Prolactinoma during pregnancy causing compression symptoms responding to bromocriptine therapy.
نویسنده
چکیده
A woman with pituitary macroadenoma causing pressure symptoms and a partial right third cranial nerve palsy during pregnancy is described. Complete resolution occurred using oral bromocriptine therapy alone and the remainder of the pregnancy was uneventful.
منابع مشابه
Endocrinology in pregnancy: management of the pregnant patient with a prolactinoma.
A woman with a prolactinoma is usually infertile. Dopamine agonists usually restore ovulation and fertility and such treatment generally is preferred over transsphenoidal surgery because of higher efficacy and safety. Cabergoline is usually preferred over bromocriptine because of its better efficacy with fewer adverse effects. Either drug increases the rates of spontaneous abortions, preterm de...
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Neuritis retrobulbaris was diagnosed in a 27-yearold nulligravid woman with an uneventful medical history. The condition spontaneously resolved within 2 months. Magnetic resonance imaging (MRI) was performed and by coincidence a pituitary tumour was found without suprasellar expansion or compression of the optic chiasma of 10 mm. The patient wanted to become pregnant and discontinued oral contr...
متن کاملManaging Prolactinomas during Pregnancy
Prolactinomas are the most prevalent functional benign pituitary tumors due to a pituitary micro- or macroadenoma. The majority of patients presents with infertility and gonadal dysfunction. A dopamine agonist (DA) (bromocriptine or cabergoline) is the treatment of choice that can normalize prolactin levels, reduce tumor size, and restore ovulation and fertility. Cabergoline generally preferred...
متن کاملMacroprolactinoma: a diagnostic and therapeutic update.
Prolactinomas are the most common type of pituitary adenomas. Macroprolactinomas are the name used for these tumors when their size is ≥ 1 cm. These tumors commonly cause symptoms due to the excessive production of prolactin as well as complaints caused by tumor mass and compression of neural adjacent structures. Clinical diagnosis and assessment of macroprolactinoma are based on the measuremen...
متن کاملBromocriptine for visual field defects in prolactinomas.
The introduction of bromocriptine (2-brocergocryptine mesylate), a semi-synthetic ergot alkaloid, has revolutionised the treatment of the amenorrhoeagalactorrhoea syndrome due to excessive prolactin secretion (Thorner et. al., 1975). In a significant number of cases, this hyperprolactinaemia is caused by a radiologically obvious pituitary tumour (L'Hermite et. al., 1977; Bergh et al., 1978 a) w...
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ورودعنوان ژورنال:
- Postgraduate medical journal
دوره 61 719 شماره
صفحات -
تاریخ انتشار 1985