title: [Cabergoline-induced tension pneumocephalus in a patient with giant invasive prolactinoma. Case report].
abstract: Treatment of patients with prolactinomas consists primarily of dopamine agonists (DA). When these drugs reduce the size of invasive prolactinomas, the intra- and extra-cranial spaces may be communicated. Pneumocephalus and cerebrospinal fluid leakage have been reported. A 56 year old male was admitted to the emergency unit with an intracranial hypertension syndrome. He had been treated for 2 weeks with cabergoline after an invasive prolactinoma was discovered. Brain CT showed frontal interhemispheric pneumocephalus on the previous tumor cavity, and bony defect on the sellar floor. Evacuation of pneumocephalus, reparation of cranial and meningeal defects and subtotal tumor removal were performed. The literature is reviewed looking for possible pathophysiological mechanism, prevention and treatment.
authors.affiliation: Servicios de Neurocirugía, Complejo Hospitalario de Ourense, Ourense, España. juliancastrocastro@yahoo.es
authors.forename: J
authors.initials: J
authors.lastname: Castro-Castro
authors.forename: J A
authors.initials: JA
authors.lastname: Torre-Eiriz
authors.forename: A
authors.initials: A
authors.lastname: Pinzón-Millán
authors.forename: A
authors.initials: A
authors.lastname: Pastor-Zapata
mesh_terms: D000970:Antineoplastic Agents / Q000009:adverse effects* / Q000627:therapeutic use*; D000077465:Cabergoline; D004873:Ergolines / Q000009:adverse effects* / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010911:Pituitary Neoplasms / Q000188:drug therapy* / Q000473:pathology; D011007:Pneumocephalus / Q000139:chemically induced*; D015175:Prolactinoma / Q000188:drug therapy* / Q000473:pathology; D014057:Tomography, X-Ray Computed
chemical_list: D000970:Antineoplastic Agents; D004873:Ergolines; D000077465:Cabergoline