像学检查,最重要的是磁共振成像(MRI)来识别大脑内侧叶的损伤。在KBS的管理过程中,排除和确认可能的鉴别和病因也很重要。KBS没有已知的治疗方法,但可以通过抗抑郁药和抗精神病药等药物改善各种症状。KBS的预后通常很差。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Kluver Bucy Syndrome: An Overview of the Clinical Interplay
Kluver Bucy Syndrome (KBS) was initially reported by Sanger Brown and Edward Albert Sharpey-Schafer. In 1939, a bilateral temporal lobectomy was conducted on a Rhesus monkey named Aurora. Three weeks after this procedure, Aurora began to exhibit behavioral changes. These behavioral changes exhibited by Aurora were observed and recorded by Paul Clancy Bucy, a neurosurgeon, and Heinrich Kluver, a neuropsychiatrist; these behavioral changes were given the name Kluver-Bucy syndrome. The first human Kluver-Bucy case was diagnosed in 1955 in a 22-year-old male patient. Kluver-Bucy syndrome (KBS) is a complex neuropsychiatric disease that usually occurs after bilateral damage to the medial temporal lobes. The syndrome is mainly seen in adults, male and female equally. However, although the syndrome can also be seen in children, the symptoms in children are slightly different from how the symptoms manifest in adults. There are a plethora of etiologies and manifestations of KBS, but it most commonly manifests as a triad of hypersexuality, hyperorality, and hyperphagia. The diagnosis of KBS is primarily centered around the identification of damages to the medial lobe of the brain using signs and symptoms, imaging studies, and most importantly, Magnetic Resonant Imaging (MRI). It is also essential to rule out and confirm possible differentials and etiologies during the management of KBS. KBS has no known cure, but the various manifestations can be ameliorated with medications like antidepressants and antipsychotics. The prognosis is generally poor for KBS.
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