Pituitary Apoplexy in an Adolescent with Prolactin-Secreting Adenoma

A 14.8-year-old girl was treated with bromocriptine for a prolactin-secreting adenoma. She suddenly developed headaches, vomiting, fever and meningeal syndrome. This was associated with corticotropin, thyrotropin and gonadotropin deficiencies. Magnetic resonance imaging showed peripheral enhancement...

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Veröffentlicht in:	Hormone research 1998, Vol.50 (1), p.38-41
Hauptverfasser:	Pinto, G., Zerah, M., Trivin, C., Brauner, R.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Bromocriptine - therapeutic use Case Report Female Humans Hydrocortisone - therapeutic use Magnetic Resonance Imaging Pituitary Apoplexy - diagnosis Pituitary Apoplexy - drug therapy Pituitary Apoplexy - etiology Pituitary Neoplasms - complications Pituitary Neoplasms - drug therapy Prolactinoma - complications Prolactinoma - drug therapy
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Zusammenfassung:	A 14.8-year-old girl was treated with bromocriptine for a prolactin-secreting adenoma. She suddenly developed headaches, vomiting, fever and meningeal syndrome. This was associated with corticotropin, thyrotropin and gonadotropin deficiencies. Magnetic resonance imaging showed peripheral enhancement and a central hyposignal suggesting intra-adenoma hemorrhage and then disappearance of the adenoma. Hydrocortisone was initiated in emergency to prevent any risk to life.
ISSN:	1663-2818 0301-0163 1663-2826
DOI:	10.1159/000023199