학술논문

Giant prolactinoma, a case report and review of the literature
Document Type
article
Source
Journal of Clinical and Translational Endocrinology Case Reports, Vol 12, Iss , Pp - (2019)
Subject
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Language
English
ISSN
2214-6245
Abstract
A 13 year old boy presented with acute onset of sudden severe headache and visual impairment following a one-year history of intermittent frontal headache. Serum prolactin level was 17532ng/ml (normal 3–24ng/ml). Magnetic resonance imaging showed a large intrasellar mass with suprasellar extension and evidence of recent hemorrhage within the mass. Cabergoline was started and laparoscopic trans sphenoidal resection of pituitary adenoma was performed. Six months post therapy, he had complete restoration of right eye vision, and partial restoration of left one. Early surgical intervention in addition to medical therapy in case of pediatric pituitary apoplexy associated with giant prolactinoma might be essential to restore vision. Keywords: Pituitary apoplexy, Giant prolactinoma, Cabergoline