We present a case in which hypersexuality and delusional jealousy after a stroke were successfully managed with quetiapine. Various clinical factors such as age, gender, diagnosis, location of the lesion, degree of disability, presence and side of hemiparesis, spasticity, hemisensory symptoms, presence and severity of aphasia, previous diseases, and medication, as well as several psychosocial factors such as marital status, presence and degree of depression, ability to discuss sexuality with spouse, fear of having another stroke or fear of impotence, and general attitude toward sexuality, were used to explain the observed alterations in sexual functions (explanatory variables). The present results, however, suggest that a need clearly exists for sexual counseling after stroke, and we recommend that such counseling be included in the basic information given to stroke patients and their spouses.ORs and their 95% CIs are calculated by logistic regression.ORs and their 95% CIs are calculated by logistic regression.ORs and 95% CIs are calculated by logistic regression.This study was supported by grants from the Maire Taponen Foundation, the Medical Reseach Foundation in Oulu, and the Biomedical Engineering Program of the University of Oulu (Finland). It's an excessive preoccupation with sexual fantasies, urges or behaviors that is difficult to control, causes you distress, or negatively affects your health, job, relationships or other parts of your life. The median time from the onset of the first stroke was 23 months. The total number of patients participating in the courses was 213, of whom 192 (90%) were able and willing to participate in the study. Antidepressant medication, which may sometimes cause sexual disorders, did not explain this finding, because sexual functions were similar in the patients with and without antidepressant medication. organization.Arteriosclerosis, Thrombosis, and Vascular Biology (ATVB) Correspondence to Juha T. Korpelainen, MD, Department of Neurology, University of Oulu, Kajaanintie 52, 90220 Oulu, Finland.

Giaquinto et al. Kluver-Bucy syndrome following heat stroke in a 12-year-old girl. The statistically most essential explanatory variables for the decrease were the general attitude toward sexuality (unimportant: OR, 21.9; fairly important: OR, 7.4), fear of impotence (OR, 6.1), and functional disability (severe: OR, 4.2; mild: OR, 3.2) (Table 1The majority of patients (79%) and spouses (84%) reported an active prestroke sexual life, including intercourse regularly at least once a month. We therefore designed the present study to assess the impact of stroke on sexual functioning among stroke patients and their spouses. Fifty-one of the 192 patients were previously healthy, while 141 patients had previous diseases, the most common being arterial hypertension (81 patients), diabetes mellitus (42 patients), and coronary artery disease (39 patients). The etiology or location of the stroke and the gender or marital status of the patients were not associated with changes in poststroke sexuality in patients in the present study.The results of the present study generally agree with the previous studies,Sexual dysfunction in stroke patients is known to be complex and multifactorial. We thank the field workers of the Stroke and Aphasia Federation for assisting in the data collection. Thanks in part to better and more available diagnosis, treatment, and rehabilitation, the vast majority of stroke patients tend to survive strokes, particularly in the industrialized world. This site uses cookies. The focal lesion was located in the dominant hemisphere in 100 cases, in the nondominant hemisphere in 58 cases, in the brain stem in 5 cases, and in the cerebellum in 8 cases. Recommend this journal. 2004; 16: 37 – 40. Stroke can change how your body feels, works and how you feel about yourself. Moreover, sexual dysfunction was related to the presence and degree of depression, diabetes mellitus, and cardiovascular medication. The majority (159) of the patients were taking medication: 50 β-adrenergic blocking agents, 37 calcium entry blockers, 34 angiotensin-converting enzyme inhibitors, 31 diuretics, 11 digitalis, 23 nitroglycerin, 32 oral diabetes medication, 11 insulin, 7 tricyclic antidepressants, 43 serotonin reuptake inhibitors, and 54 anticonvulsive medication. Sex after a stroke may be affected by: Fear of another stroke. Hypersexuality after stroke. There were 149 married patients and 43 unmarried, of whom 20 were divorced and 11 widowed.During the courses, all the patients and their spouses independently completed a questionnaire that included their prestroke and poststroke sexual functions and habits. All 3 patients had temporal lobe lesions and had a history of poststroke seizure activity. It is supposed that the hypersexual behavior of the patient was affected by various factors, including psychosocial factors and subtle senile brain changes; however, the author does not have any corroborative evidence.

A better understanding of the psychosocial and physiologic mechanisms underlying sexual functioning can provide insight into improving sexual activity and therefore quality of life in patients affected by strokes and other brain lesions.We use cookies to help provide and enhance our service and tailor content and ads.