Description

Hypersexuality may occur for many reasons. While some patients have a behavioral disorder, other cases may be due to an underlying neurological lesion or a medication. Identifying a possible explanation may help to decide on an effective therapeutic strategy.


 

Behavioral conditions:

(1) mania

(2) compulsive disorder

 

Medications:

(1) dopamine agonists (given to patients with Parkinson's disease or multiple system atrophy)

(2) levodopa (dopaminergic drug)

(3) any drug facilitating monoaminergic neurotransmission

 

Neurological conditions:

(1) damage to right hypothalamic region

(2) bilateral temporal disease

(3) right hemispheric stroke

(4) temporal limbic seizures

(5) injury to the septal nuclei

(6) bilateral injury to the basal frontal lobes

(7) dementia

(8) subthalamic nucleus direct brain stimulation (STN DBS)

(9) status/post pallidotomy

 

Some patients may have more than one explanation for the aberrant behavior.

 


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