Gourmand syndrome

Rare eating disorder caused by injury to the frontal lobe or limbic structures From Wikipedia, the free encyclopedia

Gourmand syndrome is a very rare and benign eating disorder that usually occurs six to twelve months after an injury to the frontal lobe.[1][2][3][4] Those with the disorder usually have a right hemisphere frontal or temporal brain lesion typically affecting the cortical areas, basal ganglia or limbic structures.[3][2][5][6] These people develop a new, post-injury passion for gourmet food.[3][2][5][4]

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Gourmand syndrome
Frontal lobe (at right)
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There are two main aspects of gourmand syndrome: first, the fine dining habits and changes to taste, and second, an obsessive component which may result in craving and preservation.[2] Gourmand syndrome can be related to, and shares biological features with, addictive and obsessive disorders.[2][3] The syndrome was first characterized in 1997.[3]

Signs and symptoms

A new-found obsession with high-quality foods after frontal lobe injury is the primary characterization of gourmand syndrome.[2]

Causes

It is believed that the frontotemporal circuits, which are normally involved in healthy eating, can cause gourmand syndrome when they are injured.[4]

History

Only 36 people had been diagnosed with gourmand syndrome as of 2001.[6] In many of these cases, the patient did not have any interest in food beforehand nor any family history with eating disorders.[5][2][3]

The first, most famous case was seen in 1997 by Regard and Landis in the journal Neurology.[2][3] After a Swiss stroke patient was released from the hospital, he immediately quit his job as a political journalist and took up the profession of food critic.[3] Regard and Landis also observed an athletic businessman with this condition whose family was shocked to see such a sudden, drastic change in his diet.[3]

Only one case of gourmand syndrome has been reported in a child. He was born with issues with his right temporal lobe. At eight years old he began to experience seizures. Within a year of the seizures beginning, his behavior began exhibit symptoms of gourmand syndrome.[2]

In 2014, a man that was once interested in marathon running now was only interested in gastronomy, traveling hundreds or thousands of miles to eat gourmet food. He became a famous gastronomic critic and gained 50 kg (110 pounds).[5]

References

Further reading

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