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A compulsive collecting behavior following an A-com aneurysmal rupture

From the Departments of Neurology (Drs. Hahm and Na) and Psychiatry (Dr. Cheong), Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul; and the Department of Psychology (Dr. Kang), Hallym University, Chunchon, Korea.

Address correspondence and reprint requests to Dr. Duk L. Na, Department of Neurology, Samsung Medical Center Sungkyunkwan University School of Medicine, 50 ILwon-dong Kangnam-ku Seoul, 135-710 Korea; e-mail: dukna{at}smc.samsung.co.kr

Hoarding behavior associated with focal brain injury is rarely reported. The authors report a 46-year-old man with pathologic collecting behavior after a left orbitofrontal and caudate injury from an aneurysmal rupture of anterior communicating artery. His hoarding, an impulse control disorder or an ego-syntonic compulsion, was restricted to one specific item (toy bullet). Treatments with sertraline or fluoxetine were not effective for the hoarding.

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