Hypersexuality and Obsessive-Compulsive Behaviors in a Stroke Patient with the Left Mesial Frontal Cortex and Both Basal Ganglia Lesion.
- Author:
Se Joo KIM
;
Young Shin KIM
;
Nak Kyung CHOI
;
Byung Chul LEE
;
Man Hong LEE
- Publication Type:Case Report
- Keywords:
Hypersexuality;
Obsessive-compulsive symptom;
Depressive symptom;
Infarction;
Frontal lobe;
Basal ganglia
- MeSH:
Basal Ganglia*;
Depression;
Fluvoxamine;
Frontal Lobe;
Humans;
Infarction;
Negotiating;
Perphenazine;
Sexual Behavior;
Stroke*
- From:Journal of the Korean Society of Biological Psychiatry
2001;8(2):271-275
- CountryRepublic of Korea
- Language:Korean
-
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.
