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A case of priapism with ruptured intracranial aneurysm

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Summary

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.

Zusammenfassung

Klinikaufnahme eines 35jährigen Mannes mit Klagen über Kopfschmerzen und Priapismus. In der Vorgeschichte hatte der Patient drei Attacken von Subarachnoidalblutung. Seit dem ersten Blutungsereignis kam es intermittierend zu Priapismus, verbunden mit überhöhten sexuellen Wünschen. Seit der letzten Subarachnoidalblutung blieb eine Dauererektion des Penis mit unerträglichen Schmerzen bestehen.

Die Carotisangiographie zeigte ein Aneurysma im Winkel der linken supraclinoidalen A. carotis interna und A. communicans posterior. Der Aneurysmahals wurde mit Erfolg geclippt, jedoch blieb der Priapismus noch über 22 Tage nach der Operation bestehen, verbunden mit einer sexuellen Impotenz. Die neuro-pathophysiologischen Probleme des Priapismus werden erörtert mit besonderer Berücksichtigung einer hypothalamischen Läsion, welche in diesem Falle durch das rupturierte Aneurysma hervorgerufen wurde.

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References

  1. Hinman, F. Jr.: Priapism: Reasons for failure of therapy. J. Urol. 83, 420–428 (1960)

    Google Scholar 

  2. Ookoshi, M.: Priapism. In: Priapism, Ookoshi, M. (ed.), pp. 1–75. Tokyo: Nankodo 1950 (in Japanese)

    Google Scholar 

  3. Tsuchiya, F., Toyoda, Y., Nakagawa, K., Miura, M., Yoshimura, S., Tokue, A.: Priapisms following penile metastasis from cancer of urinary bladder and prostate. Jap. J. Urol. 61, 687–816 (1970) (in Japanese)

    Google Scholar 

  4. Dorman, B., Schmidt, J. D.: Association of priapism in phenothiazine therapy. J. Urol. 116, 51–53 (1976)

    Google Scholar 

  5. Kayama, T., Yoshimoto, T., Uchida, K., Takaku, A., Suzuki, J.: Prognosis of 1,000 cases of intracranial saccular aneurysms in surgical treatment. Tohoku J. Exp. Med. 126, 117–124 (1978)

    Google Scholar 

  6. Crompton, M. R.: Hypothalamic lesions following the rupture of cerebral berry aneurysms. Brain 86, 301–314 (1963)

    Google Scholar 

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Takaku, A., Fukawa, O. & Suzuki, J. A case of priapism with ruptured intracranial aneurysm. J Neurol 221, 279–283 (1979). https://doi.org/10.1007/BF00314645

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