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Sexual ictal manifestations predominate in women with temporal lobe epilepsy

A finding suggesting sexual dimorphism in the human brain

Montreal Neurological Hospital and Institute and the Department of Neurology and Neurosurgery McGill University (Drs. Anderman, Gloor, Aube, Martin, and Feindel), the Neurological Clinic of the University of Padua (Dr. Testa), and the Universities of Montreal (Dr. Remillard), and Ottawa (Dr. Guberman), and (Dr. Simpson) of Victoria_: Canada.

Twelve women patients with temporal lobe epilepsy reported sexual arousal or orgasm as part of epileptic seizures, usually the aura. In two patients, the sexual feelings were reproduced by stimulation of deep temporal structures. Eleven similar women have been described by other authors, and only three men. These findings suggest a different neural organization of male and female sexual function in the human brain. The sexually dimorphic structures are probably located in the limbic portion of the temporal lobe.

Address correspondence and reprint requests to Dr. Anderrnann, Montreal Neurological Hospital and Institute, 3801 University Street, Montreal, Quebec H3A 2B4, Canada.

This paper was presented in part at a meeting of the American Epilepsy Society, New York, December 1981.

Accepted for publication, July 1, 1982.

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