J Neuropsychiatry Clin Neurosci 12:71-76, February 2000
© 2000 American Psychiatric Press, Inc.
Pedophilia and Temporal Lobe Disturbances
Mario F. Mendez, M.D., Ph.D.,
Tiffany Chow, M.D.,
John Ringman, M.D.,
Geoff Twitchell, Ph.D. and
Charles H. Hinkin, Ph.D.
Received March 16, 1999; accepted June 10, 1999. From the Departments of Neurology, Psychiatry, and Psychology, University of California at Los Angeles, and Veterans Affairs Greater Los Angeles Healthcare System. Address correspondence to Dr. Mendez, Neurobehavior Unit (116AF), VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Los Angeles, CA 90073; e-mail: mmendez{at}UCLA.edu
Paraphilias may occur with brain disease, but the nature of this relationship is unclear. The authors report 2 patients with late-life homosexual pedophilia. The first met criteria for frontotemporal dementia; the second had bilateral hippocampal sclerosis. Both were professional men with recent increases in sexual behavior. In both, 18-fluorodeoxyglucose positron emission tomography revealed prominent right temporal lobe hypometabolism. These cases and the literature suggest that bilateral anterior temporal disease affecting right more than left temporal lobe can increase sexual interest. A predisposition to pedophilia may be unmasked by hypersexuality from brain disease. These observations have potential implications for all neurologically based paraphilias.
Key Words: Pedophilia • Paraphilias • Frontotemporal Dementia
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