A Case of Orgasmic Aura Associated with Temporal Lobe Epilepsy from the Nondominant Hemisphere

J Korean Neurol Assoc > Volume 23(3); 2005 > Article

Journal of the Korean Neurological Association 2005;23(3): 386-388.

비우성 반구의 측두엽간질에 의한 성적극치 전조 1예

박찬희, 조양제 한상돈 박수철

연세대학교 의과대학 신경과학교실

A Case of Orgasmic Aura Associated with Temporal Lobe Epilepsy from the Nondominant Hemisphere

Chan Hee Park

Department of Neurology, Yonsei University College of Medicine, Seoul, Korea

Abstract

We experienced a patient with an orgasmic aura originating from the right mesial temporal structure. A 36-year-old right-handed woman suffered from a specific sensation of sexual arousal and orgasm-like euphoria lasting 1~2 minutes for several years. Video EEG monitoring ascertained those sensations as epileptic in nature arising from the right mesial temporal area through a foramen ovale electrode. The findings of 99mTc-ECD-SPECT and 18F-FDG PET were concordant with those of the brain MRI which was pathologically consistent with hippocampal sclerosis. KeyWords:Orgasm, Foramen Ovale, Temporal Lobe Epilepsy