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Topic: Temporal Lobe Lesion
Subject: Medicine
A 40 year old man presents with sporadically occurring behaviour automatisms and olfactory hallucinations. Which one of the following is the most likely diagnosis?

A. Schizophrenia

B. Schizophreniform psychosis

C. Hysterical personality disorder

D. Temporal lobe lesion

Correct Answer : D.


Olfactory hallucinations are related to lobe lesions throughout the entire brain, though mainly to the temporal lobe. Complex automatic behaviorisms are related to lesions of the temporal lobe.
Visual hallucinations (formed images) are related to lesions of the posterior temporal lobe or amygdala-hippocampus. Visual hallucinations (unformed images) are related to lesions of the occipital lobe.

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