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Management of psychosis associated with a prolactinoma: case report and review of the literature.

机译：与催乳素瘤有关的精神病管理：病例报告和文献复习。

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BACKGROUND: Prolactinomas 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 dopamine-receptor blockers that may result in elevated serum prolactin and symptomatic hyperprolactinemia. OBJECTIVE: The authors will review a case of a patient with a prolactinoma as well as schizophrenia and illustrate the management of psychosis in this case. METHOD: The review describes the management of prolactinoma, symptoms of hyperprolactinemia, and long-term effects of hyperprolactinemia. RESULTS: In the case presentation reviewed, the patient was finally discharged on risperidone long-acting injection and testosterone supplementation, with no growth of the adenoma after 3 years. DISCUSSION: This review provides recommendations and treatment strategy for management of prolactinoma in a patient with schizophrenia.
机译：背景：泌乳素瘤是最常见的垂体瘤。他们接受了多巴胺激动剂的治疗，这可能会引起精神症状。用多巴胺受体阻滞剂治疗精神病，可能导致血清催乳素升高和有症状的高催乳素血症。目的：作者将审查一例患有催乳素瘤和精神分裂症的患者，并说明这种情况下的精神病治疗。方法：该综述描述了催乳素瘤的治疗，高催乳素血症的症状以及高催乳素血症的长期影响。结果：在审查的病例报告中，患者最终通过利培酮长效注射和补充睾丸激素出院，三年后腺瘤无生长。讨论：本综述为精神分裂症患者的泌乳素瘤治疗提供了建议和治疗策略。

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