Management of Psychosis Associated With a Prolactinoma: Case Report and Review of the Literature

BackgroundProlactinomas are the most common pituitary tumors; they are treated with dopamine agonists, which may cause psychotic symptoms as a side effect. Psychosis is treated with dopaminereceptor blockers that may result in elevated serum prolactin and symptomatic hyperprolactinemia.ObjectiveThe authors will review a case of a patient with a prolactinoma as well as schizophrenia and illustrate the management of psychosis in this case.MethodThe review describes the management of prolactinoma, symptoms of hyperprolactinemia, and long-term effects of hyperprolactinemia.ResultsIn the case presentation reviewed, the patient was finally discharged on risperidone longacting injection and testosterone supplementation, with no growth of the adenoma after 3 years.DiscussionThis review provides recommendations and treatment strategy for management of prolactinoma in a patient with schizophrenia.