A variant of the Kleine-Levin syndrome following head trauma

Article type: Other

Authors: Kostic, V.S. | Stefanova, E. | Svetel, M. | Kozic, D.

Affiliations: Institute of Neurology, Clinical Center of Serbia, Belgrade, Yugoslavia | Institute of Oncology, MRI Center, Sremska Kamenica, Yugoslavia

Note: [] Corresponding author: Vladimir S. Kostic, Institute of Neurology CCS, ul. Dr Subotica 6, 11000 Belgrade, Yugoslavia. Tel.: +381 11 685 554; Fax: +381 11 684 577; E-mail: kostic@magelan.vet.bg.ac.yu.

Abstract: A 19-year-old man developed the Kleine-Levin syndrome three weeks after the head trauma and subsequent neurosurgical evacuation of right-sided, fronto-temporal epidural hematoma. The expression of periodic episodes was observed for hypersomnolence and, to a lesser degree, for behavioral disturbances, while the hyperphagia was constantly present during a period of 1.5 years. These clinical features were associated with the focal, right-sided hypothalamic lesion and ipsilateral posttraumatic parenchymal temporal lobe damage on NMR imaging.

Keywords: Kleine-Levin syndrome, hyperphagia, hypothalamus

Journal: Behavioural Neurology, vol. 11, no. 2, pp. 105-108, 1998