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Any of you seen it?
No have you?
How did those patients present?Yes, it is very common in Alzheimer's disease. I have also seen pts with bvFTD, s/p HSV encephalitis, and TBI who have had it. Most psychiatrists probably don't deal with this regularly, but it definitely comes up in geriatrics, neuropsych, and C-L psychiatry. It can be pretty devastating in younger patients.
I saw it once in a patient with temporal lobectomy and contralateral temporal lobe stroke. It's not very common. Also they didn't live much longer.Any of you seen it?
They're cousins actually, nice guyIs he related to Gary Busey?
Had an inpatient on geri psych who had severe major neurocog with MRI showing atrophy everywhere and really bad in temporal lobes - unsure what the etiology was (FTD, vascular, alz, etoh?). He presented with pretty striking “hyper metamorphosis” eg would very randomly shift attention- pick up objects, look at them, and put them down, then walk away and come back, etc. Staff knew the most reliable way to redirect him was with foods- graham crackers would often take precedence over whatever else he was doing. And he asked about food constantly (hyperphagia). He also put a playing card in his mouth one time (hyperorality?). To the extent that he had behavioral disturbances they were always just sort of this child-like innocence of touching everything, wandering and being difficult to redirect.How did those patients present?
Similar attributes, no doubt. Gary making KB headlines.They're cousins actually, nice guy