BEHAVIOR: Masturbation Simulating Epilepsy

Livingston, Samuel; Berman, Wulfred; Pauli, Lydia L.

doi:10.1177/000992287501400310

Cited by 40 publications

(27 citation statements)

References 3 publications

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“…7 Parents prefer the term gratification (or even benign idiopathic infantile dyskinesia) to infantile masturbation as there is less social stigma attached to these terms. 3 The results of this study, confirm the position that gratification is most commonly misdiagnosed as epilepsy as has been well discussed by previous authors with smaller series. 3 Misdiagnosis seems to be more likely when direct stimulation of genitalia with the hands is absent, as when there is merely repeated adduction of the thighs, and also when the parents describe their child during the episode to be staring, shaking or "watching television in the sky" (so called eidetic imagery) and having un-vocalised speech with imaginary individuals, and perhaps seem to twitch or move one or more limbs for several minutes at a time.…”

Section: Discussionsupporting

confidence: 90%

“…Masturbation or self-stimulation of the genitalia is a common human behavior, said to occur in 90-94% of males and 50-60% of females at some time in their lives. 2,3,4 Pediatricians are in general aware of the fact that infantile and pre-adolescent masturbatory activity occurs, but are perhaps less aware of the spectrum of different behavior patterns these children may display. Masturbatory activity in infants and young children is difficult to recognize because it often does not involve manual stimulation of the genitalia at all.…”

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confidence: 99%

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Infantile masturbation and paroxysmal disorders

2008

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Clinical BriefThe term masturbation is derived from the Latin words manus, meaning "hand" and stupratio, meaning "defilement". One presumes historically therefore, that it was a practice thought to be unclean. It is accepted now that masturbation is a normal part of human sexual behavior. 1 There is little published data on gratification disorder (masturbation) in early childhood. Masturbation or self-stimulation of the genitalia is a common human behavior, said to occur in 90-94% of males and 50-60% of females at some time in their lives. 2,3,4 Pediatricians are in general aware of the fact that infantile and pre-adolescent masturbatory activity occurs, but are perhaps less aware of the spectrum of different behavior patterns these children may display. Masturbatory activity in infants and young children is difficult to recognize because it often does not involve manual stimulation of the genitalia at all. 5 Masturbatory behavior has been mistaken for epilepsy, abdominal pain, and paroxysmal dystonia or dyskinesia.Case reports have also highlighted that these children have many unwarranted investigations: blood analyses, metabolic screening, abdomen ultrasound screening, gastrointestinal radiography, cerebrospinal fluid examination, skull X-ray examination, brain scan, pyelography, and cystoscopy-vaginoscopy-proctoscopy ABSTRACT A recurrent paroxysmal presentation in children leads to different diagnoses and among them are neurologic and cardiac etiologies. Infantile masturbation is not a well known entity and cannot be differentiated easily from other disorders. Aim of this study is to elucidate and differentiate this condition from epileptic seizures. We report 3 cases of 10 to 30 mth old girls of infantile masturbation that their symptoms initiated at 2, 3 and 8 mth of age. These present with contraction and extension of lower extremities, scissoring of legs, perspiration, changing face color. In 2 cases body rocking and legs rubbing initiated then there after. Masturbation is one of the paroxysmal non-epileptic conditions of early infancy and is in differential diagnosis of epileptic seizures. [Indian J Pediatr 2008; 75 (2) : 183-185]under general anaesthesia.Treatment with antiepileptic medications has been given on several occasions. 5,6,7 This study aims to highlight and expand on the profile of patients diagnosed with this condition. CASE REPORTS Case 1It involves a 10-mth-old girl admitted with primary diagnosis of seizure. She was delivered by cesarean section and was born full term with good Apgar score. Birth weight was 3400 g and parents were non relative. At 2 mth old , her mother noticed flexion motions in lower extremities with contraction and scissoring of lower legs that lasted 2 minutes and sometimes with changing face color and increasing respiratory rate. Episodes of these attacks increased from one to two times per day to recurrent episodes every day. This condition stopped after changing the position of infant. These episodes were not combined with altered level of consciousness. She was t...

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Section: Discussionsupporting

confidence: 90%

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confidence: 99%

Infantile masturbation and paroxysmal disorders

2008

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“…The paroxysmal tightening of the thighs, rocking pelvic movements, mechanical pressure applied to the genital area, grunting, facial flushing, irregular breathing, and sweating during the event, can be easily misinterpreted as seizures 12,14 .…”

Section: Discussionmentioning

confidence: 99%

Long-term Outcome of Infantile Gratification Phenomena

Jan

Banji

Fallatah

2013

Can. J. Neurol. Sci.

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416Gratification phenomena in infants, also known as infantile masturbation, are self-stimulatory behaviors that have tendency to become a habit 1 . They are generally not well recognized by general practitioners and pediatricians, resulting in misdiagnoses that often include epilepsy, recurrent abdominal pain, and paroxysmal dystonia or dyskinesia 1 . Gratification phenomena may begin from very early age, typically after two to three months of age 2,3 . Stereotypic motor manifestations include lower limbs scissoring posture and repetitive pelvic movements with rubbing the thighs together and rocking the genital region against the bed or other objects, such as the infant seat or its belt [4][5][6] . The paroxysmal movements are typically associated with grunting, facial flushing, and irregular breathing, which are all followed by sweating and exhaustion. The infant may not appear ABSTRACT: Background: Infantile gratification phenomena are self-stimulatory behaviors that are often misdiagnosed as epilepsy. Although the prognosis is thought to be benign, limited long-term follow-up studies exist. This was the objective of our study in addition to exploring the risks of future developmental, behavioral, or neurological abnormalities. Methods: Series of consecutive infants with gratification phenomena were identified both retrospectively and prospectively over an eight year period from a single pediatric neurology service. The diagnosis was based on descriptive history, review of videotaped events, lack of neurological or developmental abnormalities, and normal routine electroencephalogram. Results: Nineteen infants were followed for 3-11 years (mean 7.1). Their ages ranged between 4-13 months (mean 7) with 79% females. The diagnosis was not reached by the referring physician and 74% were misdiagnosed as epilepsy or movement disorder. The episodes recurred with variable frequency with gradual reduction in number and increase in length of attack-free periods with advancing age. Complete remission was noted in all patients by age 1-3 years (mean 1.9). However, 4 children (21%) developed features of attention deficit hyperactivity disorders (ADHD) on long-term follow up. In this group, the gratification phenomena appeared at a younger age with higher attack frequency. Conclusions: Gratification phenomena in infants are benign and self-limited, often spontaneously disappearing by two years of age. A correlation with future ADHD was found; however, larger prospective studies are needed to further examine this possible association.

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“…The WHO [24] placed this problem under the title`Other Speci®ed Behavioral and Emotional Disorders with Onset Usually Occurring in Childhood and Adolescence' (F98.8) without any detailed description. Data on CM are based merely on case studies [2,4,8,10,14,15,16] and general observations [17,18,25] which also constitute the main source of information in the few review articles published [2,7,13]. Systematic reports about this condition are limited to some studies about EEG ®ndings [5,11,19], or parental attitudes [9].…”

Section: Introductionmentioning

confidence: 99%