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Pituitary apoplexy in an adolescent with prolactin-secreting adenoma
1Pediatric Endocrinology Unit, Université Paris V and Hôpital Necker-Enfants Malades, Assistance-Publique-Hôpitaux de Paris, France.
Hormone Research
|August 6, 1998
Abstract:
A 14.8-year-old girl was treated with bromocriptine for a prolactin-secreting adenoma. She suddenly developed headaches, vomiting, fever and meningeal syndrome. This was associated with corticotropin, thyrotropin and gonadotropin deficiencies. Magnetic resonance imaging showed peripheral enhancement and a central hyposignal suggesting intra-adenoma hemorrhage and then disappearance of the adenoma. Hydrocortisone was initiated in emergency to prevent any risk to life.