Monga T N, Monga M, Raina M S, Hardjasudarma M
Arch Phys Med Rehabil. 1986 Jun;67(6):415-7.
Hyposexuality is a common problem in stroke patients. Some stroke patients, however, may present with hypersexuality. We report three stroke patients who demonstrated hypersexuality and deviant sexual behavior after stroke. Abnormal sexual behavior was noted by members of the stroke rehabilitation team while the patients were in hospital. Details of pre- and poststroke sexual activity were obtained from patients and their spouses. All three patients had temporal lobe lesions on computerized tomography, and all had a history of poststroke seizure activity. The 53-year-old man reported poststroke increase in libido and coital frequency with a tendency towards priapism. The two women (47 and 55 years old) exhibited deviant sexual behavior, mood changes, and hyperphagia. The exact cause of these behavior changes is unknown but they may be related to temporal lobe involvement. Hypersexuality has previously been reported in animals and in patients with temporal lobe seizures.
性欲减退是中风患者的常见问题。然而，一些中风患者可能会出现性欲亢进。我们报告了三例中风后出现性欲亢进和异常性行为的患者。中风康复团队成员在患者住院期间注意到了异常性行为。中风前后的性活动细节是从患者及其配偶那里获得的。所有三名患者在计算机断层扫描上均有颞叶病变，且都有中风后癫痫发作史。这位53岁的男性报告说中风后性欲和性交频率增加，并有阴茎异常勃起的倾向。这两名女性（分别为47岁和55岁）表现出异常性行为、情绪变化和食欲亢进。这些行为改变的确切原因尚不清楚，但可能与颞叶受累有关。此前在动物和颞叶癫痫患者中曾有过性欲亢进的报道。
