Neurocysticercosis presenting with hypersexuality

Abstract

Neurological disorders can produce paraphilic behaviour and alterations in sexual drive. Lesions of the temporal lobe have been classically associated with sexual disorders. We are reporting a 20-year old girl who presented with marked hypersexuality for five years and had history of generalized tonic-clonic seizures about seven years back. EEG record showed localised spike discharges with phase reversal in the leads corresponding to left parietal lobe. MRI scan revealed calsifications with no perifocal oedema in both parietal lobes and right occipital lobe, suggestive of healed neurocysticercosis. The patient showed significant improvement with carbamazepine.