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좌측 정중 전두엽과 양측 기저절 경색 후 과잉성욕 증상과 강박 증상을 보인 환자 1례

Other Titles
 Hypersexuality and Obsessive-Compulsive Behaviors in a Stroke Patient with the Left Mesial Frontal Cortex and Both Basal Ganglia Lesion 
 김세주 ; 김영신 ; 최낙영 ; 이만홍 ; 이병철 ; 최낙경 
 Journal of the Korean Society of Biological Psychiatry (생물정신의학), Vol.8(6) : 271~275, 2001 
Journal Title
 Journal of the Korean Society of Biological Psychiatry (생물정신의학) 
Issue Date
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.
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1. 연구논문 > 1. College of Medicine > Dept. of Psychiatry
Yonsei Authors
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