Department of Psychiatry, Shri B. A variety of stimuli can cause reflex seizures, Some triggers include light, music and cognitive phenomenon. There are case reports however where the phenomenon of sexual activity has been a trigger for epileptic seizures. Most of these cases reported are in women so far, and were found to be localized to right cerebral hemisphere. We report a case of a year-old male with orgasm-induced seizures, with other atypical features compared to majority of previous reports.
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Epilepsy and Sexual Relationships
Orgasm Induced Seizures: A Rare Phenomenon
Sexual relationships are a normal part of healthy living. Three things lead to sexual activity: first there is desire -- wanting to have sex with a partner. When that feeling is strong, there is arousal -- the physical feeling that you "need" to have sex. Finally, there is orgasm -- the height of physical pleasure during intercourse. These processes depend on many reflexes that are coordinated by the nervous system, and involve hormones, nerves, and blood vessels. The desire for sex varies widely in the general population and in people with epilepsy.
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SEIZURE RELATED SEXUAL DISORDER
Many people with epilepsy have fulfilling relationships with a partner. However, epilepsy may affect relationships for some people, and problems with sex are common for both men and women with epilepsy. There are various ways to manage these problems and find support. Seizures are a physical symptom, but having epilepsy can mean far more than the physical impact of seizures, for the person with epilepsy, and their partner. Many people manage seizures well, but seizures can be unpredictable, frightening or shocking, both for the person having seizures and for those who see them.
The relationship between limbic system, epilepsy and psychiatric syndromes is varied and complex. Extratemporal CPS most frequently emanate from the frontal lobes [ 1 ]. Sexual disorders that occur in association with epilepsy may be classified according to whether the disturbance is ictal or interictal, and according to whether it is primarily one of drive or direction [ 2 ]. We report a case of ictus related sexual disorder. A years-old lady was referred to the psychiatrist as a case of hypersexuality nymphomania on 12 Sept 96 with complaint of increased desire for sex of seven months duration.