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Neurology 2003;61:123-125
© 2003 American Academy of Neurology
Brief Communications

New onset of body dysmorphic disorder following frontotemporal lesion

V. Gabbay, MD, G.M. Asnis, MD, J.A. Bello, MD, C.M. Alonso, MD, S.J. Serras, MD and M.A. O’Dowd, MD

From the Division of Child and Adolescent Psychiatry of the New York University School of Medicine (Drs. Gabbay and Alonso); and Departments of Psychiatry (Drs. Asnis and O’Dowd) and Neuroradiology (Drs. Bello and Serras), Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY.

Address correspondence and reprint requests to Dr. Vilma Gabbay, Division of Child and Adolescent Psychiatry, New York University School of Medicine, 550 First Ave., NBV 21S6, New York, NY 10016-9196; e-mail: vilmagabbay{at}msn.com

The etiology and pathophysiology of body dysmorphic disorder (BDD) have not been delineated. The authors report a 24-year-old man who developed BDD at age 21 after an inflammatory brain process. Neuroimaging studies showed new atrophy in the frontotemporal region. The authors review cases from the literature with similar clinical features and neuroimaging findings as well as discuss the possible correlation between the neuroanatomic lesion and the clinical presentation of BDD in the patient.




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