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Wolfgang Leesch, MD; Ingeborg Fischer, MD; Robert Staudinger, MD; Douglas C. Miller, MD, PhD; Swati Sathe, MD

Arch Neurol. 2009;66(1):130-131.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 55-year-old Hispanic woman was brought to the psychiatry unit with increasingly bizarre behavior lasting 1 year and recent inability to recognize family members. Previously in good health, she developed irritability and inappropriateness that led to a brief psychiatric admission and treatment with benzodiazepines. She approached men inappropriately, became sexually preoccupied and emotionally blunted, and explored objects orally. Family members reported alternating episodes of compulsive fasting and eating along with incessant smoking; she had no contributory family or medical history, in particular any diarrhea, fever, headache, or weight loss. On admission, she was unkempt, disorganized, inappropriate, and uncooperative. Neurological examination showed easy distractibility, pressured speech, and prosopagnosia. She followed commands but performed poorly on concentration and memory tasks. Within 3 weeks, she developed right-sided hemiparesis and sensory aphasia. Subsequently, she was withdrawn and . . . [Full Text of this Article]

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