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Symptoms of pituitary apoplexy rapidly reversed with bromocriptine. Case report.
J Neurosurg. 1996 Dec; 85(6):1153-5.JN

Abstract

Macroprolactinomas rarely present with apoplexy. The authors describe a patient with a macroprolactinoma who presented with apoplexy and rapid progression of a third nerve palsy. The patient was managed expectantly with bromocriptine, and within 48 hours, the patient's third nerve palsy had completely resolved. The authors suggest that all patients who present with pituitary apoplexy in the presence of a pituitary tumor receive an immediate course of bromocriptine and steroid therapy until the prolactin level can be determined. Emergency surgery is indicated if visual function is abnormal and the tumor is not a prolactinoma.

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Authors+Show Affiliations

Brisman MH
Department of Neurosurgery, The Mount Sinai Medical Center, New York, New York 10029, USA.
Katz G
No affiliation info available
Post KD
No affiliation info available

MeSH

AdultBromocriptineHumansMagnetic Resonance ImagingMaleOculomotor Nerve DiseasesPituitary ApoplexyPituitary NeoplasmsProlactinoma

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

8929510

Citation

Brisman, M H., et al. "Symptoms of Pituitary Apoplexy Rapidly Reversed With Bromocriptine. Case Report." Journal of Neurosurgery, vol. 85, no. 6, 1996, pp. 1153-5.
Brisman MH, Katz G, Post KD. Symptoms of pituitary apoplexy rapidly reversed with bromocriptine. Case report. J Neurosurg. 1996;85(6):1153-5.
Brisman, M. H., Katz, G., & Post, K. D. (1996). Symptoms of pituitary apoplexy rapidly reversed with bromocriptine. Case report. Journal of Neurosurgery, 85(6), 1153-5.
Brisman MH, Katz G, Post KD. Symptoms of Pituitary Apoplexy Rapidly Reversed With Bromocriptine. Case Report. J Neurosurg. 1996;85(6):1153-5. PubMed PMID: 8929510.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Symptoms of pituitary apoplexy rapidly reversed with bromocriptine. Case report. AU - Brisman,M H, AU - Katz,G, AU - Post,K D, PY - 1996/12/1/pubmed PY - 1996/12/1/medline PY - 1996/12/1/entrez SP - 1153 EP - 5 JF - Journal of neurosurgery JO - J Neurosurg VL - 85 IS - 6 N2 - Macroprolactinomas rarely present with apoplexy. The authors describe a patient with a macroprolactinoma who presented with apoplexy and rapid progression of a third nerve palsy. The patient was managed expectantly with bromocriptine, and within 48 hours, the patient's third nerve palsy had completely resolved. The authors suggest that all patients who present with pituitary apoplexy in the presence of a pituitary tumor receive an immediate course of bromocriptine and steroid therapy until the prolactin level can be determined. Emergency surgery is indicated if visual function is abnormal and the tumor is not a prolactinoma. SN - 0022-3085 UR - https://www.unboundmedicine.com/medline/citation/8929510/Symptoms_of_pituitary_apoplexy_rapidly_reversed_with_bromocriptine__Case_report_ L2 - https://thejns.org/doi/10.3171/jns.1996.85.6.1153 DB - PRIME DP - Unbound Medicine ER -