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Symptoms of prolactinoma can be divided as follows:[1]

  1. Symptoms due to hyperprolactinemia
  2. 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
  • Common Symptoms:
    • Headache
    • Vision changes
    • Temporal field defects
  • Less Common Symptoms:
    • Cranial nerve palsies
    • Hypothalamic impairement
    • Hydroceplalous
    • Hypopituitarism

Hyperprolactinemia due prolactinoma causes delayed puberty in adolescent.

Pituitary apoplexy :

 
 
 
Infarction in Prolactinoma
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Rapid enlargement of tumor
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Compression of sella and para sellar structures
 
 
 
  1. Liu JK, Couldwell WT (2004). "Contemporary management of prolactinomas". Neurosurg Focus. 16 (4): E2. PMID 15191331.