Oct, 1, 2023

Vol.30 No.2, pp. 84-88

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Review

  • Korean Journal of Biological Psychiatry
  • Volume 8(2); 2001
  • Article

Review

Korean Journal of Biological Psychiatry 2001;8(2):271-5. Published online: Feb, 1, 2001

Abstract PDF Full Text

A Case Report：Hypersexuality and Obsessive-Compulsive Behaviors in a Stroke Patient with the Left Mesial Frontal Cortex and Both Basal Ganglia Lesion

  • Se Joo Kim, MD1;Young Shin Kim, MD1;Nak Kyung Choi, MD1;Byung-Chul Lee, MD2;and Man Hong Lee, MD3;
    1;Department of Psychiatry, 2;Neurology, College of Medicine, Hallym University, Anyang, 3;Department of Psychiatry, College of Medicine, Yonsei University, Seoul, Korea
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.

Keywords Hypersexuality;Obsessive-compulsive symptom;Depressive symptom;Infarction;Frontal lobe;Basal ganglia.