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Right frontal lobe glioma presenting as anorexia nervosa: Further evidence implicating dorsal anterior cingulate as an area of dysfunction

Authors

  • Elizabeth Goddard MSc,

    1. Section of Eating Disorders, Department of Psychological Medicine, King's College London, Institute of Psychiatry, London, United Kingdom
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  • Keyoumars Ashkan MD, FRCP, FRCS,

    1. Department of Neurosurgery, King's College Hospital NHS Foundation Trust, London, United Kingdom
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  • Stuart Farrimond BMBS, BMed(Sci),

    1. Department of Health and Social Care, Wiltshire College, Wiltshire, United Kingdom
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  • Martin Bunnage BSc(Hons), M. Psyc, PhD, C. Psychol,

    1. Department of Neuropsychology, Frenchay Hospital and Institute of Clinical Neurosciences, Bristol, United Kingdom
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  • Janet Treasure PhD, FRCP, FRCPsych

    Corresponding author
    1. Section of Eating Disorders, Department of Psychological Medicine, King's College London, Institute of Psychiatry, London, United Kingdom
    • Section of Eating Disorders, Department of Psychological Medicine, King's College London, Institute of Psychiatry, P059, 103 Denmark Hill, London SE5 8AF, United Kingdom
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Abstract

Objective:

The association of anorexia nervosa (AN) with organic brain lesions may offer insight into underlying illness neuropathology. A systematic review reported an association between AN and lesions located in the right frontal lobe. To date, no studies have studied such a case longitudinally. A case of a male presenting with AN and a frontal lobe glioma is described.

Method:

The clinical symptoms and subsequent medical and neuropsychological investigations before and after surgery are reviewed.

Results:

The remission of ED symptoms is observed at 2 year post-surgery follow up.

Discussion:

The features of this case are set into the context of recent conceptualizations of AN and the clinical implications for identifying individuals with underlying organic causes. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)

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