Underwear fetishism induced by bilaterally decreased cerebral blood flow in the temporo-occipital lobe.

To cite: Masuda K, Ishitobi Y, Tanaka Y, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-206019 DESCRIPTION Fetishism is a disease characterised by sexual arousal caused by inanimate objects, often including clothing such as pants, bras, and stockings and women’s shoes. Patients with fetishism often show a strong interest in non-genital body parts. Hypotheses based on biology, conditioning, social learning and psychoanalysis have been proposed to explain the underlying mechanism of fetishism. However, it is difficult to elucidate the aetiology of this rare disease on the basis of large-scale evaluations. We previously reported that hippocampal