Cor Vasa 2009, 51(5):354-357 | DOI: 10.33678/cor.2009.091

Secondary hypertension in prolactinoma

Karel Riegel

Kardiocentrum, Nemocnice Na Homolce, Praha a Koronární jednotka, Interní oddělení, Oblastní nemocnice, Kladno, Česká republika

The paper presents the case report of a young male patient with severe systemic hypertension caused by increased intracranial blood pressure due to a large prolactinoma. The patient experienced sight impairment due to local oppression by the tumor, had left ventricular hypertrophy and hypertension-induced renal failure. Anti-edema therapy was associated with partial remission of the presentations of intracranial hypertension. The prolactinoma was treated conservatively with carbegoline; contrary to expectations, the observed regression in tumor size was not significant. Antihypertensive therapy was fairly complicated given the slowly resolving intracranial hypertension. Parenteral therapy could be discontinued after four weeks, and the patient was discharged to receive home care with a combination of six oral antihypertensives.

Keywords: Secondary hypertension; Intracranial hypertension; Prolactinoma; Renal failure

Published: May 1, 2009  Show citation