The state of erection in a patient with craniopharyngioma, panhypopituitarism and diencephalic obesity

The article presents a clinical case from the practice of a patient with craniopharyngioma. The man of reproductive age with diencephalic obesity (BMI 35 kg/m2), recurrent craniopharyngioma, a long history of endocrine disorders (panhypopituitarism, including secondary hypogonadism, with the corresp...

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Main Authors: Yuliya G. Sidneva, Ludmila I. Astafyeva, Boris A. Kadashev, Pavel L. Kalinin, Maxim A. Kutin, Larisa K. Dzeranova
Format: Article
Language:English
Published: Endocrinology Research Centre 2019-09-01
Series:Ожирение и метаболизм
Subjects:
Online Access:https://omet-endojournals.ru/omet/article/viewFile/10062/7851
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spelling doaj-e4d9079fb75140369aec5e5a3d54cf2d2021-10-02T15:52:44ZengEndocrinology Research CentreОжирение и метаболизм2071-87132306-55242019-09-01162838810.14341/omet100628686The state of erection in a patient with craniopharyngioma, panhypopituitarism and diencephalic obesityYuliya G. Sidneva0Ludmila I. Astafyeva1Boris A. Kadashev2Pavel L. Kalinin3Maxim A. Kutin4Larisa K. Dzeranova5N.N. Burdenko National Medical Research Center of Neurosurgery; Clinical and Research Institute of Emergency Pediatric Surgery and TraumaN.N. Burdenko National Medical Research Center of NeurosurgeryN.N. Burdenko National Medical Research Center of NeurosurgeryN.N. Burdenko National Medical Research Center of NeurosurgeryN.N. Burdenko National Medical Research Center of NeurosurgeryEndocrinology Research CentreThe article presents a clinical case from the practice of a patient with craniopharyngioma. The man of reproductive age with diencephalic obesity (BMI 35 kg/m2), recurrent craniopharyngioma, a long history of endocrine disorders (panhypopituitarism, including secondary hypogonadism, with the corresponding sexual function disorders and the lack of sexual activity), with visual disorders and psychiatric symptoms in the early postoperative period after shunting surgery and reducing the volume of the craniopharyngioma cyst, erection conditions arose against the background of episodes of disorders of consciousness within the framework of sleep dissociation. After the operation (installation of the Ommaya system), the patient had a state of spontaneous erection lasting up to 30 minutes against the background of dream-oneiric states of impaired consciousness with erotic experiences. These states were observed for 3 nights, the patient remembered the experiences and events that occurred to him in a dream, and could tell about them to others on the next morning. The identity of the patient remained intact, he was active in the department, ordered in behavior; memory for current events and new information was intact. These disorders in the patient did not require specialized treatment, regressed independently on the 6th day of the postoperative period.https://omet-endojournals.ru/omet/article/viewFile/10062/7851сase reportcraniopharyngiomaobesityearly postoperative perioderectionhypogonadismoneiroiddisorder of consciousnessdamage to the diencephalic region
collection DOAJ
language English
format Article
sources DOAJ
author Yuliya G. Sidneva
Ludmila I. Astafyeva
Boris A. Kadashev
Pavel L. Kalinin
Maxim A. Kutin
Larisa K. Dzeranova
spellingShingle Yuliya G. Sidneva
Ludmila I. Astafyeva
Boris A. Kadashev
Pavel L. Kalinin
Maxim A. Kutin
Larisa K. Dzeranova
The state of erection in a patient with craniopharyngioma, panhypopituitarism and diencephalic obesity
Ожирение и метаболизм
сase report
craniopharyngioma
obesity
early postoperative period
erection
hypogonadism
oneiroid
disorder of consciousness
damage to the diencephalic region
author_facet Yuliya G. Sidneva
Ludmila I. Astafyeva
Boris A. Kadashev
Pavel L. Kalinin
Maxim A. Kutin
Larisa K. Dzeranova
author_sort Yuliya G. Sidneva
title The state of erection in a patient with craniopharyngioma, panhypopituitarism and diencephalic obesity
title_short The state of erection in a patient with craniopharyngioma, panhypopituitarism and diencephalic obesity
title_full The state of erection in a patient with craniopharyngioma, panhypopituitarism and diencephalic obesity
title_fullStr The state of erection in a patient with craniopharyngioma, panhypopituitarism and diencephalic obesity
title_full_unstemmed The state of erection in a patient with craniopharyngioma, panhypopituitarism and diencephalic obesity
title_sort state of erection in a patient with craniopharyngioma, panhypopituitarism and diencephalic obesity
publisher Endocrinology Research Centre
series Ожирение и метаболизм
issn 2071-8713
2306-5524
publishDate 2019-09-01
description The article presents a clinical case from the practice of a patient with craniopharyngioma. The man of reproductive age with diencephalic obesity (BMI 35 kg/m2), recurrent craniopharyngioma, a long history of endocrine disorders (panhypopituitarism, including secondary hypogonadism, with the corresponding sexual function disorders and the lack of sexual activity), with visual disorders and psychiatric symptoms in the early postoperative period after shunting surgery and reducing the volume of the craniopharyngioma cyst, erection conditions arose against the background of episodes of disorders of consciousness within the framework of sleep dissociation. After the operation (installation of the Ommaya system), the patient had a state of spontaneous erection lasting up to 30 minutes against the background of dream-oneiric states of impaired consciousness with erotic experiences. These states were observed for 3 nights, the patient remembered the experiences and events that occurred to him in a dream, and could tell about them to others on the next morning. The identity of the patient remained intact, he was active in the department, ordered in behavior; memory for current events and new information was intact. These disorders in the patient did not require specialized treatment, regressed independently on the 6th day of the postoperative period.
topic сase report
craniopharyngioma
obesity
early postoperative period
erection
hypogonadism
oneiroid
disorder of consciousness
damage to the diencephalic region
url https://omet-endojournals.ru/omet/article/viewFile/10062/7851
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