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CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(01): 93-95
DOI: 10.4103/1793-5482.181130
Case Report

Pituitary apoplexy during treatment of prolactinoma with cabergoline

Hesam Ghadirian
1   Department of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran
,
Mohamad Shirani
1   Department of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran
,
Shahab Ghazi-Mirsaeed
1   Department of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran
,
Saleh Mohebi
1   Department of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran
2   Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran
,
Maysam Alimohamadi
1   Department of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran
2   Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran
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Pituitary apoplexy is a rare clinical presentation caused by infarction of the pituitary gland or adenoma with or without hemorrhage. Although pituitary apoplexy is usually spontaneous, one of the predisposing factors is treatment with dopamine agonists, especially bromocriptine. The occurrence of apoplexy during cabergoline therapy is reported much less frequently. In this article, we report a 34-year-old man with macroprolactinomas who developed sudden visual deterioration due to pituitary apoplexy 1 year after initiation of cabergoline therapy. He was treated via endoscopic trans-sphenoidal surgery and his visual status recovered dramatically.

Key-words:

Cabergoline - pituitary adenoma - pituitary apoplexy - prolactinoma


Publication History

Article published online:
14 September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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