title: Involuntary masturbation and hemiballismus after bilateral anterior cerebral artery infarction.
abstract: Ischemia of the areas supplied by the anterior cerebral artery is relatively uncommon. In addition, combined hemiballismus and masturbation have rarely been reported in patients with cerebrovascular disease. We describe herein a 62-year-old right-handed man simultaneously exhibiting right side hemiballismus and involuntary masturbation with the left hand after bilateral infarction of the anterior cerebral artery territory. Right side hemiballismus was related to the disruption of afferent fibers from the left frontal lobe to the left subthalamic nucleus. Involuntary masturbation using the left hand was exclusively linked to a callosal type of alien hand syndrome secondary to infarction of the right side of the anterior corpus callosum. After 2 weeks, these abnormal behaviours were completely extinguished. This report stresses the wide diversity of clinical manifestations observed after infarction of the anterior cerebral artery territory.
authors.affiliation: Department of Neurology, University Hospital of Dijon, France. ybejot@yahoo.fr
authors.forename: Yannick
authors.initials: Y
authors.lastname: Bejot
authors.forename: Marie
authors.initials: M
authors.lastname: Caillier
authors.forename: Guy-Victor
authors.initials: GV
authors.lastname: Osseby
authors.forename: Roy
authors.initials: R
authors.lastname: Didi
authors.forename: Douraied
authors.initials: D
authors.lastname: Ben Salem
authors.forename: Thibault
authors.initials: T
authors.lastname: Moreau
authors.forename: Maurice
authors.initials: M
authors.lastname: Giroud
mesh_terms: D020820:Dyskinesias / Q000209:etiology* / Q000473:pathology / Q000523:psychology*; D006801:Humans; D020243:Infarction, Anterior Cerebral Artery / Q000150:complications* / Q000473:pathology / Q000523:psychology*; D008297:Male; D008418:Masturbation / Q000209:etiology* / Q000473:pathology / Q000523:psychology; D008875:Middle Aged