Gautier-Smith P C
Rev Neurol (Paris). 1980;136(4):311-9.
The effects of epilepsy and focal brain lesions on sexual behaviour are described. Fits may be provoked by hypervenilation in epileptics during sexual activity, but also by orgasm and other sexual stimuli. Epileptic auras consisting of tactile genital sensations and sexual feelings, including orgasm, also occur. Post-ictal sexual automatisms consist of masturbation or other poorly structured activity, imitating the gestures of sexual intercourse. Focal brain lesions most commonly produce a reduction in sexual activity. However, frontal lobe lesions may produce disinhibition with inappropriate sexual behaviour and temporal lobe lesions may be associated with true hypersexuality, transvestite and transsexual behaviour. Eleven cases, which illustrate the various associations, are described.
本文描述了癫痫和局灶性脑损伤对性行为的影响。癫痫患者在性活动期间过度换气可能诱发发作，高潮和其他性刺激也可能诱发发作。还会出现由生殖器触觉和性感觉（包括性高潮）组成的癫痫先兆。发作后性自动症包括手淫或其他结构不良的活动，模仿性交姿势。局灶性脑损伤最常见的是导致性活动减少。然而，额叶损伤可能导致抑制解除并出现不适当的性行为，颞叶损伤可能与真性性欲亢进、异装癖和易性癖行为有关。本文描述了11个病例，以说明各种关联情况。
