Case Report March 12, 2020

Delayed Diagnosis of a Pituitary Prolactinoma

Domantas Mikonis, DO; Alhasan Ghazzawi, MBBCh; Taryn E. Hoffman, MD; Sanya Virani, MD, MPH; Maria M. Bodic, MD

Prim Care Companion CNS Disord 2020;22(2):19l02522

Article Abstract

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Psychiatric manifestations of tumors in the pediatric population are not uncommon; however, in the absence of overt neurologic symptoms, the likelihood of serious intracranial pathology is low and routine neuroimaging is not indicated. Nonetheless, it is possible for pediatric patients to present with a brain tumor with psychiatric symptoms but without neurologic findings. Here, we present the case of a young man who evaded diagnosis of pituitary prolactinoma for 3 years despite debilitating psychiatric symptoms.

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