BackgroundPathological gambling (PG), which is characterized by consistent, repetitive gambling and unsuccessful quitting attempts, is classified as an impulse control disorder. PG has also been reported in patients with Parkinson's disease, frontotemporal dementia, and amyotrophic lateral sclerosis.Case ReportA 53-year-old male visited the outpatient clinic due to excessive gambling and personality changes. Based on electrophysiological findings and neuropsychiatric assessment, he was diagnosed as frontotemporal dementia-amyotrophic lateral sclerosis.ConclusionsThis case report underlines that PG can also be seen in patients with neurological disorders involving the orbitofrontal cortex.
We describe a 59-year-old man, suffering from a left-sided weakness, who was diagnosed with a right frontal oligodendroglioma. One month after a craniotomy, he complained of perioral numbness and slurred speech, which lasted about an hour. Neurological examination discovered dysarthric speech and repetitive, rhythmic myoclonic jerks of the tongue and the lower lip. We suggest this lingual myoclonus was an epileptic phenomenon associated with brain tumour.
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