“Gourmand syndrome” in a child with pharmacoresistant epilepsy

Abstract We report the case of a 10-year-old boy with pharmacoresistant epilepsy, symptomatic of a right temporoparietal hemorrhagic lesion, who displayed an eating passion as described for the gourmand syndrome (GS) in adults and discuss the role of epilepsy in GS. This patient presented with a sig...

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Bibliographic Details
Published in:Epilepsy & behavior 2008-08, Vol.13 (2), p.413-415
Main Authors: Kurian, M, Schmitt-Mechelke, T, Korff, C, Delavelle, J, Landis, T, Seeck, M
Format: Article
Language:English
Subjects:
Anticonvulsants - therapeutic use
Appetite - physiology
Cerebral Hemorrhage - complications
Cerebral Hemorrhage - physiopathology
Child
Dominance, Cerebral - physiology
Drug Resistance
Eating disorder
Epilepsy
Epilepsy - diagnosis
Epilepsy - drug therapy
Epilepsy - physiopathology
Feeding and Eating Disorders - diagnosis
Feeding and Eating Disorders - drug therapy
Feeding and Eating Disorders - physiopathology
Feeding Behavior - physiology
Gourmand syndrome
Humans
Lesion
Magnetic resonance imaging
Male
Neurology
Neuropsychological Tests
Obesity
Parietal Lobe - physiopathology
Right hemisphere
Temporal Lobe - physiopathology
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Summary:Abstract We report the case of a 10-year-old boy with pharmacoresistant epilepsy, symptomatic of a right temporoparietal hemorrhagic lesion, who displayed an eating passion as described for the gourmand syndrome (GS) in adults and discuss the role of epilepsy in GS. This patient presented with a significant change in his eating habits (abnormal preoccupation with the preparation and eating of fine-quality food) concordant with the onset of his seizure disorder, without any previous history of eating disorders or psychiatric illness. This observation corroborates the important role of the right cerebral hemisphere in disturbed eating habits, including the relatively benign GS, and, possibly rarely, in less benign eating disorders such as anorexia and obesity.
ISSN:1525-5050
1525-5069
DOI:10.1016/j.yebeh.2008.04.004