Zhang Liang, Yu Hao, Li Dan, Qian Hui, Chen Yuchao
Department of Neurology and Research Center of Neurology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Department of Neurology, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, China.
J Int Med Res. 2021 Jan;49(1):300060520982814. doi: 10.1177/0300060520982814.
Epilepsy is a chronic neurological disorder that is characterized by episodes of seizure. Sexual dysfunction has been reported in patients with seizure, which mostly manifests as erectile dysfunction and premature ejaculation in men. In this study, we report the case of a 65-year-old Chinese man with frequent spermatorrhea. Electroencephalography suggested local epilepsy in the left temporal lobe. After treatment with anti-epilepsy drugs, the symptoms disappeared and did not recur. To the best of our knowledge, this is the first reported case of epilepsy-induced spermatorrhea. The symptoms of spermatorrhea are probably a rare manifestation of seizure. When repetitive stereotyped symptoms occur, seizure should be considered, and tentative anti-epileptic treatment may be a good option.
癫痫是一种慢性神经系统疾病，其特征为癫痫发作。据报道，癫痫患者存在性功能障碍，在男性中大多表现为勃起功能障碍和早泄。在本研究中，我们报告了一例65岁中国男性频发遗精的病例。脑电图提示左颞叶局灶性癫痫。经抗癫痫药物治疗后，症状消失且未复发。据我们所知，这是首例关于癫痫诱发遗精的报道病例。遗精症状可能是癫痫发作的罕见表现。当出现重复性刻板症状时，应考虑癫痫发作，试行抗癫痫治疗可能是一个不错的选择。
