Cabergoline-induced Mania in a Patient of Pituitary Microadenoma

Cabergoline-induced Mania in a Patient of Pituitary Microadenoma

Cabergoline, a dopamine agonist agent, is commonly used in the treatment of hyperprolactinemia, Parkinson's disease, restless leg syndrome, and antipsychotic-induced prolactin elevation. It is generally well tolerated as compared to other dopamine agonist agents due to its more selective D2 receptor agonistic effect. We present a case of a 25-year-old female who developed manic episode, followi...

Management of a microprolactinoma with aripiprazole in a woman with cabergoline-induced mania

UNLABELLED A previously healthy 32-year-old woman developed cyclical mood swings after being prescribed cabergoline for a pituitary microprolactinoma. These mood swings persisted for over 2 years, at which point she developed an acute manic episode with psychotic features and was admitted to a psychiatry unit. Cabergoline was discontinued and replaced with aripiprazole 10 mg/day. Her manic epis...

Endoscopic transsphenoidal pituitary surgery: pituitary microadenoma: 3-dimensional operative video.

This video demonstrates an endoscopic transsphenoidal resection of an corticotropin-secreting pituitary microadenoma. The patient is a 62-year-old man who was found to have a 5-mm pituitary adenoma after he exhibited signs and symptoms of Cushing disease. His endocrine laboratory studies confirmed central hypercortisolism.This video highlights dissection of the adenomapseudocapsule from the rem...

Fluoxetine-induced mania in an Asian patient.

Analysis of serum FSH bioactivity in a patient with an FSH-secreting pituitary microadenoma and multicystic ovaries: A case report.

FSH-secreting pituitary adenoma (FSHoma) is often associated with increased levels of serum FSH and ovarian hyperstimulation syndrome (OHSS). The OHSS has historically been attributed to elevated FSH production by the FSHoma; however, some FSHoma patients with OHSS have normal serum FSH levels. OHSS may result not from increased FSH levels, but also from increased bioactivity of the FSH derived...