Right orbitofrontal tumor with pedophilia symptom and constructional apraxia sign
Right orbitofrontal tumor with pedophilia symptom and constructional apraxia sign
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DOI：
10.1001/archneur.60.3.437
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发表时间：
2003-03-01
影响因子：
--
通讯作者：
Swerdlow, RH
中科院分区：
文献类型：
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作者：
Burns, JM;Swerdlow, RH
背景资料：眶额异常与不良的冲动控制，改变性行为，sociopathy.Objective：描述一名患者与获得性恋童癖和右眶额肿瘤谁是无法抑制性冲动，尽管保存的道德knows.Design：Case report.Results：患者表现出冲动的性行为与恋童癖，显着的结构性失用症，失写症。行为症状和结构缺陷，包括失写症，解决肿瘤切除术。结论：对于获得性社会病和性欲倒错的患者，眶额定位，需要考虑。这个病例进一步说明了结构性失用症可以由右前额叶功能障碍引起。失写症可能是结构性失用症的一种表现，但无失语症和表意失用症。
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.