Perplexing keladophilia and post-surgical symptoms - Case Reports April 2026

About this episode

The episode discusses two intriguing case reports involving unusual neurological symptoms following surgeries.

It's the return of Merlin. Not the birdsong identification app this time, but the Rolls-Royce Merlin - engine of the historic Supermarine Spitfire warplane. The Case Reports trio are faced with another set of patient puzzles to work through in this latest episode. In the first case (1:25), a 68-yo man, retired from farming, presents with a 6-year history of behavioural changes. Most notably, he had developed a sense of great pleasure in listening to engine sounds, like those of the historic aircraft flying over his house. He had become increasingly emotionally detached and ritualistic, and gained a sweet tooth. MR scans of the brain revealed an uncommon syndrome. https://pn.bmj.com/content/26/2/169 The second case (21:15) relates to a 47-yo woman who developed abnormal movements in all of her limbs. She had undergone a complex cardiac surgery 12 years before, and another prolonged cardiac surgery within recent weeks. The case discusses the longterm follow-up of her treatment for these involuntary movements. https://pn.bmj.com/content/26/2/157 The case reports discussion is hosted by Prof. Martin Turner¹, who is joined by Dr. Ruth Wood² and Dr. Babak Soleimani³ for a group…

People in this episode

Host: Prof. Martin Turner

Guests: Dr. Ruth Wood, Dr. Babak Soleimani

Topics covered

• case reports
• neurology
• post-surgical symptoms
• behavioral changes
• involuntary movements

Keywords

• keladophilia
• behavioral changes
• cardiac surgery
• involuntary movements
• neurology

Mentioned in this episode

Organizations: BMJ Group

Books & works: Supermarine Spitfire

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