This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (32)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Oncology  • Brain Cancer  • Alert me on articles by topic  Social Bookmarking   What's this?

Jeffrey M. Burns, MD; Russell H. Swerdlow, MD

Arch Neurol. 2003;60:437-440.

Background  Orbitofrontal abnormalities are associated with poor impulse control, altered sexual behavior, and sociopathy.

Objective  To describe a patient with acquired pedophilia and a right orbitofrontal tumor who was unable to inhibit sexual urges despite preserved moral knowledge.

Design  Case report.

Results  The patient displayed impulsive sexual behavior with pedophilia, marked constructional apraxia, and agraphia. The behavioral symptoms and constructional deficits, including agraphia, resolved following tumor resection.

Conclusions  For patients with acquired sociopathy and paraphilia, an orbitofrontal localization requires consideration. This case further illustrates that constructional apraxia can arise from right prefrontal lobe dysfunction. Agraphia may represent a manifestation of constructional apraxia in the absence of aphasia and ideomotor apraxia.

From the Department of Neurology, University of Virginia Health System, Charlottesville.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Review of Medical Reports on Pedophilia
Hughes
CLIN PEDIATR 2007;46:667-682.
ABSTRACT  

The Neuropsychology and Neurology of Sexual Deviance: A Review and Pilot Study
Joyal et al.
Sex Abuse 2007;19:155-173.
ABSTRACT