Klüver Bucy syndrome following hypoglycaemic coma in a patient with glycogen storage disease type Ib

J Inherit Metab Dis. 2010 Dec:33 Suppl 3:S477-80. doi: 10.1007/s10545-010-9243-y. Epub 2010 Nov 20.

Abstract

Patients with type I glycogen storage disease (GSD) have poor tolerance to fasting, sometimes less than 3 hours during infancy. Even though most patients are able, as they get older, to tolerate a longer fasting period, they are at permanent risk for fast-induced hypoglycaemia, even in adulthood. Klüver Bucy syndrome, is characterized by psychic blindness (inability to recognize familiar objects), hypermetamorphosis (strong tendency to react to visual stimulus), increased oral exploration, placidity, indiscriminate hyper-sexuality and change in dietary habits. In this case report, we describe the development of Klüver Bucy syndrome in a 28-year-old man with type Ib GSD, following prolonged and severe hypoglycaemia triggered by a common respiratory infection.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biomarkers / blood
  • Blood Glucose / metabolism
  • Coma / diagnosis
  • Coma / etiology*
  • Fasting / blood
  • Glycogen Storage Disease Type I / complications*
  • Glycogen Storage Disease Type I / diagnosis
  • Glycogen Storage Disease Type I / therapy
  • Humans
  • Hypoglycemia / blood
  • Hypoglycemia / diagnosis
  • Hypoglycemia / etiology*
  • Hypoglycemia / therapy
  • Kluver-Bucy Syndrome / diagnosis
  • Kluver-Bucy Syndrome / etiology*
  • Kluver-Bucy Syndrome / psychology
  • Kluver-Bucy Syndrome / therapy
  • Magnetic Resonance Imaging
  • Male
  • Respiratory Tract Infections / complications*
  • Respiratory Tract Infections / diagnosis
  • Respiratory Tract Infections / therapy
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Biomarkers
  • Blood Glucose

Supplementary concepts

  • Glycogen Storage Disease IB