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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 
Authors
 김세주  ;  김영신  ;  최낙경  ;  이병철  ;  이만홍  ;  최낙영 
Citation
 Korean Journal of Biological Psychiatry (생물정신의학), Vol.8(6) : 271-275, 2001 
Journal Title
Korean Journal of Biological Psychiatry(생물정신의학)
ISSN
 1225-8097 
Issue Date
2001
Keywords
Hypersexuality ; Obsessive-compulsive symptom ; Depressive symptom ; Infarction ; Frontal lobe ; Basal ganglia
Abstract
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.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Se Joo(김세주) ORCID logo https://orcid.org/0000-0002-5438-8210
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/142195
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