Hypersexuality and Obsessive-Compulsive Behaviors in a Stroke Patient with the Left Mesial Frontal Cortex and Both Basal Ganglia Lesion
Journal of the Korean Society of Biological Psychiatry
;
: 271-275, 2001.
Article
in Korean
| WPRIM
| ID: wpr-724920
ABSTRACT
Hyposexuality after stroke has been frequently observed, but hypersexuality as a sequela of stroke has not been commonly documented. We report a patient who exhibited hypersexuality and obsessive-compulsive behaviors after stroke in the region of the left mesial frontal cortex and both basal ganglia. At 2 months after stroke, he visited psychiatric unit due to these symptoms. His motor function was almost full recovered. He was treated with fluvoxamine and perphenazine, With two-month medication, his hypersexuality and obsessive-compulsive behavior disappeared. This case may indicate that basal ganglia-thalamocortical circuit plays an important role in the mediation of sexual behavior and obsessive-compulsive behavior. Since changes in sexual activity may not be spontaneously reported, a systemic inquiry into patient's sexual functioning after infarction in frontal lobe or basal ganglia is warranted.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Perphenazine
/
Sexual Behavior
/
Basal Ganglia
/
Negotiating
/
Fluvoxamine
/
Stroke
/
Depression
/
Frontal Lobe
/
Infarction
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Biological Psychiatry
Year:
2001
Type:
Article
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