A 37-year-old-man is brought to the Emergency Department from the site of an automobile collision. He was unrestrained and, as a result, has extensive injuries to his face and head. CT scan shows numerous fractures of the facial bones and skull and blood in the rostral areas of the frontal lobes and in the rostral 3–4 cm of the temporal lobes, bilaterally. After several weeks of recovery the man is moved to a long-term care facility. His behavior is characterized by: (1) difficulty recognizing sounds such as music or words; (2) a propensity to place inappropriate objects in his mouth; (3) a tendency to eat excessively or to eat nonfood items such as the leaves on the plant in his room; and (4) a tendency to touch his genitalia. Based on the totality of this man’s deficits he is most likely suffering from which of the following?
- Klüver-Bucy syndrome
- Korsakoff syndrome
- Senile dementia
- Wallenberg syndrome
- Wernicke aphasia
The constellation of deficits experienced by this man is characteristic of the Klüver-Bucy syndrome; this may be seen following bilateral damage to the temporal poles that includes the amygdaloid complex
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