Case ReportOpen Access

Macroprolactinoma Presenting As Acute Pituitary Apoplexy: Report of a Case and Short Review of Literature

Volume 5 - Issue 4

Nasir A M AL Jurayyan*

Author Information Open or Close
- Department of pediatrics, college of medicine, Saudi Arabia
*Corresponding author: Nasir A M Al Jurayyan, Professor and Consultant Pediatric, Endocrinologist, Division of Endocrinology, Department of Pediatrics (39), College of Medicine, P.O Box 2925, Riyadh 11461, Saudi Arabia

Received: June 10, 2018; Published: June 19, 2018

DOI: 10.26717/BJSTR.2018.05.001245

Full Text PDF

To view the Full Article Peer-reviewed Article PDF

Abstract

Pituitary apoplexy in children is extremely rare clinical syndrome, and potentially lethal due to adrenocorticotrophic hormone (ACTH) deficiency. It is characterized by acute haemorrhagic or infraction of the pituitary gland. We report a 13 year-old-boy who presented with acute headache, vomiting, and visual loss. He was diagnosed to have macroprolactinoma, with acute haemorrhage into the mass by magnetic resorance image (MRI), and raised serum prolactin. Serum ACTH, cortisol, thyroid stimulating hormone (TSH), and free thyroxine (FT4) were low. This report aims to remind the general practitioners and the emergency practitioners of the initial assessment and management of pituitary apoplexy.

Keywords: Macroprolactinoma; Pituitary; Apoplexy; Management; Diagnosis

Abbrevations: ACTH: Adrenocorticotrophic hormone; MRI: Magnetic Resorance Image; TSH : Thyroid Stimulating Hormone; FT4: Free thyroxine; PRL: High prolactin; LH: luteinizing hormone; FSH: Follicular Stimulation Hormone