Letter to the Editor

Klüver-Bucy Syndrome as a Result of Minor Head Trauma

Authors: Juan A. Asensio, MD, FACS


To the Editor:

I and my coauthors thank Dr. Olson for his thoughtful letter 1 about our study. 2 As he so aptly put it, our patient exhibited three of the key diagnostic features of the Klüver-Bucy syndrome. With regard to outbursts of irritation, their presence does not exclude the diagnosis of this syndrome. The patient's behavior was rather passive most of the time, and her affect was blunted. Nowhere in our case report did we state that she developed aggressive behaviors. There were no frontal lesions shown on computed tomographic (CT) scans of the head, which we obtained twice. Similarly, magnetic resonance imaging (MRI) disclosed no lesions. I certainly think that these three rounds of imaging would have revealed any frontal lobe lesions. My coauthors and I asked our colleagues in neurology to review the case once again, and they agreed with the original diagnosis. Therefore, we stand by our diagnosis and description of this case.

Juan A. Asensio, MD, FACS

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1. Olson DA. Klüver-Bucy syndrome as a result of minor head trauma. South Med J 2003; 96: 323(letter).
2. Salim A, Kim KA, Kimbrell BJ, Petrone P, Roldan G, Asensio JA. Klüver-Bucy syndrome as a result of minor head trauma. South Med J 2002; 95; 929–931.