Management of psychosis associated with a prolactinoma: case report and review of the literature.

BACKGROUND

Prolactinomas are the most common pituitary tumors; they are treated with dopamine agonists, which may cause psychotic symptoms as a side effect. Psychosis is treated with dopamine-receptor blockers that may result in elevated serum prolactin and symptomatic hyperprolactinemia.

OBJECTIVE

The authors will review a case of a patient with a prolactinoma as well as schizophrenia and illustrate the management of psychosis in this case.

METHOD: The review describes the management of prolactinoma, symptoms of hyperprolactinemia, and long-term effects of hyperprolactinemia.

RESULTS

In the case presentation reviewed, the patient was finally discharged on risperidone long-acting injection and testosterone supplementation, with no growth of the adenoma after 3 years.

DISCUSSION: This review provides recommendations and treatment strategy for management of prolactinoma in a patient with schizophrenia.