Vascular lesions affecting the temporal lobes Monga et al. In brief, brain damage rarely induce s genuine deviance limited to sexual behavior. Hypersexuality and paraphi lias have also been observed in conjunction with damage to subcortical structures such as the thalamus or hypothalamus Cummings and Mendez ; Miller et al.
For instance, in a well-known report of four men who apparently acquired pedophilia in line with cognitive deterioration, other signs of impulsivity and hypersexuality were observed, including marked increases in sexual demands to their wives, new extra-marital affairs with female adults, and explosive violence Regestein and Reich ; see also examples of apparent late-onset, acquired paraphilias that seem to be manifestations of a wider, more generalized inhibition control deficit associated with multiple sceloris; Huws et al. The latter can be diagnosed in pedophilic persons meeting the following criteria:
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Burns and Swerdlow , so that future paradigms should dist inguish between genuine changes of sexual orientation and mere deficits of global behavioral inhibition that include sexually oriented impulsivity. Brain regions involved in response inhibition have been studied extensively in other populations.
Altogether, there is evidence that inhibitory dysfunction in the prefrontal cortex may be linked to sexual attraction towards children. Impaired response inhibition was associated with disruptions in frontal brain areas like the dorsal anterior cingulate cortex dACC and the basal ganglia Eagle et al.