Comportamento Hipersexual e Esclerose Múltipla
DOI:
https://doi.org/10.34024/rnc.2025.v33.19265Palavras-chave:
Autópsia, Exibicionismo, Hipersexualidade, Esclerose múltipla, NeuroimagemResumo
Introdução. A esclerose múltipla (EM) está associada a uma ampla gama de distúrbios comportamentais. Embora a disfunção sexual seja comum, o comportamento hipersexual é raramente relatado e tem sido frequentemente associado a comorbidades psiquiátricas. Objetivo. Realizar uma revisão sistemática dos relatos dos séculos XX e XXI sobre o comportamento hipersexual na EM. Método. Realizou-se uma revisão sistemática dos relatos de casos nos séculos XX e XXI sobre comportamento hipersexual na EM. Foram analisadas referências da era da pré-neuroimagem e da literatura mais recente com neuroimagem. A pesquisa inicial no PubMed incluiu as palavras hipersexualidade, hiperlibidinismo, parafilias, distúrbios sexuais e esclerose múltipla. Resultados. Foram encontrados sete casos relatados na literatura pré-neuroimagem e dez na era da neuroimagem, e identificadas três categorias distintas de distúrbios de acordo com a predominância dos sintomas: aumento primário da libido, desinibição e doença generalizada. A análise das lesões a partir dos estudos de neuroimagem e autópsia revelou doença do lobo frontal, periventricular e generalizada na maioria dos casos. Casos de doença disseminada apresentaram mudança abrupta do comportamento sexual e menor idade de início do acometimento. Conclusão. Em resumo, comportamento hipersexual em pacientes com EM podem ser categorizados em grupos dependendo dos sintomas e local anatômico das placas. A revisão da literatura revelou frequentemente casos com manifestações neurocomportamentais graves. O espectro leve a moderado de mudanças comportamentais pode ser subnotificado devido ao estigma social.
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Referências
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Copyright (c) 2025 David Nunes de Lima Junior, Emanuele Ribeiro Ramos, Erick Leite Maia de Messias, Florian P. Thomas, Antonio Miguel Furtado Leitão, Lia Lira Olivier Sanders, Francisco de Assis Aquino Gondim
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
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Aprovado 2025-01-23
Publicado 2025-02-14
