期刊缩写       NOROPSIKIYATRI ARSIVI-ARCHIVES

期刊全称       NOROPSIKIYATRI ARSIVI-ARCHIVES OF NEUROPSYCHIATRY 《NOROPSIKIYATRI ARSIVI-档案精神医学》

出版国家       Turkey

出版周期       Quarterly

出版年份       1964

期刊ISSN       1300-0667

 

 

NOROPSIKIYATRI ARSIVI-ARCHIVES OF NEUROPSYCHIATRY

 

Sexual Dysfuctions in Homosexual Men and Women

 

Hacioglu, M; Cakmak, AC; Yildirim, EA

Hacioglu, M (reprint author), Bakirkoy Ruh Sagligi & Sinir Hastaliklari Egitim, Istanbul, Turkey

 

Abstract

Sexual dysfunction in homosexuals is less studied with respect to sexual dysfunction in heterosexuals. Although there have been studies attempting to define these disorders, sufficient data are not available yet. The specific problems for homosexual women and men are not present in the diagnostic systems. There are different factors playing role in the development of sexual dysfunction in homosexuals compared to heterosexual individuals such as: sociodemographic characteristics, difficulties experienced due to homosexuality, insufficient description of sexual function of homosexuals in DSM, relationship problems and risk for contagious diseases, especially HIV. Furthermore, definitions like "bed death" or "anodyspareunia" are related to special sexual problems in homosexuality. In this paper, the factors which may cause the difference in sexual problems between homosexuals and heterosexuals as well as the sexual function disorders in homosexuals are discussed; additionally, sexual dysfunctions such as desire, arousal, orgasm, pain disorders and other sexual problems separately for female and male homosexuals. (Archives of Neuropsychiatry 2011; 48 Supplement 1: 39-45)

 

 

A Marchiafava-Bignami Patient with Mild Symptoms and the Role of Diffusion-Weighted Magnetic Resonance Imaging in the Diagnosis

 

Bilgic, B; Arslan, AB; Bulut, H; Bayram, A; Hizli, FG

Bilgic, B (reprint author), Istanbul Univ, Istanbul Fak, Norol Anabilim Dali, Istanbul, Turkey

 

Abstract

Marchiafava-Bignami disease (MBD) is a rare entity associated with chronic alcoholism, with the degeneration of the corpus callosum being its most important characteristic. Clinical presentations may be in various forms, but the disorder can be divided into 2 broad clinical subtypes: a more severe type presenting with disorders of consciousness, which may lead to coma; or a second subtype with milder symptoms, easily underdiagnosed due to the similarity with alcohol withdrawal symptoms. With treatment and restoration of nutrition, the symptoms may be alleviated and the patient may even recover from the disease-induced coma. We present the case of a 40-year-old woman who was diagnosed with MBD. The patient had relatively weak symptoms and the diagnosis was made primarily on cranial imaging data. Diffusion-weighted MRI (DWI) was performed using a 1.5-Tesla MR system and it was seen to be significantly more efficient in detecting the ovoid nodular lesion of 6x10 mm size in the posterior corpus callosum, compared to FLAIR- and T1- and T2-weighted sequences. The lesion was no longer visible in the follow-up imaging studies after thiamine (100 mg/day for a week) treatment. It is concluded that DWI, a commonly used technique in the diagnosis of ischemic cerebrovascular disease, also has significant diagnostic value for MBD. In diffusion-weighted sequence, the variation from low to high intensities in apparent diffusion coefficient throughout the progression can be explained by cytotoxic edema and pure demyelination, respectively. (Archives of Neuropsychiatry 2011;48: 277-80)