Prolactinoma as the cause of visual alterations in a female adolescent

Translated title of the contribution: Prolactinoma as the cause of visual alterations in a female adolescent

Daniela Henao-Vega, José Miguel Suescún-Vargas, Paola Victoria Pedraza-Flechas, Rocío del Pilar Pereira-Ospina

Research output: Contribution to journalResearch Articlepeer-review

Abstract

Introduction: prolactinomas account for half of the etiological causes of presentation adenomas in the pediatric population, hence their important role as differential diagnosis in the study of a pituitary tumor. Visual alterations are not their most common symptom, but they should be borne in mind, particularly in the identification of a macroadenoma. Case presentation: female 16-year-old patient with a macroadenoma under study which was identified as a macroprolactinoma. The main symptoms at presentation were visual alterations and headaches. She received medical treatment with cabergoline at the Pediatric Endocrinology service, achieving stability in the size and characteristics of the tumor mass, and a reduction in serum prolactin levels. Conclusions: in the pediatric population, prolactinomas causing visual alterations are more common in males, but they can also occur among females. Their diagnosis includes specialized laboratory tests and neuroimaging, as well as the active involvement of the Pediatric Endocrinology service. Mention must be made of the medical treatment with dopaminergic agonists as the first choice for this condition before indicating surgery, and careful medical follow-up is required in this respect.

Translated title of the contributionProlactinoma as the cause of visual alterations in a female adolescent
Original languageSpanish
Pages (from-to)141-148
Number of pages8
JournalRevista Cubana de Pediatria
Volume90
Issue number1
StatePublished - Jan 1 2018

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

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