Abstract
Macroprolactinomas commonly cause pressure effects on immediate parasellar structures, in particular on the optic chiasm to cause visual field defects. Pressure on more distant brain structures is rarely reported. We describe two massive prolactinomas presenting with neurological signs, including signs of hemiparesis which, to our knowledge, has not been reported previously.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bevan J. S., Webster J., Burke C. W., Scanlon M. F. Dopamine agonists and pituitary tumor shrinkage. Endocr Rev. 1992 May;13(2):220–240. doi: 10.1210/edrv-13-2-220. [DOI] [PubMed] [Google Scholar]
- Faria M. A., Jr, Tindall G. T. Transsphenoidal microsurgery for prolactin-secreting pituitary adenomas. J Neurosurg. 1982 Jan;56(1):33–43. doi: 10.3171/jns.1982.56.1.0033. [DOI] [PubMed] [Google Scholar]
- Jones A. Radiation oncogenesis in relation to the treatment of pituitary tumours. Clin Endocrinol (Oxf) 1991 Nov;35(5):379–397. doi: 10.1111/j.1365-2265.1991.tb03554.x. [DOI] [PubMed] [Google Scholar]
- Molitch M. E., Elton R. L., Blackwell R. E., Caldwell B., Chang R. J., Jaffe R., Joplin G., Robbins R. J., Tyson J., Thorner M. O. Bromocriptine as primary therapy for prolactin-secreting macroadenomas: results of a prospective multicenter study. J Clin Endocrinol Metab. 1985 Apr;60(4):698–705. doi: 10.1210/jcem-60-4-698. [DOI] [PubMed] [Google Scholar]
- Serri O., Rasio E., Beauregard H., Hardy J., Somma M. Recurrence of hyperprolactinemia after selective transsphenoidal adenomectomy in women with prolactinoma. N Engl J Med. 1983 Aug 4;309(5):280–283. doi: 10.1056/NEJM198308043090505. [DOI] [PubMed] [Google Scholar]
- Tsagarakis S., Grossman A., Plowman P. N., Jones A. E., Touzel R., Rees L. H., Wass J. A., Besser G. M. Megavoltage pituitary irradiation in the management of prolactinomas: long-term follow-up. Clin Endocrinol (Oxf) 1991 May;34(5):399–406. doi: 10.1111/j.1365-2265.1991.tb00312.x. [DOI] [PubMed] [Google Scholar]
- Wass J. A., Williams J., Charlesworth M., Kingsley D. P., Halliday A. M., Doniach I., Rees L. H., McDonald W. I., Besser G. M. Bromocriptine in management of large pituitary tumours. Br Med J (Clin Res Ed) 1982 Jun 26;284(6333):1908–1911. doi: 10.1136/bmj.284.6333.1908. [DOI] [PMC free article] [PubMed] [Google Scholar]