Cogen P H, Antunes J L, Correll J W
Surg Neurol. 1979 Sep;12(3):243-6.
We have examined sexual and reproductive changes in 25 patients (11 men and 14 women; mean follow-up 13 years) with temporal lobe epilepsy who underwent temporal lobectomy. Five men and two women had sexual dysfunction preoperatively, in particular, decreased libido. This improved after temporal lobectomy in three of these patients. One woman developed a partial Klüver-Bucy syndrome. Reproductive dysfunction was present in one man (oligospermia) and in ten women (four had the onset of seizures either at pregnancy or menarche; four had increased frequency of seizures during menarche or pregnancy, and two had amenorrhea). The man fathered two children post-operatively, and an appreciable improvement in both the seizure activity and the reproductive dysfunction was noted in the majority of the women.
我们对25例接受颞叶切除术的颞叶癫痫患者（11名男性和14名女性；平均随访13年）的性与生殖方面的变化进行了研究。术前，5名男性和2名女性存在性功能障碍，尤其是性欲减退。其中3例患者在颞叶切除术后性功能障碍有所改善。1名女性出现了部分克-布综合征。1名男性存在生殖功能障碍（少精子症），10名女性存在生殖功能障碍（4名在妊娠或初潮时发作癫痫；4名在初潮或妊娠期间癫痫发作频率增加，2名出现闭经）。该男性术后育有两个孩子，并且大多数女性的癫痫活动和生殖功能障碍均有明显改善。
