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Title: PSYCHOSIS AND CO-MORBID PITUITARY ADENOMA (PROLACTINOMA): A MANAGEMENT DILEMMA

Authors: OGUNNUBI O PETER

Topic: Clinical Research

Abstract:

This paper is a clinical as well as diagnostic description of the presentation, investigation and pharmacological management of an 18-year-old young woman with first episode of mental illness; and recently diagnosed pituitary microadenoma (prolactin secreting type).

It brings to light the possible role of prolactin in the development of psychosis, the treatment difficulties commonly encountered in the choice of antipsychotics and / dopamine agonists and the need for an interdisciplinary team approach when patients presents with such complex symptoms.

KEYWORDS: microadenoma, prolactinoma,psychosis,prolactin, antipsychotics and dopamine agonist/antagonist.

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    COMMENT - 1

  • JOYCE OHIOLE OMOAREGBA (Viewer) 3rd Feb 2015 - 7:27 PM
    This case report is very topical as it highlights the need for psychiatrists to regularly heck for possible organic aetiology or co-morbidities of the psychological symptoms the client presents with. Unfortunately, this is not routinely done.
    However, in my opinion, the author could possibly improve the report by including a more extensive review of the literature in the introduction section so as to situate the present case. Also,the writing could be more concise and he should review the entire work for errors of syntax and grammar

  • COMMENT - 2

  • PETER OLUSEUN OGUNNUBI (Author) 3rd Feb 2015 - 11:43 PM
    Thanks for your comment Joyce. Your point noted.

  • COMMENT - 3

  • RAHUL TULSHIRAM INGALE (Viewer) 9th Feb 2015 - 6:22 PM
    Dear Peter,

    Nice report but could have improved more with more research.

    Regards,

    rahul.