New onset abnormal eating behaviour following amygdalohippocampal laser ablation for mesial temporal epilepsy

We present a patient with left mesial temporal medically refractory epilepsy who developed new onset abnormal eating behaviour following surgical ablation of the left hippocampus and amygdala. The patient underwent a second ablation due to seizure recurrence targeting a remnant of the amygdala, after which seizures resolved, but disordered eating behaviours continued with no appreciable change. We discuss the role of aberrant limbic signalling in mesial temporal epilepsy and its contribution towards eating behaviours in the context of surgical treatment.