98.3.27-Case Presentation Giant Prolactinoma

Endocrine Grand Round

“A 43-year-old man with headache”

By:

Dr. Soheila Sadeghi

Presentator:

Dr.sabk ara 

Chief Complaint: 
Headache

Present Illness:
- 43-year-old-man / From Tabriz/married/has 2 children: 8 years and 6 months 

- Intermittent episodes of headache in occipital region from 8 years ago with 6month - 1 year intervals
- From 4 years ago, the patient has had headache for 1 week of every month.

Accompanying symptoms

• Bilateral blurred vision since  2 months ago   (starting Cabergoline)
• Galactorrhea (-)
• Weight change (-)
• Libido loss (-)
• Hypoglycemia (-)
• Nausea and vomiting (-)
• Hyper pigmentation (-)
• Hair loss (-)
• BP change (-)
• Diplopia (-)
• Polyuria (-)
• Polydipsia (-)
• Hearing loss (-)