Neurosurgical Review

, Volume 33, Issue 1, pp 107–114

Hypersexuality from resection of left occipital arteriovenous malformation

  • Yong Cao
  • Zhaohui Zhu
  • Rong Wang
  • Shuo Wang
  • Jizong Zhao
Case Report

DOI: 10.1007/s10143-009-0232-2

Cite this article as:
Cao, Y., Zhu, Z., Wang, R. et al. Neurosurg Rev (2010) 33: 107. doi:10.1007/s10143-009-0232-2

Abstract

The authors report their experience on one patient with hypersexuality from resection of left occipital arteriovenous malformation. To the best of our knowledge, this is the first case reported in the literature. A 35-year-old right-handed female farmer suffered a sudden left occipital hemorrhage with subarachnoid and subdural hemorrhages of the left hemisphere. Transient left uncal herniation occurred at the onset and was released by conservative treatment. Digital subtraction angiography showed a brain left occipital arteriovenous malformation. After microsurgical resection of the arteriovenous malformation, the patient developed hypersexual behavior. Positron emission tomography showed hypermetabolism in the left frontal region and left posterior hippocampal gyrus and hypometabolism in the left anterior hippocampal gyrus and the left occipital surgical area. Theories concerning normal pressure perfusion breakthrough and specific areas in the brain responsible for the human sexual response are discussed.

Keywords

Arteriovenous malformationHypersexualityNormal pressure perfusion breakthroughPositron emission tomography

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Yong Cao
    • 1
  • Zhaohui Zhu
    • 2
  • Rong Wang
    • 1
  • Shuo Wang
    • 1
  • Jizong Zhao
    • 1
  1. 1.Department of NeurosurgeryBeijing Tiantan Hospital, affiliated to Capital Medical UniversityBeijingChina
  2. 2.PET CenterPeking Union Medical College HospitalBeijingChina