Suppurative meningitis: A life-threatening complication in male macroprolactinomas
A 29-year-old man was sent to our unit for a prolactinoma revealed by epilepsy crises. The PT was very large (68 mm × 50 mm × 50 mm) and multidirectional with an extension to the chiasm, cavernous sinuses, posterior and nasal areas []. He was operated on 3 times in vain. Then he was given dopamine agonists, which normalized PRL and reduced the tumor. After 3 months he had rhinorrhea, then one episode of SM sterilized by antibiotics. SM never relapsed after a follow-up of over 2 years.\nThe shows tumor sizes, hormonal parameters and bromocriptine dose which was used to treat the 4 prolactinomas.