Sunday, February 28, 2016

Too thin and too rich

You can never be too rich or too thin.  And by "be too rich," I mean "steal too many luxury items."  By "too thin," I mean "have too many plastic surgeries."

Proving one the human brain is crazy animal, a Brazilian woman underwent multiple procedures (liposuction, tummy tuck, boob job, and arm lift) and ended up with a "mild" case of kleptomania.

According to this article:
When she first woke up, her doctors knew something was amiss: She was lethargic, apathetic, and had bouts of forgetfulness, according to the study. Two lab tests confirmed that during surgery or shortly thereafter, the patient had suffered a hypoxic-ischaemic brain injury, where parts of her brain were damaged due to a temporary lack of oxygen.
Apparently, doctors use something cause "deliberate hypotension" to slow blood flow and reduce bleeding during surgery.
In the following days, she started experiencing recurring intrusive thoughts and an irresistible compulsion towards stealing as well as feeling relieved after the act. This clinical symptomatology resolved a couple of weeks thereafter. She was diagnosed with transitory kleptomania/impulse control disorder.
The authors of the study cite one other case of post-surgery kleptomania.  That study concludes that
Clinicians should routinely inquire about urges to steal during the general psychiatric interviews with their patients. Patients with a history of trauma, head injury, or substance abuse should also be screened for kleptomania. It is essential to approach kleptomania in a nonjudgmental manner and to reinforce confidentiality due to patients' fear of legal consequences. 
It would be easy to make jokes about this case (and I already have), but the physiological causes of mental illness fascinate me.  I hope people who think "it's all in the minds" of the sufferers will reconsider what causes some of these behaviors.
Example of damage to brain of kleptomaniac - From BMJ Case Reports 2016; doi:10.1136/bcr-2015-213710

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