title: Erotomania associated with temporal lobe abnormalities following radiotherapy.
abstract: OBJECTIVE
  The aetiology of primary erotomania is usually discussed in terms of psychological disturbance in the patient. A case associated with demonstrable left temporal lobe abnormalities is described.
  
  
  METHODS
  An elderly female patient presented with the delusion of being loved by a physician who had treated her previously. She had received radiotherapy to her left periorbital area in childhood. Structural and functional neuroimaging revealed medial temporal lobe damage.
  
  
  RESULTS
  She was treated with haloperidol with moderate improvement in her distress.
  
  
  CONCLUSIONS
  This case illustrates the contribution of both cerebral injury and psychosocial factors in the eventual development of this unusual psychiatric syndrome.
authors.affiliation: Department of Aged Care, St George Hospital, Kogarah, New South Wales, Australia.
authors.forename: C
authors.initials: C
authors.lastname: Wijeratne
authors.forename: I
authors.initials: I
authors.lastname: Hickie
authors.forename: R
authors.initials: R
authors.lastname: Schwartz
mesh_terms: D000368:Aged; D001714:Bipolar Disorder / Q000209:etiology*; D016371:Cranial Irradiation; D003702:Delusions / Q000209:etiology*; D003704:Dementia / Q000209:etiology; D004882:Erotica; D005153:Facial Neoplasms / Q000532:radiotherapy; D005260:Female; D006391:Hemangioma / Q000532:radiotherapy; D006801:Humans; D019965:Neurocognitive Disorders / Q000209:etiology*; D011832:Radiation Injuries / Q000209:etiology*; D013702:Temporal Lobe / Q000528:radiation effects*