DOI: https://doi.org/10.36347/sjmcr.2025.v13i01.030

Pages: 135-138

Giant prolactinoma (GP) in childhood and adolescence is a rare entity with scarce litterature. We report a case of A 17-year-old adolescent Moroccan boy presented with a Rapidly progressive vision loss complicated with an incomplete Intracranial hypertension syndrome. Magnetic resonance imaging (MRI) showed a very large intrasellar mass with suprasellar extension and evidence of recent necrotic and hemorrhagic remodeling. Patient underwent an urgent transsphenoidal surgery for tumor resection. Post operative labroratory findings were in favor of a hyperprolactinemia a panhypopituitarism and transient Diabetes insipidus. Histological assessment confirmed diagnosis of prolactinoma. Pituitary MRI control revealed an intrasellar residue. Patient was then started on cabergoline.This case highlights the importance of early identification and the need for a multidisciplinary approach in managing Giant aggressive prolactinomas in young patients.