Tempral lobe epilepsy with diaper fetishism and gender dysphoria.

A 24-year-old right-handed man is described, who suffered grand-mal seizures since he was 18 months old. During childhood he preferred girls' games and company. At 10 years of age he began to dress in female clothes and wished to live as a woman. At 15 years of age he began to dress as a baby, wanting to evolve into a sophisticated woman. Examination showed the presence of constructional dyspraxia, and a partial left homonymous hemianopia. His CT head scan showed right cerebral hemiatrophy.