Prolactinoma physical examination

Prolactinoma Microchapters
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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

Patients with prolactinoma generally appear healthy.

The most common physical examination finding of prolactinoma is visual field defects (bitemporal hemianopsia).

Physical Examination

General Appearance

• Patients with prolactinoma generally appear healthy.

Eye

Depending on the size of the tumor, the ocular findings include:

• Visual field defects: bitemporal hemianopsia
• Papilledema
• Diplopia and visual impairment may occur if the patient is complicated with pituitary apoplexy

Neurologic

Fewer patients may present with following neurological findings:

• Signs of cranial nerve palsies
• Hydrocephalus