Suppurative meningitis: A life-threatening complication in male macroprolactinomas
A 49-year-old man was hospitalized in 2000 for the fourth SM. The previous ones were proved in 1984, 1988 and 1990. Clinical examination confirmed the meningeal syndrome and noticed rhinorrhea. Biochemical analyzes confirmed CSF leak and meningeal infection. The last one was treated successfully by antibiotics. Cerebral MRI showed an invasive and multidirectional PT measuring 47 mm × 40 mm × 30 mm destroying the sella floor and filling the sphenoid sinus []. The PT was secreting PRL []. That one was normalized by bromocriptine and the tumor size was significantly reduced. 13 years after, there was not any SM relapsing.