Kleptomania in patients with neuro-Behçet's disease.
OBJECTIVE
This study was conducted to characterize the prevalence and clinical features of kleptomania, an impulse control disorder, in patients with Behçet's disease involving the central nervous system.


METHODS
Medical records of 350 patients with neuro-Behçet's disease were evaluated, and clinical and neuropsychological features of patients with kleptomania were noted.


RESULTS
Of the 350 neuro-Behçet's disease patients 6 (1.7%) had presented with symptoms that fulfilled the criteria of kleptomania according to the revised 4th version of the Diagnostic and Statistical Manual of Mental Disorders. The 6 patients (5 men, 1 woman) had parenchymal lesions and had developed kleptomania during remission. Magnetic resonance imaging done on the 6 patients before the onset of kleptomania mostly revealed brainstem lesions. Psychiatric assessment did not show any comorbid psychiatric disorders and neuropsychological evaluation showed executive dysfunction in all patients.


CONCLUSIONS
The 6 patients with kleptomania had developed a frontal lobe syndrome.
Department of Neurology, School of Medicine, Istanbul Bilim University, Istanbul, Turkey.
Erkingül
E
Shugaiv
Aslı
A
Kıyat-Atamer
Erdem
E
Tüzün
Murat
M
Kürtüncü
Işın
I
Baral-Kulaksızoğlu
Gülşen
G
Akman Demir
D000328:Adult; D001528:Behcet Syndrome / Q000473:pathology / Q000523:psychology* / Q000628:therapy; D001933:Brain Stem / Q000473:pathology; D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000453:epidemiology / Q000473:pathology / Q000523:psychology*; D005260:Female; D005625:Frontal Lobe; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D015995:Prevalence; D012189:Retrospective Studies