Olfactory reference syndrome in a patient with partial epilepsy.
A 49-year-old man with right temporal lobe epilepsy developed the chronic delusion that his body emitted a foul odor (olfactory reference syndrome). Before the delusional symptoms, he had partial seizures with unpleasant olfactory hallucinations. Subsequently ictal olfactory symptoms abated but a disabling delusional syndrome developed. The only prior case of the olfactory reference syndrome in a patient with epilepsy had a right frontal lesion. The case further supports the association of right hemisphere lesions and delusional disorders.
Devinsky
O
O
Department of Neurology, New York University School of Medicine, New York, USA.
Khan
S
S
Alper
K
K
D004833:Epilepsy, Temporal Lobe / Q000150:complications*; D006212:Hallucinations / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D009812:Odorants; D009833:Olfactory Pathways / Q000503:physiopathology; D012678:Sensation Disorders / Q000209:etiology*; D012903:Smell; D013577:Syndrome