Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Transient sixth cranial nerve palsy following orgasm abrogated by treatment with sympathomimetic amines
J.H. Check 1,*
, B. Katsoff 2
, B. Katsoff 2Affiliations
Article Info
1 Cooper Medical School of Rowan University, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, Camden, New Jersey
2 Temple University School of Medicine, Department of Medicine, Philadelphia, Pennsylvania (USA)
Abstract
Purpose: To describe a unique disorder where a transient 6th nerve palsy leading to diploplia following orgasm developed in a 28- year- old woman. This coincided with a weight gain of 100 pounds in a short time without a corresponding change in dietary habits. Materials and Methods: She was treated with the sympathomimetic amine dextroamphetamine sulfate. Results: Indeed she immediately responded to treatment with dextroamphetamine sulfate sustained release capsules with complete resolution of the episodes of 6th nerve palsy following orgasm. Conclusions: The main importance of this case is that it suggests that orgasm causes a transient generalized decrease in sympathetic nervous system activity and that the achievement of an orgasm may require an increase in the sympathetic nervous system activity.
Keywords
- Sixth cranial nerve palsy
- Diplopia
- Orgasm
- Sympathetic nervous system hypofunction
- Dextroamphetamine sulfate