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The study was performed with participation of 59 right-handed men. The normal group consisted of 19 subjects, and 40 patients with organic brain lesions who had commited sexual offenses were divided into two groups: 19 patients with a diagnosis of paraphilia (pathology of sexual drive) made up the main test group, and 21 patients without such a diagnosis formed the control group. A monopolar EEG was recorded in 16 standard leads in the states of rest (eyes closed) and general activation (eyes open) and during presentation of cognitive tests. The following EEG features manifest in all the frequency ranges and functional states were revealed in the group of patients with paraphilias as compared to the control groups: a substantially increased level of interhemispheric coherence (ICoh) and increased spectral density in the posterotemporal area (T5, T6), a significantly decreased ICoh level between the F3/4 and C3/4 leads in the frontocentral area, and lower spectral densities in the leads Fp2, C4, and P4. Analysis of reactions to loads presented showed that the general arousal in the group of patients with paraphilias was characterized by significantly greater shifts of EEG parameters associated with the desynchronization reaction (as compared to the control groups) and statistically significant disorders of interhemispheric interaction and EEG reactivity in the right hemisphere in the β range during performance of a visuospatial (“right-hemispheric”) task. The results suggest the formation of a stationary activation focus in the right hemisphere with signs of involvement of the limbic structures in patients with paraphilias.