Foster Kennedy syndrome secondary to a giant prolactinoma with a remarkable response to cabergoline

Pituitary adenomas are intracranial neoplasms, usually demonstrating a benign phenotype. We present the case of 21-year-old male with an 18-month history of reduced visual function (acuity and field) in the left eye. Based on neuroimaging and endocrine profile, a giant prolactinoma causing hypogonad...

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Main Authors: Usama Kanj, Sam Sum Lee, Milanka Wattegama, Swarupsinh Chavda, Niki Karavitaki, Ruchika Batra
Format: Article
Language:English
Published: Bioscientifica 2022-08-01
Series:Endocrinology, Diabetes & Metabolism Case Reports
Online Access:https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM22-0261.xml
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author Usama Kanj
Sam Sum Lee
Milanka Wattegama
Swarupsinh Chavda
Niki Karavitaki
Ruchika Batra
author_facet Usama Kanj
Sam Sum Lee
Milanka Wattegama
Swarupsinh Chavda
Niki Karavitaki
Ruchika Batra
author_sort Usama Kanj
collection DOAJ
description Pituitary adenomas are intracranial neoplasms, usually demonstrating a benign phenotype. We present the case of 21-year-old male with an 18-month history of reduced visual function (acuity and field) in the left eye. Based on neuroimaging and endocrine profile, a giant prolactinoma causing hypogonadotropic hypogonadism was diagnosed and cabergoline was commenced. After a month of treatment, the tumour size reduced, and visual function improved to normal; however, he developed Foster Kennedy syndrome with a swollen right optic disc. After almost 1 year of follow-up, he regained full visual functioning. Two years since his diagnosis, his prolactin remains normal with no adverse effects or further visual complications.
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spelling doaj.art-4f49c6bc91544387921e9062e1dae2732022-12-22T02:18:39ZengBioscientificaEndocrinology, Diabetes & Metabolism Case Reports2052-05732022-08-01111510.1530/EDM-22-0261Foster Kennedy syndrome secondary to a giant prolactinoma with a remarkable response to cabergolineUsama Kanj0Sam Sum Lee1Milanka Wattegama2Swarupsinh Chavda3Niki Karavitaki4Ruchika Batra5Department of OphthalmologyDepartment of OphthalmologyDepartment of EndocrinologyDepartment of Neuroradiology, University Hospitals Birmingham NHS Trust, Birmingham, UKDepartment of Endocrinology; Institute of Metabolism and Systems Research, University of Bimingham, Birmingham, UK; Center for Endocrinology, Diabetes and Metabolism, Birmingham, UK Birmingham Neuro-Ophthalmology Unit, University Hospitals Birmingham NHS Trust, Birmingham, UKPituitary adenomas are intracranial neoplasms, usually demonstrating a benign phenotype. We present the case of 21-year-old male with an 18-month history of reduced visual function (acuity and field) in the left eye. Based on neuroimaging and endocrine profile, a giant prolactinoma causing hypogonadotropic hypogonadism was diagnosed and cabergoline was commenced. After a month of treatment, the tumour size reduced, and visual function improved to normal; however, he developed Foster Kennedy syndrome with a swollen right optic disc. After almost 1 year of follow-up, he regained full visual functioning. Two years since his diagnosis, his prolactin remains normal with no adverse effects or further visual complications.https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM22-0261.xml
spellingShingle Usama Kanj
Sam Sum Lee
Milanka Wattegama
Swarupsinh Chavda
Niki Karavitaki
Ruchika Batra
Foster Kennedy syndrome secondary to a giant prolactinoma with a remarkable response to cabergoline
Endocrinology, Diabetes & Metabolism Case Reports
title Foster Kennedy syndrome secondary to a giant prolactinoma with a remarkable response to cabergoline
title_full Foster Kennedy syndrome secondary to a giant prolactinoma with a remarkable response to cabergoline
title_fullStr Foster Kennedy syndrome secondary to a giant prolactinoma with a remarkable response to cabergoline
title_full_unstemmed Foster Kennedy syndrome secondary to a giant prolactinoma with a remarkable response to cabergoline
title_short Foster Kennedy syndrome secondary to a giant prolactinoma with a remarkable response to cabergoline
title_sort foster kennedy syndrome secondary to a giant prolactinoma with a remarkable response to cabergoline
url https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM22-0261.xml
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