Hypersexuality from resection of left occipital arteriovenous malformation.
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.
Cao
Yong
Y
Department of Neurosurgery, Beijing Tiantan Hospital, affiliated to Capital Medical University, 6 Tiantan Xili, Chongwen District, Beijing, 100050, China. caoyong6@hotmail.com
Zhu
Zhaohui
Z
Wang
Rong
R
Wang
Shuo
S
Zhao
Jizong
J
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging; D001923:Brain Chemistry / Q000187:drug effects; D002543:Cerebral Hemorrhage / Q000601:surgery; D002560:Cerebrovascular Circulation / Q000502:physiology; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008866:Microsurgery; D019635:Neurosurgical Procedures; D009778:Occipital Lobe / Q000601:surgery*; D049268:Positron-Emission Tomography; D011183:Postoperative Complications / Q000188:drug therapy / Q000523:psychology*; D018967:Risperidone / Q000627:therapeutic use; D012702:Serotonin Antagonists / Q000627:therapeutic use; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use; D020280:Sertraline / Q000627:therapeutic use; D020018:Sexual Dysfunctions, Psychological / Q000188:drug therapy / Q000209:etiology / Q000523:psychology*; D014057:Tomography, X-Ray Computed
D018967:Risperidone; D012702:Serotonin Antagonists; D017367:Selective Serotonin Reuptake Inhibitors; D020280:Sertraline