Case Report: Suprasellar Pituitary Adenoma Presenting With Temporal Lobe Seizures

Frontiers in Surgery

article

Christopher S. Hong¹  Ramana Gorrepati¹  Adam J. Kundishora¹  Aladine A. Elsamadicy¹  Patricia R. Peter²  Eyiyemisi C. Damisah¹  R. Peter Manes³  Sacit Bulent Omay¹ 

[1] Department of Neurosurgery, Yale School of Medicine, United States;Section of Endocrinology, Department of Medicine, Yale School of Medicine, United States;Division of Otolaryngology, Department of Surgery, Yale School of Medicine, United States

关键词: pituitary;    macroadenoma;    seizures;    epilepsy;    case report;   

DOI  :  10.3389/fsurg.2020.598138

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Seizures in patients with pituitary pathology are uncommon and typically secondary to electrolyte disturbances. Rarely, seizures have been described from mass effect related to large prolactinomas undergoing medical treatment. We describe a 54 year-old male who presented with a first-time generalized seizure, secondary to a pituitary macroadenoma compressing the left temporal lobe. His seizures abated after endoscopic endonasal debulking of the tumor. This report highlights isolated seizures as a potential sole presenting symptom of pituitary macroadenomas without visual or endocrine dysfunction. Prompt surgical debulking to relieve mass effect on the temporal lobe may effectively prevent further seizure activity.

【 授权许可】

CC BY