George M. Gould; Walter L. Pyle (1900). Anomalies and Curiosities of Medicine. W. B. Saunders. p. 683. Retrieved 2007-01-26. "Priapism is sometimes seen as a curious symptom of lesion of the spinal cord. In such cases it is totally unconnected with any voluptuous sensation, and is only found accompanied by motor paralysis. It may occur spontaneously immediately after accident involving the cord, and is then probably due to undue excitement of the portion of the cord below the lesion, which is deprived of the regulating influence of the brain... Pressure on the cerebellum is supposed to account for cases of priapism observed in executions and suicides by hanging. There is an instance recorded of an Italian castrata who said he provoked sexual pleasure by partially hanging himself."
