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Pituitary

, Volume 7, Issue 2, pp 83–87 | Cite as

Pituitary Apoplexy During Therapy with Cabergoline in an Adolescent Male with Prolactin-Secreting Macroadenoma

  • Mirta Knoepfelmacher
  • Miriam C. Gomes
  • Maria E. Melo
  • Berenice B. Mendonca
Article

Abstract

Pituitary adenomas are rare in young patients. Prolactinomas are the most common type of pituitary adenomas in children older than 12 years, occurring more often in girls, at a 4.5:1 female-to-male ratio. The clinical presentation may vary according to the age and sex of the patient. Pituitary apoplexy is a rare life-threatening condition caused by a sudden infarction or hemorrhagic necrosis of the pituitary containing an adenoma. A wide variety of conditions can trigger apoplexy such as pituitary irradiation, general anesthesia, traumatic head injury, pituitary stimulatory tests and a wide variety of medications including bromocriptine. We report a case of a 16-year-old male patient with puberty arrest harboring a macroprolactinoma, who developed a sudden clinical picture of pituitary apoplexy during the 12th month of treatment with cabergoline.

Key Words

pituitary apoplexy macroprolactinoma cabergoline puberty arrest 

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Copyright information

© Springer Science + Business Media, Inc. 2004

Authors and Affiliations

  • Mirta Knoepfelmacher
    • 1
    • 2
  • Miriam C. Gomes
    • 1
  • Maria E. Melo
    • 1
  • Berenice B. Mendonca
    • 1
  1. 1.Department of EndocrinologyHospital das Clínicas, University of São Paulo Medical SchoolSão PauloBrasil
  2. 2.São PauloBrasil

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