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FROM ERECTILE DYSFUNCTION TO BRAIN SUBEPENDYMOMA: A CASE REPORT.
Tatjana Bačun1, Aleksandar Kibel1, Dunja Degmečić1
11Department of Internal Medicine, Osijek University Hospital Centre, Osijek, Croatia; 2Department of Internal Medicine, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 3Department of Physiology and Immunology, Faculty of Medicine, University of Osijek, Osijek, Croatia; 4Department of Psychiatry, Osijek University Hospital Centre, Osijek, Croatia; 5Department of Psychiatry, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 6University Hospital of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 7Department of Surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
A rare intracranial tumor, subependymoma, caused erectile dysfunction in a young man due to pituitary gland compression. This case highlights the importance of considering brain lesions in erectile dysfunction evaluations.
Area of Science:
- Neurology
- Endocrinology
- Oncology
Background:
- Endocrinopathies are uncommon causes of erectile dysfunction (ED).
- Previous reports link hyperprolactinemia and pituitary adenomas to ED.
- This case explores a rare intracranial lesion causing ED.
Observation:
- A 27-year-old male presented with infertility and recent-onset ED.
- Radiological and endocrinologic workup was initiated.
- Symptoms were primarily subjective ED.
Findings:
- An expanding subependymoma was identified in the sellar and suprasellar regions.
- The tumor exerted pressure on the pituitary gland.
- This led to a secondary endocrine disorder manifesting as ED.
Implications:
- Intracranial lesions should be considered in the differential diagnosis of ED.
- This case underscores the link between pituitary dysfunction and sexual health.
- Broad clinical interest for endocrinologists and other medical practitioners is noted.
