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Kleptomania following hypoxic-ischaemic damage to bilateral caudate nuclei
  1. Fábio A Nascimento1,
  2. Marina Guebert2,
  3. Vanessa Rizelio2,
  4. Samanta Fabricio Blattes da Rocha2
  1. 1Division of Neurology, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada
  2. 2Neurological Institute of Curitiba (INC), Curitiba, Paraná, Brazil
  1. Correspondence to Dr Fábio A Nascimento, nascimento.fabio.a{at}

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We report a case of a 40-year-old woman, with no history of mental illness or substance abuse, who underwent cosmetic plastic surgery. In the immediate postoperative period, she presented somnolence, disorientation, apathy and memory deficits. Neurological investigation with brain MRI (figure 1) and cerebral perfusion scintigraphy (figure 2) was conducted. The former revealed bilateral nucleocapsular hypoxic-ischaemic injury, while the latter demonstrated relative hypoperfusion in the frontal lobes (figure 2A), anterior portions of the cingulate gyri (figure 2B), basal ganglia (right more than left) (figure 2C) …

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