Prolactinoma physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Anmol Pitliya, M.B.B.S. M.D.[2], Faizan Sheraz, M.D. [3]

Patients with prolactinoma generally appear healthy. The most common physical examination finding of prolactinoma is visual field defects (bitemporal hemianopsia).

• Patients with prolactinoma generally appear healthy.

Depending on the size of the tumor, the ocular findings include:

• Visual field defects: bitemporal hemianopsia
• Papilledema
• Diplopia and visual impairment may occur if the patient is complicated with pituitary apoplexy

Small number of patients may present with following neurological findings: ^[1]

• Signs of cranial nerve palsies
• Hydrocephalus

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