Zusammenfassung
Anhand eines klinischen Fallbeispiels wird das komorbide Auftreten der Kleptomanie
und einer neuropsychologisch und neuroradiologisch nachweisbaren Frontalhirnstörung
dargestellt. Als möglicher pathogenetischer Faktor wird eine Störung der Serotonintransmission
diskutiert.
Kleptomania and Frontal Lobe Dysfunction
A case of a kleptomaniac with frontal lobe dysfunction is presented. Kleptomania is
related to the obsessive-compulsive spectrum disorders and the affective spectrum
disorders. In obsessive-compulsive spectrum disorders neuroimaging and neuropsychological
tasks have revealed abnormal functioning in the frontal brain which also could be
related to kleptomania. Consolidated findings from animal and human studies have implied
central serotonergic transmission in the genesis of obsessive-compulsive spectrum
disorders and affective spectrum disorders. Altogether, these results suggest that
kleptomania, like other disorders of the above mentioned spectrums, could have an
abnormality in serotonergic transmission in common.
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Dr. Ralf Kozian
Landesklinik Brandenburg
Anton-Saefkow-Allee 2
14772 Brandenburg
