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后天性恋童癖的神经学研究。

The Neurology of Acquired Pedophilia.

机构信息

Medical Internship Program, Gaffrée eGuinle University Hospital, the Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.

Senior Researcher in the Clinical Neurosciences, the D 'Or Institute for Research & Education, and Department of Neurology, Gaffrée e Guinle University Hospital, the Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.

出版信息

Neurocase. 2020 Apr;26(2):103-114. doi: 10.1080/13554794.2020.1727929. Epub 2020 Feb 20.

DOI:10.1080/13554794.2020.1727929
PMID:32079483
Abstract

The clinicoanatomic cases of acquired pedophilia that have been published in the medical and forensic literature up to 2019 are reviewed. Twenty-two cases fit our inclusion criteria. All but one were men, and in only one case the injury was localized to the left hemisphere. Hypersexuality was present in 18 cases. The damaged areas fell within the frontotemporoinsular cortices and related subcortical nuclei; however, the anterior hypothalamus was spared. Damage to parts of the right frontotemporoinsular lobes with sparing of the anterior hypothalamus seems to be critical for the emergence of acquired pedophilia.

摘要

回顾了截至 2019 年在医学和法医学文献中发表的获得性恋童癖的临床解剖病例。符合我们纳入标准的有 22 例。除 1 例外,其余均为男性,仅有 1 例损伤局限于左半球。18 例存在性欲亢进。受损区域位于额颞岛皮质及其相关皮质下核内;然而,前下丘脑未受累。似乎右额颞岛叶的某些部位受损而前下丘脑未受累对获得性恋童癖的出现至关重要。

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1
The Neurology of Acquired Pedophilia.后天性恋童癖的神经学研究。
Neurocase. 2020 Apr;26(2):103-114. doi: 10.1080/13554794.2020.1727929. Epub 2020 Feb 20.
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Right orbitofrontal tumor with pedophilia symptom and constructional apraxia sign.右侧眶额叶肿瘤伴恋童癖症状及结构性失用症体征。
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Profiling acquired pedophilic behavior: Retrospective analysis of 66 Italian forensic cases of pedophilia.对获得性恋童癖行为的剖析:66 例意大利恋童癖法医案例的回顾性分析。
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An unusual case of acquired pedophilic behavior following compression of orbitofrontal cortex and hypothalamus by a Clivus Chordoma.
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Hypersexuality or altered sexual preference following brain injury.脑损伤后出现的性欲亢进或性偏好改变。
J Neurol Neurosurg Psychiatry. 1986 Aug;49(8):867-73. doi: 10.1136/jnnp.49.8.867.
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Neurological control of human sexual behaviour: insights from lesion studies.人类性行为的神经控制:来自损伤研究的见解
J Neurol Neurosurg Psychiatry. 2007 Oct;78(10):1042-9. doi: 10.1136/jnnp.2006.107193. Epub 2006 Dec 22.
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Ascending projections of the posterior nucleus of the hypothalamus: PHA-L analysis in the rat.下丘脑后核的上行投射:大鼠PHA-L分析
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Pedophilia and temporal lobe disturbances.恋童癖与颞叶功能障碍。
J Neuropsychiatry Clin Neurosci. 2000 Winter;12(1):71-6. doi: 10.1176/jnp.12.1.71.
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[Pedophilia: contribution of neurology and neuroimaging techniques].[恋童癖:神经学与神经成像技术的作用]
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Pedophilia occurring after onset of cognitive impairment.认知障碍发病后出现的恋童癖。
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引用本文的文献

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Cognitive profiles of paedophilic behaviour: a meta-analytic and systematic review of developmental vs acquired forms.恋童癖行为的认知特征:发育型与后天型的荟萃分析及系统评价
Front Psychiatry. 2025 Jun 9;16:1568244. doi: 10.3389/fpsyt.2025.1568244. eCollection 2025.
2
The Neuroanatomical Bases of Pedophilia and the Importance of Distinguishing Genuine vs. Acquired Types: A Systematic Review.恋童癖的神经解剖学基础以及区分真性与后天性类型的重要性:一项系统综述。
Sex Offending. 2023 May 5;18:e6989. doi: 10.5964/sotrap.6989. eCollection 2023.
3
Acquired Pedophilia: international Delphi-method-based consensus guidelines.
后天性恋童癖:国际德尔菲法为基础的共识指南。
Transl Psychiatry. 2023 Jan 18;13(1):11. doi: 10.1038/s41398-023-02314-8.
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Hypothalamic volume in pedophilia with or without child sexual offense.恋童癖患者下丘脑体积的研究,无论是否存在儿童性侵犯行为。
Eur Arch Psychiatry Clin Neurosci. 2023 Sep;273(6):1295-1306. doi: 10.1007/s00406-022-01501-w. Epub 2022 Nov 12.