Department of Neurological Surgery, Nihon University School of Medicine, Tokyo, Japan.
Department of Neurological Surgery, Nihon University School of Medicine, Tokyo, Japan.
World Neurosurg. 2020 Jun;138:153-157. doi: 10.1016/j.wneu.2020.02.148. Epub 2020 Mar 5.
Pituitary apoplexy is an acute clinical syndrome caused by infarction and/or hemorrhage of pituitary adenoma, which typically presents with severe headache, visual deterioration, and endocrine abnormalities. However, temporal lobe seizure (and temporal lobe epilepsy) has not been viewed as a symptom of pituitary apoplexy in the literature.
To elucidate further such a rare complication of temporal lobe seizure, we describe here the rare clinical manifestations of a 55-year-old previously healthy man with pituitary apoplexy harboring headache, combined palsies involving cranial nerves III to VI, endocrinologic disturbances, and temporal lobe seizure. In addition, we discuss the temporal lobe seizure (and temporal lobe epilepsy) associated with pituitary adenoma based on the literature.
Although further accumulation of clinical data is needed, we would like to emphasize the importance of recognition of temporal lobe seizure caused by pituitary apoplexy, and to suggest that early surgery could be considered as an option in patients displaying such a rare complication.
垂体卒中是一种由垂体腺瘤梗死和/或出血引起的急性临床综合征，其典型表现为剧烈头痛、视力恶化和内分泌异常。然而，颞叶癫痫（和颞叶癫痫）在文献中并未被视为垂体卒中的症状。
为了进一步阐明颞叶癫痫这一罕见并发症，我们在此描述了一例罕见的临床病例，一名 55 岁既往健康的男性患有垂体卒中，伴有头痛、累及颅神经 III 至 VI 的联合瘫痪、内分泌紊乱和颞叶癫痫。此外，我们根据文献讨论了与垂体腺瘤相关的颞叶癫痫（和颞叶癫痫）。
尽管需要进一步积累临床数据，但我们想强调认识由垂体卒中引起的颞叶癫痫的重要性，并建议在出现这种罕见并发症的患者中，早期手术可能是一种选择。
