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September 17, 1982

Sexual Dysfunction in Neurological Disorders: Diagnosis, Management, and Rehabilitation

JAMA. 1982;248(11):1393-1394. doi:10.1001/jama.1982.03330110077038

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


The authors of this monograph should be commended for their efforts in gleaning information about sexual dysfunction in the neurological patient from a large body of literature that has never comprehensively reviewed this subject.

A foreword by Dr Norman Geschwind precedes discussion of a systematic approach to an aspect of neurology that is commonly ignored in the clinical setting. A review of basic anatomic, neurophysiological, and neuropharmacologic functions of the male and female sexual systems sets the stage for a discussion of an approach to patients with sexual disorders. Clinical evaluation of the closely related bladder and bowel functions is stressed, and practical tests of autonomic nervous system function are discussed.

The largest chapter explores specific disease states affecting sexual function and is arranged anatomically, beginning with diseases affecting peripheral nerves and then ascending sequentially to disorders affecting higher nervous system function. Succinct summaries of the effects of drugs, epilepsy,