Tooth-brushing epilepsy with ictal orgasms

被引：25

作者：

Chuang, YC ^{[1
]}

Lin, TK ^{[1
]}

Lui, CC ^{[1
]}

Chen, SD ^{[1
]}

Chang, CS ^{[1
]}

机构：

[1] Chang Gung Mem Hosp, Dept Neurol, Kaohsiung 83342, Taiwan

来源：

SEIZURE-EUROPEAN JOURNAL OF EPILEPSY | 2004年 / 13卷 / 03期

关键词：

tooth-brushing epilepsy; orgasm; reflex epilepsy; right temporolimbic structure;

D O I：

10.1016/S1059-1311(03)00109-2

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We report a 41-year-old woman with complex reflex epilepsy in which seizures were induced exclusively by the act of tooth brushing. All the attacks occurred with a specific sensation of sexual arousal and orgasm-like euphoria that were followed by a period of impairment of consciousness. Ictal EEG demonstrated two events of epileptic seizure that were provoked after tooth brushing for 38 and 14 seconds, respectively. The interictal EEG showed epileptiform discharges over the right anterior temporal region and interictal single photon emission computed tomography (SPECT) scan showed relative hypoperfusion in the uncus of right temporal lobe. Brain magnetic resonance imaging (MRI) revealed right hippocampal atrophy. We suggest that tooth-brushing epilepsy, especially with sexual ictal manifestations, may provide insight into the cerebral pathophysiology at the right temporolimbic structure. (C) 2003 BEA Trading Ltd. Published by Elsevier Science Ltd. All rights reserved.

引用

页码：179 / 182

页数：4

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