Tooth-brushing epilepsy with ictal orgasms

Yao Chung Chuang, Tsu Kung Lin, Chun Chun Lui, Shang Der Chen, Chen Sheng Chang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

31 Scopus citations


We report a 41-year-old woman with complex reflex epilepsy in which seizures were induced exclusively by the act of tooth brushing. All the attacks occurred with a specific sensation of sexual arousal and orgasm-like euphoria that were followed by a period of impairment of consciousness. Ictal EEG demonstrated two events of epileptic seizure that were provoked after tooth brushing for 38 and 14 seconds, respectively. The interictal EEG showed epileptiform discharges over the right anterior temporal region and interictal single photon emission computed tomography (SPECT) scan showed relative hypoperfusion in the uncus of right temporal lobe. Brain magnetic resonance imaging (MRI) revealed right hippocampal atrophy. We suggest that tooth-brushing epilepsy, especially with sexual ictal manifestations, may provide insight into the cerebral pathophysiology at the right temporolimbic structure.

Original languageEnglish
Pages (from-to)179-182
Number of pages4
Issue number3
StatePublished - 04 2004
Externally publishedYes


  • Orgasm
  • Reflex epilepsy
  • Right temporolimbic structure
  • Tooth-brushing epilepsy


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