Clin Neurol Neurosurg. 2008 Feb;110(2):190-3. Epub 2007 Oct 24.

Involuntary masturbation and hemiballismus after bilateral anterior cerebral artery infarction.

Bejot Y, Caillier M, Osseby GV, Didi R, Ben Salem D, Moreau T, Giroud M.

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Department of Neurology, University Hospital of Dijon, France. ybejot@yahoo.fr

Abstract

Ischemia of the areas supplied by the anterior cerebral artery is relatively uncommon. In addition, combined hemiballismus and masturbation have rarely been reported in patients with cerebrovascular disease. We describe herein a 62-year-old right-handed man simultaneously exhibiting right side hemiballismus and involuntary masturbation with the left hand after bilateral infarction of the anterior cerebral artery territory. Right side hemiballismus was related to the disruption of afferent fibers from the left frontal lobe to the left subthalamic nucleus. Involuntary masturbation using the left hand was exclusively linked to a callosal type of alien hand syndrome secondary to infarction of the right side of the anterior corpus callosum. After 2 weeks, these abnormal behaviours were completely extinguished. This report stresses the wide diversity of clinical manifestations observed after infarction of the anterior cerebral artery territory.

PMID:: 17961914; [PubMed - indexed for MEDLINE]

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