Document Detail


Hypersexuality from resection of left occipital arteriovenous malformation.
MedLine Citation:
PMID:  19830465     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors report their experience on one patient with hypersexuality from resection of left occipital arteriovenous malformation. To the best of our knowledge, this is the first case reported in the literature. A 35-year-old right-handed female farmer suffered a sudden left occipital hemorrhage with subarachnoid and subdural hemorrhages of the left hemisphere. Transient left uncal herniation occurred at the onset and was released by conservative treatment. Digital subtraction angiography showed a brain left occipital arteriovenous malformation. After microsurgical resection of the arteriovenous malformation, the patient developed hypersexual behavior. Positron emission tomography showed hypermetabolism in the left frontal region and left posterior hippocampal gyrus and hypometabolism in the left anterior hippocampal gyrus and the left occipital surgical area. Theories concerning normal pressure perfusion breakthrough and specific areas in the brain responsible for the human sexual response are discussed.
Authors:
Yong Cao; Zhaohui Zhu; Rong Wang; Shuo Wang; Jizong Zhao
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-10-15
Journal Detail:
Title:  Neurosurgical review     Volume:  33     ISSN:  1437-2320     ISO Abbreviation:  Neurosurg Rev     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-04-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7908181     Medline TA:  Neurosurg Rev     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  107-14     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Beijing Tiantan Hospital, affiliated to Capital Medical University, 6 Tiantan Xili, Chongwen District, Beijing, 100050, China. caoyong6@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Brain / radionuclide imaging
Brain Chemistry / drug effects
Cerebral Hemorrhage / surgery
Cerebrovascular Circulation / physiology
Female
Humans
Intracranial Arteriovenous Malformations / complications,  surgery*
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Microsurgery
Neurosurgical Procedures*
Occipital Lobe / surgery*
Positron-Emission Tomography
Postoperative Complications / drug therapy,  psychology*
Risperidone / therapeutic use
Serotonin Antagonists / therapeutic use
Serotonin Uptake Inhibitors / therapeutic use
Sertraline / therapeutic use
Sexual Dysfunctions, Psychological / drug therapy,  etiology,  psychology*
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Serotonin Antagonists; 0/Serotonin Uptake Inhibitors; 106266-06-2/Risperidone; 79617-96-2/Sertraline

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


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