Paroxysmal Compulsion to Handle Keys in a Computer Operator Due To Meningioma in the Left Supplementary Motor Area | Zendy

Hogen Tei | Zendy; Makoto Iwata | Zendy; Yusaku Miura | Zendy

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Paroxysmal Compulsion to Handle Keys in a Computer Operator Due To Meningioma in the Left Supplementary Motor Area

Author(s) -

Hogen Tei,

Makoto Iwata,

Yusaku Miura

Publication year - 1998

Publication title -

behavioural neurology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.859

H-Index - 48

eISSN - 1875-8584

pISSN - 0953-4180

DOI - 10.1155/1998/856851

Subject(s) - meningioma , frontal lobe , lesion , supplementary motor area , motor area , psychology , medicine , physical medicine and rehabilitation , neuroscience , radiology , surgery , functional magnetic resonance imaging

We describe the case of a computer operator who experienced paroxysmal attacks several times in which she felt a compulsion to handle keys with her right hand or actually her right hand moved involuntarily in a key-handling rhythm. Cranial CT and MRI revealed a mass lesion in the left medial aspect of the frontal lobe (supplementary motor area). After the removal of this tumor (meningioma), there were no more paroxysmal attacks. We suggest that voluntary movements controlled by the supplementary motor area were deranged by seizures provoked by the tumor. This case is attractive in relation to obsessive-compulsive disorder.

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