Takaku A, Fukawa O, Suzuki J
J Neurol. 1979 Oct;221(4):279-83. doi: 10.1007/BF00314645.
A man of 35 years, who had had three attacks of subarachnoid hemorrhage in the previous 3 years, was admitted to hospital with complaints of headache and priapism. There had been intermittent priapism with abnormal acceleration of sexual desire since the first attack, and erection of the penis had persisted with intolerable pain after the last attack of subarachnoid hemorrhage. A carotid angiogram revealed an aneurysm at the junction of the left internal carotid and posterior communicating arteries. Clipping of the aneurysmal neck was successfully performed. However, priapism continued for 22 days after the operation and resulted in sexual impotence. The neurological problems of priapism are discussed with special reference to a hypothalamic lesion caused by the ruptured intracranial aneurysm in this report.
一名35岁男性，在过去3年中曾发生过3次蛛网膜下腔出血，因头痛和阴茎异常勃起入院。自首次发作以来，一直存在间歇性阴茎异常勃起，伴有性欲异常亢进，在最后一次蛛网膜下腔出血发作后，阴茎持续勃起且疼痛难忍。颈动脉血管造影显示左颈内动脉与后交通动脉交界处有一个动脉瘤。成功进行了动脉瘤颈夹闭术。然而，术后阴茎异常勃起持续了22天，并导致了性功能障碍。本报告特别参考颅内动脉瘤破裂引起的下丘脑病变，对阴茎异常勃起的神经学问题进行了讨论。
