Document Detail


Hypersexuality and dysexecutive syndrome after a thalamic infarct.
MedLine Citation:
PMID:  15512841     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hypersexuality can result from insults to several neuroanatomical structures that regulate sexual behavior. A case is presented of an adult male with a thalamic infarct resulting in a paramedian thalamic syndrome, consisting of hypersomnolence, confabulatory anterograde amnesia (including reduplicative paramnesia), vertical gaze deficits, and hypophonic speech. A dysexecutive syndrome also manifested, consisting of social disinhibition, apathy, witzelsucht, motor inhibition deficits, and environmental dependence. Hypersexuality uncharacteristic of his premorbid behavior was evident in instances of exhibitionism, public masturbation, and verbal sexual obscenities. In contrast to the few previous reports of hypersexuality following thalamic infarct, this case neither involved mania nor hemichorea. The relevance of the mediodorsal thalamic nucleus in limbic and prefrontal circuits is discussed.
Authors:
Marcello Spinella
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The International journal of neuroscience     Volume:  114     ISSN:  0020-7454     ISO Abbreviation:  Int. J. Neurosci.     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-10-29     Completed Date:  2005-01-13     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0270707     Medline TA:  Int J Neurosci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1581-90     Citation Subset:  IM    
Affiliation:
Division of Social and Behavioral Sciences, Richard Stockton College of New Jersey, Pomona 08240-0195, USA. rnarcello.spinel1a@stockton.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Brain Damage, Chronic / complications,  diagnosis,  psychology
Cerebral Infarction / complications*,  diagnosis,  psychology
Cognition Disorders / diagnosis,  etiology*,  psychology
Humans
Intracranial Aneurysm / complications,  diagnosis,  surgery
Male
Neuropsychological Tests
Sexual Behavior*
Sexual Dysfunction, Physiological / diagnosis,  etiology*,  psychology
Syndrome
Thalamic Diseases / complications*,  diagnosis,  psychology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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