Management peculiarities of patients with hyperprolactinemia in case of mass formations of the hypothalamic-pituitary region: a clinical case

Abstract

Hyperprolactinemia is a condition characterized by persistently elevated blood prolactin level. The most prominent manifestations of it are reproductive dysfunction, as well as fat and carbohydrate metabolism disorders, including body weight gain, dyslipidemia, impaired glucose tolerance, and insulin resistance. We describe here a case of hyperprolactinemia in a young man and perform differential diagnosis of prolactinoma with craniopharyngioma. The article demonstrates that initiation of treatment with dopamine agonists allows us to make a correct diagnosis and to determine optimal tactic of management – either therapy or surgery.