Skip to main content
Log in

Rhinorrhea following dopamine agonist therapy of invasive macroprolactinoma

  • Clinical Articles
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

We report on the occurrence of CSF rhinorrhea in a group of 17 patients harbouring macroprolactinomas who were treated with a dopamine agonist (DA, bromocriptine) alone or the combination of DA and transcranial operation. In 2 out of 17 cases shrinkage of tumour remnants during therapy with the oral or injectable form of bromocriptine was responsible for delayed occurrence of rhinorrhea. Operative procedures for successfull closure of the fistulae were mandatory in both cases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Afshar F, Thomas A (1982) Brimocriptine-induced cerebrospinal fluid rhinorrhea. Surg Neurol 18: 61–63

    PubMed  Google Scholar 

  2. Aronoff SL, Daughaday WH, Laws ER (1979) Bromocriptine treatment of prolactinomas. N Engl J Med 300: 1391

    Google Scholar 

  3. Baskin DS, Wilson CB (1982) CSF rhinorrhea after bromocriptine for prolactinoma. N Engl J Med 306: 178

    Google Scholar 

  4. Brabant G, Brennecke I, Herrmann H, Friedrich H, Wagner TOF, vonzur Mühlen A, Hesch RD (1985) Hyperprolaktinämie und Prolaktinome. Dtsch med Wschr 110: 1564–1567

    PubMed  Google Scholar 

  5. Cole IE, Keane M (1980) Cerebrospinal fluid rhinorrhea in pituitary tumours. JR Soc med 73: 244–254

    Google Scholar 

  6. Fagel WG, Hekster REM, Smith SJ, van der Viyver JCM (1986) Transient intrasellar collection of air during bromocriptine treatment of a prolactinoma. Neuroradiology 28: 364–366

    PubMed  Google Scholar 

  7. Holness RO, Shlossberg AH, Heffernan LPM (1984) Cerebrospinal fluid rhinorrhea caused by bromocriptine therapy of prolactinoma. Neurology 13: 111–113

    Google Scholar 

  8. Hubbard JL, Mc Donald TJ, Pearson BW, Laws ER (1985) Spontaneous cerebrospinal fluid rhinorrhea: evolving concepts in diagnosis and surgical management based on the Mayo Clinic experience from 1970–1981. Neurosurgery 16: 314–321

    Google Scholar 

  9. Lancranjan I, Montini M, Jaquet P, Hildebrandt G, Muhr C, Benker G (1987) Long-acting bromocriptine as initial treatment for prolactin-secreting macroadenomas. In: Ratnam SS, Teoh ES (eds) Advances in fertility and sterility series, Vol 5. The Parthenon Publishing Group, Carnforth Park Ridge

    Google Scholar 

  10. Landolt AM (1982) Cerebrospinal fluid rhinorrhea: a complication of therapy for invasive prolactinomas. Neurosurgery 11: 395–401

    PubMed  Google Scholar 

  11. Liuzzi A, Dallabonzana D, Oppizzi G, Verde GG, Cozzi R, Chiodini P, Luccarelli G (1985) Low doses of dopamine agonists in the long-term treatment of macroprolactinomas. N Engl J Med 313: 656–659

    PubMed  Google Scholar 

  12. Molitch HE, Elton RL, Blackwell RE, Caldwell B, Chang RJ, Jaffe R, Joplin G, Robbins RJ, Tyson J, Thorner MO and the Bromocriptine Study Group (1985) Bromocriptine as primary therapy for prolactin-secreting macroadenomas: results of a prospective multicenter study. J Clin Endocrinol Metab 60: 698–705

    PubMed  Google Scholar 

  13. Okuyama T, Sato O, Daibo M, Niwa J (1984) Cessation of cerebrospinal fluid rhinorrhea by bromocriptine treatment of a patient with invasive prolactinoma. No Shinkei Geka 12: 319–323

    PubMed  Google Scholar 

  14. Stracke H, Schröder O, Bleyl H, Schatz H (1984) Assessment of definitive residual pituitary-adrenal function and of hydrocortisone replacement therapy 10 to 14 days after microsurgery for pituitary adenomas. Horm Metabol Res 16: 157–158

    Google Scholar 

  15. Vance ML, Evans EW, Throner MO (1984) Bromocriptine. Ann Intern Med 100: 78–91

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hildebrandt, G., Zierski, J., Christophis, P. et al. Rhinorrhea following dopamine agonist therapy of invasive macroprolactinoma. Acta neurochir 96, 107–113 (1989). https://doi.org/10.1007/BF01456167

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01456167

Keywords

Navigation