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. 2004 Mar;89(3):225–226. doi: 10.1136/adc.2003.032102

Gratification disorder ("infantile masturbation"): a review

A Nechay 1, L Ross 1, J Stephenson 1, M O'Regan 1
PMCID: PMC1719833  PMID: 14977696

Abstract

Background: Little has been published on gratification disorder ("infantile masturbation") in early childhood.

Aims: To expand on the profile of patients diagnosed with this condition.

Methods: Retrospective case note review; Fraser of Allander Neurosciences Unit paediatric neurology outpatient department 1972–2002.

Results: Thirty one patients were diagnosed (11 males and 20 females). Twenty one were referred for evaluation of possible epileptic seizures or epilepsy. The median age at first symptoms was 10.5 months (range 3 months to 5 years 5 months). The median age at diagnosis was 24.5 months (range 5 months to 8 years). The median frequency of events was seven times per week, and the median length 2.5 minutes. Events occurred in any situation in 10 children, and in a car seat in 11. Types of behaviour manifested were dystonic posturing in 19, grunting in 10, rocking in 9, eidetic imagery in 7, and sweating in 6. Two children had been previously diagnosed as having definite epilepsy. In nine cases home video was invaluable in allowing confident diagnosis.

Conclusion: Gratification disorder, otherwise called infantile masturbation, is an important consideration in the differential diagnosis of epilepsy and other paroxysmal events in early childhood. Home video recording of events often prevents unnecessary investigations and treatments.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Couper R. T. L., Huynh H. Female masturbation masquerading as abdominal pain. J Paediatr Child Health. 2002 Apr;38(2):199–200. doi: 10.1046/j.1440-1754.2002.00769.x. [DOI] [PubMed] [Google Scholar]
  2. Finkelstein E., Amichai B., Jaworowski S., Mukamel M. Masturbation in prepubescent children: a case report and review of the literature. Child Care Health Dev. 1996 Sep;22(5):323–326. [PubMed] [Google Scholar]
  3. Fleisher D. R., Morrison A. Masturbation mimicking abdominal pain or seizures in young girls. J Pediatr. 1990 May;116(5):810–814. doi: 10.1016/s0022-3476(05)82678-2. [DOI] [PubMed] [Google Scholar]
  4. Holmes G. L., Russman B. S. Shuddering attacks. Evaluation using electroencephalographic frequency modulation radiotelemetry and videotape monitoring. Am J Dis Child. 1986 Jan;140(1):72–73. doi: 10.1001/archpedi.1986.02140150074041. [DOI] [PubMed] [Google Scholar]
  5. Leung A. K., Robson W. L. Childhood masturbation. Clin Pediatr (Phila) 1993 Apr;32(4):238–241. doi: 10.1177/000992289303200410. [DOI] [PubMed] [Google Scholar]
  6. Livingston S., Berman W., Pauli L. L. Masturbation simulating epilepsy. Clin Pediatr (Phila) 1975 Mar;14(3):232–234. doi: 10.1177/000992287501400310. [DOI] [PubMed] [Google Scholar]
  7. Meizner I. Sonographic observation of in utero fetal "masturbation". J Ultrasound Med. 1987 Feb;6(2):111–111. doi: 10.7863/jum.1987.6.2.111. [DOI] [PubMed] [Google Scholar]
  8. Mink J. W., Neil J. J. Masturbation mimicking paroxysmal dystonia or dyskinesia in a young girl. Mov Disord. 1995 Jul;10(4):518–520. doi: 10.1002/mds.870100421. [DOI] [PubMed] [Google Scholar]
  9. Wulff C. H., Ostergaard J. R., Storm K. Epileptic fits or infantile masturbation? Seizure. 1992 Sep;1(3):199–201. doi: 10.1016/1059-1311(92)90026-w. [DOI] [PubMed] [Google Scholar]

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