"Gourmand syndrome" in a child with pharmacoresistant epilepsy.
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.
Kurian
M
M
Department of Neurology, University Hospital of Geneva, Geneva, Switzerland. mary.kurian@hcuge.ch
Schmitt-Mechelke
T
T
Korff
C
C
Delavelle
J
J
Landis
T
T
Seeck
M
M
D000927:Anticonvulsants / Q000627:therapeutic use; D001066:Appetite / Q000502:physiology; D002543:Cerebral Hemorrhage / Q000150:complications / Q000503:physiopathology; D002648:Child; D004292:Dominance, Cerebral / Q000502:physiology; D004351:Drug Resistance; D004827:Epilepsy / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D005247:Feeding Behavior / Q000502:physiology; D001068:Feeding and Eating Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D010296:Parietal Lobe / Q000503:physiopathology; D013702:Temporal Lobe / Q000503:physiopathology
D000927:Anticonvulsants