Prolactinoma history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
Common symptoms of [[prolactinoma]] include [[headache]], vision changes, decreased [[libido]], [[infertility]] and osteoporosis. | Common symptoms of [[prolactinoma]] include [[headache]], vision changes, decreased [[libido]], [[infertility]] and [[osteoporosis]]. | ||
In women, common symptoms of [[prolactinoma]] include breast tenderness, [[galactorrhea]], and [[amenorrhea]] or oligomenorrhea. | In women, common symptoms of [[prolactinoma]] include breast tenderness, [[galactorrhea]], and [[amenorrhea]] or [[oligomenorrhea]]. | ||
==History== | ==History== | ||
*Obtaining the history is the most important aspect of making a diagnosis of [[prolactinoma]]. Complete history will help determine the correct therapy and helps in determining the prognosis. | *Obtaining the history is one of the most important aspect of making a diagnosis of [[prolactinoma]]. Complete history will help determine the correct therapy and helps in determining the prognosis. | ||
*Specific areas of focus when obtaining the history, are outlined below: | *Specific areas of focus when obtaining the history, are outlined below: | ||
**[[Headache]]. | **[[Headache]]. | ||
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| | | | ||
* '''Common Symptoms:''' | * '''Common Symptoms:''' | ||
** Headache | ** [[Headache]] | ||
** Vision changes | ** Vision changes | ||
** Temporal field defects([[Bitemporal hemianopia|bitemporal hemianopsia]]) | ** Temporal field defects([[Bitemporal hemianopia|bitemporal hemianopsia]]) | ||
* '''Less Common Symptoms:''' | * '''Less Common Symptoms:''' | ||
** Cranial nerve palsies | ** [[Cranial nerve palsies]] | ||
** Hypothalamic impairement | ** Hypothalamic impairement | ||
** | ** [[Hydrocephalus]] | ||
** Hypopituitarism | ** [[Hypopituitarism]] | ||
** | ** Cerebrospinal fluid rhinorrhea | ||
|} | |} | ||
== References == | == References == | ||
Revision as of 16:25, 21 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anmol Pitliya, M.B.B.S. M.D.[2],Faizan Sheraz, M.D. [3]
Overview
Common symptoms of prolactinoma include headache, vision changes, decreased libido, infertility and osteoporosis.
In women, common symptoms of prolactinoma include breast tenderness, galactorrhea, and amenorrhea or oligomenorrhea.
History
- Obtaining the history is one of the most important aspect of making a diagnosis of prolactinoma. Complete history will help determine the correct therapy and helps in determining the prognosis.
- Specific areas of focus when obtaining the history, are outlined below:
- Headache.
- Vision changes and visual field defects.
- Delayed puberty in adolescent.
- Decreased sexual drive.
- Infrequent menstrual period or absent menstrual period.
- Breast tenderness
- Abnormal milk flow from the breast in a woman who is not pregnant or nursing.
Symptoms
Symptoms of prolactinoma can be divided as follows:[1]
- Symptoms due to hyperprolactinemia
- Symptoms due to mass effect
| Symptoms of Prolactinoma | |||
|---|---|---|---|
| Symptoms due to hyperprolactinemia | Symptoms due to mass effect | ||
| Women | Men | Both men and women | Both men and women |
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References
- ↑ Liu JK, Couldwell WT (2004). "Contemporary management of prolactinomas". Neurosurg Focus. 16 (4): E2. PMID 15191331.