Pituitary apoplexy in an adolescent with prolactin-secreting adenoma

Horm Res. 1998;50(1):38-41. doi: 10.1159/000023199.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Bromocriptine / therapeutic use
  • 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

Substances

  • Bromocriptine
  • Hydrocortisone