Document Detail

Sexual auras: predominance of epileptic activity within the mesial temporal lobe.
MedLine Citation:
PMID:  17962080     Owner:  NLM     Status:  MEDLINE    
The occurrence of sexual auras (SAs), defined as erotic feelings accompanied by sexual arousal and orgasm, was investigated in 244 consecutive patients with medically refractory focal epilepsy. All patients were evaluated with prolonged video/EEG monitoring, high-resolution MRI, and the Wada test. One female and two male patients with hippocampal sclerosis and /or atrophy experienced SAs. In accordance with the findings on interictal and ictal EEGs, the epileptogenic zone could be localized to the speech-dominant mesial temporal lobe in one case and to the non-speech-dominant mesial temporal lobe in two cases. All patients were treated by selective amygdalohippocampectomy. Our results indicate that: (1) SAs occur in men and women, (2) SAs occur predominantly in seizures originating from the nondominant temporal lobe (but may also be associated with seizure onset in the dominant hemisphere), and (3) SAs point toward a seizure onset in mesial temporal structures.
Susanne Aull-Watschinger; Ekaterina Pataraia; Christoph Baumgartner
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-10-24
Journal Detail:
Title:  Epilepsy & behavior : E&B     Volume:  12     ISSN:  1525-5050     ISO Abbreviation:  Epilepsy Behav     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2007-12-18     Completed Date:  2008-04-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100892858     Medline TA:  Epilepsy Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  124-7     Citation Subset:  IM    
Universitätsklinik für Neurologie, Medical University of Vienna, Austria.
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MeSH Terms
Electroencephalography / methods
Epilepsy* / pathology,  physiopathology,  psychology
Hippocampus / pathology,  physiopathology
Magnetic Resonance Imaging / methods
Middle Aged
Prospective Studies
Sexual Behavior / psychology*
Temporal Lobe / physiopathology*

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

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