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Male Sexual Function: Impairment After Right Hemisphere Stroke

Male Sexual Function: Impairment After Right Hemisphere Stroke Abstract • If the right hemisphere is dominant for activation and this capacity is critical for normal sexual function, one might expect to find a greater incidence of impaired sexual function after right than after left hemisphere stroke. We found that the prevalence of major sexual dysfunction was significantly greater after right (9/12) than after left (4/14) hemisphere stroke in 26 men with unilateral stroke. These data are consistent with the hypothesis that activation is critical for sexual function as well as the hypothesis that the right hemisphere is dominant for sexual function. References 1. Pribram K, McGuinness D: Arousal, activation and effort in the control of attention . Psychol Rev 1975;182:116-149.Crossref 2. Heilman KM, Van Den Abell T: Right hemispheric dominance for mediating cerebral activation . Neuropsychologia 1979;17:315-321.Crossref 3. Howes D, Boller F: Simple reaction times: Evidence for focal impairment from lesions of the right hemisphere . Brain 1975;98:317-332.Crossref 4. Coslett HB, Bowers D, Heilman KM: Reduction in cognitive activation following right hemisphere stroke, abstracted . Neurology 1984;34( (suppl 1) ):190. 5. Heilman KM, Schwartz HD, Watson RT: Hypoarousal in patients with the neglect syndrome and emotional indifference . Neurology 1978;28:229-232.Crossref 6. Dimond SJ, Farrington L, Johnson P: Differing emotional response from right and left hemispheres . Nature 1976;261:690-692.Crossref 7. Ley RG, Bryden MP: Hemispheric differences in recognizing faces and emotions . Brain Lang 1979;7:127-138.Crossref 8. Sackeim HA, Gur RC: Lateral asymmetry in intensity of emotional expression . Neuropsychologia 1978;16:473-481.Crossref 9. Tucker DM, Watson RT, Heilman KM: Affective discrimination and evocation in patients with right parietal disease . Neurology 1977;27:947-950.Crossref 10. DeKosky S, Heilman KM, Bowers D, et al: Recognition and discrimination of emotional faces and pictures . Brain Lang 1980;9:206-214.Crossref 11. Gastaut H, Collomb H: Etude du comportement sexuel chez les epileptiques psychomoteurs . Ann Med Psychol 1954;2:657-696. 12. Blumer D, Walker E: Sexual behavior in temporal lobe epilepsy . Arch Neurol 1967;16:37-43.Crossref 13. Bear DM, Fedio P: Quantitative analysis of interictal behavior in temporal lobe epilepsy . Arch Neurol 1977;34:456-467.Crossref 14. Gainotti G: Emotional behavior and hemispheric side of lesion . Cortex 1972;8:41-55.Crossref 15. Robinson RG, Kubos KL, Starr LB, et al: Mood disorders in stroke patients . Brain 1984;107:81-93.Crossref 16. Heilman KM, Watson RT, Valenstein E: Neglect and related disorders , in Heilman KM, Valenstein E (eds): Clinical Neuropsychology . New York, Oxford University Press, 1985, pp 243-293. 17. Benton A: Visuoperceptual, visuospatial and visuoconstructive disorders , in Heilman KM, Valenstein E (eds): Clinical Neuropsychology . New York, Oxford University Press, 1985, pp 151-186. 18. Heilman KM, Scholes R, Watson RT: Auditory affective agnosia: Disturbed comprehension of affective speech . J Neurol Neurosurg Psychiatry 1975;38:69-72.Crossref 19. Ross ED: The aprosodias: Functional-anatomic organization of the affective components of language in the right hemisphere . Arch Neurol 1981;38:561-569.Crossref 20. Pritchard PB, Wannamaker BB, Sagel J, et al: Endocrine function following complex partial seizures . Ann Neurol 1983;14:27-32.Crossref 21. Carter J, Tyson J, Tolis G, et al: Prolactinsecreting tumors and hypogonadism in 22 men . N Engl J Med 1978;299:847-852.Crossref 22. Herzog AG, Russell V, Vaitukaitis JL, et al: Neuroendocrine dysfunction in temporal lobe epilepsy . Arch Neurol 1982;39:133-135.Crossref 23. Herzog AG, Seibel MM, Schomer D, et al: Temporal lobe epilepsy: An extrahypothalamic pathogenesis for polycystic ovarian syndrome . Neurology 1984;34:1389-1393.Crossref 24. Bray GP, De Frank RS, Wolfe TL: Sexual functioning in stroke survivors . Arch Phys Med Rehabil 1981;62:286-288. 25. Ford AB, Orfiren AP: Sexual behavior and the chronically ill patient . Med Aspects Hum Sex 1976;8:10-30. 26. Kalliomaki JL, Markkanen TK, Mustonen VA: Sexual behavior after cerebral vascular accident . Fertil Steril 1961;12:156-159. 27. Goddess ED, Wagner NN, Silverman D: Post stroke sexual activity of CVA patients . Med Aspects Hum Sex 1979;13:16-30. 28. Weinstein E: Effects of brain damage on sexual behavior . Med Aspects Hum Sex 1981;15:158-164. 29. Flor-Henry P: Cerebral aspects of the orgasmic response: Normal and deviational , in Forleo R, Pasini W (eds): Medical Sexology . Amsterdam, Elsevier Press, 1980. 30. Cohen HD, Rosen RC, Goldstein L: Electroencephalographic laterality changes during human sexual orgasm . Arch Sex Behav 1976;5:189-199.Crossref 31. Tucker DM: Asymmetries of coherence topography: Structural and dynamic aspects of brain lateralization , in Flor-Henry P, Gruzelier J (eds): Laterality and Psychopathology . Amsterdam, Elsevier Press, 1983, pp 228-241. 32. Remillard GM, Andermann K, Testa GF, et al: Sexual ictal manifestations predominate in women with temporal lobe epilepsy: A finding suggesting sexual dimorphism in the human brain . Neurology 1983;33:323-330.Crossref 33. Hirshkowitz M, Ware JC, Turner D, et al: EEG amplitude asymmetry during sleep, abstracted . Sleep Res 1979;8:25. 34. MacLean PD: Brain mechanisms of primal sexual functions and related behavior , in Sandler M, Gessa GL (eds): Sexual Behavior: Pharmacology and Biochemistry . New York, Raven Press, 1975, pp 1-11. 35. Heath RG: Pleasure and brain activity in man . J Nerv Ment Dis 1972;154:3-18.Crossref 36. Meyers R: Evidence of a locus of the neural mechanisms for libido and penile potency in the septo-fornico-hypothalamic region of the human brain . Trans Am Neurol Assoc 1961;86:81-85. 37. Poeck K, Pilleri G: Release of hypersexual behavior due to a lesion in the limbic system . Acta Neurol Scand 1968;41:233-244.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Male Sexual Function: Impairment After Right Hemisphere Stroke

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Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1986.00520100048013
Publisher site
See Article on Publisher Site

Abstract

Abstract • If the right hemisphere is dominant for activation and this capacity is critical for normal sexual function, one might expect to find a greater incidence of impaired sexual function after right than after left hemisphere stroke. We found that the prevalence of major sexual dysfunction was significantly greater after right (9/12) than after left (4/14) hemisphere stroke in 26 men with unilateral stroke. These data are consistent with the hypothesis that activation is critical for sexual function as well as the hypothesis that the right hemisphere is dominant for sexual function. References 1. Pribram K, McGuinness D: Arousal, activation and effort in the control of attention . Psychol Rev 1975;182:116-149.Crossref 2. Heilman KM, Van Den Abell T: Right hemispheric dominance for mediating cerebral activation . Neuropsychologia 1979;17:315-321.Crossref 3. Howes D, Boller F: Simple reaction times: Evidence for focal impairment from lesions of the right hemisphere . Brain 1975;98:317-332.Crossref 4. Coslett HB, Bowers D, Heilman KM: Reduction in cognitive activation following right hemisphere stroke, abstracted . Neurology 1984;34( (suppl 1) ):190. 5. Heilman KM, Schwartz HD, Watson RT: Hypoarousal in patients with the neglect syndrome and emotional indifference . Neurology 1978;28:229-232.Crossref 6. Dimond SJ, Farrington L, Johnson P: Differing emotional response from right and left hemispheres . Nature 1976;261:690-692.Crossref 7. Ley RG, Bryden MP: Hemispheric differences in recognizing faces and emotions . Brain Lang 1979;7:127-138.Crossref 8. Sackeim HA, Gur RC: Lateral asymmetry in intensity of emotional expression . Neuropsychologia 1978;16:473-481.Crossref 9. Tucker DM, Watson RT, Heilman KM: Affective discrimination and evocation in patients with right parietal disease . Neurology 1977;27:947-950.Crossref 10. DeKosky S, Heilman KM, Bowers D, et al: Recognition and discrimination of emotional faces and pictures . Brain Lang 1980;9:206-214.Crossref 11. Gastaut H, Collomb H: Etude du comportement sexuel chez les epileptiques psychomoteurs . Ann Med Psychol 1954;2:657-696. 12. Blumer D, Walker E: Sexual behavior in temporal lobe epilepsy . Arch Neurol 1967;16:37-43.Crossref 13. Bear DM, Fedio P: Quantitative analysis of interictal behavior in temporal lobe epilepsy . Arch Neurol 1977;34:456-467.Crossref 14. Gainotti G: Emotional behavior and hemispheric side of lesion . Cortex 1972;8:41-55.Crossref 15. Robinson RG, Kubos KL, Starr LB, et al: Mood disorders in stroke patients . Brain 1984;107:81-93.Crossref 16. Heilman KM, Watson RT, Valenstein E: Neglect and related disorders , in Heilman KM, Valenstein E (eds): Clinical Neuropsychology . New York, Oxford University Press, 1985, pp 243-293. 17. Benton A: Visuoperceptual, visuospatial and visuoconstructive disorders , in Heilman KM, Valenstein E (eds): Clinical Neuropsychology . New York, Oxford University Press, 1985, pp 151-186. 18. Heilman KM, Scholes R, Watson RT: Auditory affective agnosia: Disturbed comprehension of affective speech . J Neurol Neurosurg Psychiatry 1975;38:69-72.Crossref 19. Ross ED: The aprosodias: Functional-anatomic organization of the affective components of language in the right hemisphere . Arch Neurol 1981;38:561-569.Crossref 20. Pritchard PB, Wannamaker BB, Sagel J, et al: Endocrine function following complex partial seizures . Ann Neurol 1983;14:27-32.Crossref 21. Carter J, Tyson J, Tolis G, et al: Prolactinsecreting tumors and hypogonadism in 22 men . N Engl J Med 1978;299:847-852.Crossref 22. Herzog AG, Russell V, Vaitukaitis JL, et al: Neuroendocrine dysfunction in temporal lobe epilepsy . Arch Neurol 1982;39:133-135.Crossref 23. Herzog AG, Seibel MM, Schomer D, et al: Temporal lobe epilepsy: An extrahypothalamic pathogenesis for polycystic ovarian syndrome . Neurology 1984;34:1389-1393.Crossref 24. Bray GP, De Frank RS, Wolfe TL: Sexual functioning in stroke survivors . Arch Phys Med Rehabil 1981;62:286-288. 25. Ford AB, Orfiren AP: Sexual behavior and the chronically ill patient . Med Aspects Hum Sex 1976;8:10-30. 26. Kalliomaki JL, Markkanen TK, Mustonen VA: Sexual behavior after cerebral vascular accident . Fertil Steril 1961;12:156-159. 27. Goddess ED, Wagner NN, Silverman D: Post stroke sexual activity of CVA patients . Med Aspects Hum Sex 1979;13:16-30. 28. Weinstein E: Effects of brain damage on sexual behavior . Med Aspects Hum Sex 1981;15:158-164. 29. Flor-Henry P: Cerebral aspects of the orgasmic response: Normal and deviational , in Forleo R, Pasini W (eds): Medical Sexology . Amsterdam, Elsevier Press, 1980. 30. Cohen HD, Rosen RC, Goldstein L: Electroencephalographic laterality changes during human sexual orgasm . Arch Sex Behav 1976;5:189-199.Crossref 31. Tucker DM: Asymmetries of coherence topography: Structural and dynamic aspects of brain lateralization , in Flor-Henry P, Gruzelier J (eds): Laterality and Psychopathology . Amsterdam, Elsevier Press, 1983, pp 228-241. 32. Remillard GM, Andermann K, Testa GF, et al: Sexual ictal manifestations predominate in women with temporal lobe epilepsy: A finding suggesting sexual dimorphism in the human brain . Neurology 1983;33:323-330.Crossref 33. Hirshkowitz M, Ware JC, Turner D, et al: EEG amplitude asymmetry during sleep, abstracted . Sleep Res 1979;8:25. 34. MacLean PD: Brain mechanisms of primal sexual functions and related behavior , in Sandler M, Gessa GL (eds): Sexual Behavior: Pharmacology and Biochemistry . New York, Raven Press, 1975, pp 1-11. 35. Heath RG: Pleasure and brain activity in man . J Nerv Ment Dis 1972;154:3-18.Crossref 36. Meyers R: Evidence of a locus of the neural mechanisms for libido and penile potency in the septo-fornico-hypothalamic region of the human brain . Trans Am Neurol Assoc 1961;86:81-85. 37. Poeck K, Pilleri G: Release of hypersexual behavior due to a lesion in the limbic system . Acta Neurol Scand 1968;41:233-244.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Oct 1, 1986

References