Hypersexuality after temporal lobe resection

Amee D. Baird, Sarah J. Wilson, Peter F. Bladin, Michael M. Saling, David C. Reutens

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Hypersexuality has occasionally been reported in patients with temporal lobe epilepsy following temporal lobe resection. The mechanism underlying this phenomenon is poorly understood. We describe seven patients who spontaneously reported dramatic postoperative changes in sexual behavior after unilateral temporal lobe resection. Five of the seven patients showed evidence of bilateral temporal lobe abnormalities. All of the patients had significant difficulties with postoperative psychosocial adjustment that preceded the onset of hypersexuality. Five of the patients were completely seizure-free and one reported postoperative auras. Recurrent complex partial seizures occurred at a reduced frequency in one patient after 6 months. In this patient, the period of seizure freedom did not directly correlate with the period of hypersexuality. These cases suggest that hypersexuality following unilateral temporal lobe resection is more likely to occur in the presence of psychosocial difficulties and contralateral temporal lobe abnormalities. Neurophysiological processes associated with seizure cessation alone do not appear to account for postoperative hypersexuality.

LanguageEnglish
Pages173-181
Number of pages9
JournalEpilepsy and Behavior
Volume3
Issue number2
DOIs
Publication statusPublished - Apr 2002
Externally publishedYes

Fingerprint

Temporal Lobe
Seizures
Social Adjustment
Temporal Lobe Epilepsy
Sexual Behavior
Epilepsy

Keywords

  • Hypersexuality
  • Kluver-Bucy syndrome
  • Postoperative outcome
  • Seizure surgery
  • Temporal lobe epilepsy

Cite this

Baird, A. D., Wilson, S. J., Bladin, P. F., Saling, M. M., & Reutens, D. C. (2002). Hypersexuality after temporal lobe resection. Epilepsy and Behavior, 3(2), 173-181. https://doi.org/10.1006/ebeh.2002.0342
Baird, Amee D. ; Wilson, Sarah J. ; Bladin, Peter F. ; Saling, Michael M. ; Reutens, David C. / Hypersexuality after temporal lobe resection. In: Epilepsy and Behavior. 2002 ; Vol. 3, No. 2. pp. 173-181.
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Baird, AD, Wilson, SJ, Bladin, PF, Saling, MM & Reutens, DC 2002, 'Hypersexuality after temporal lobe resection', Epilepsy and Behavior, vol. 3, no. 2, pp. 173-181. https://doi.org/10.1006/ebeh.2002.0342

Hypersexuality after temporal lobe resection. / Baird, Amee D.; Wilson, Sarah J.; Bladin, Peter F.; Saling, Michael M.; Reutens, David C.

In: Epilepsy and Behavior, Vol. 3, No. 2, 04.2002, p. 173-181.

Research output: Contribution to journalArticleResearchpeer-review

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Baird AD, Wilson SJ, Bladin PF, Saling MM, Reutens DC. Hypersexuality after temporal lobe resection. Epilepsy and Behavior. 2002 Apr;3(2):173-181. https://doi.org/10.1006/ebeh.2002.0342