Wan Mohd Saifuhisam Wan ZainJulia OmarTuan Salwani Tuan IsmailNoor Azlin Azraini Che Soh2024-05-302024-05-302021Wan Mohd Saifuhisam Wan Zain, Julia Omar, Tuan Salwani Tuan Ismail, & Che Soh, N. A. A. C. S. (2021). Hyperprolactinaemia in a Patient with Acute Ischaemic Stroke. Malaysian Journal of Science Health & Technology, 7(3), 50–53. https://doi.org/10.33102/mjosht.v7i3.1682601-000310.33102/mjosht.v7i3.168https://mjosht.usim.edu.my/index.php/mjosht/article/view/168https://oarep.usim.edu.my/handle/123456789/15485Vol. 7 No. 3 (2021): Special Issue on Clinical Scenarios In Medicine, A Malaysian Experience (Case Report)This is a case report of a 47-year old man with an unknown medical illness, presented with neurological deficits typical of clinical stroke. The Magnetic Resonance Imaging (MRI) findings were an acute left middle cerebral artery (MCA) territory infarction and an incidental finding of a sellar mass likely pituitary origin. The pituitary hormones showed markedly hyperprolactinaemia with the level of 21146 ng/ml (n 4.04 – 15.2 ng/ml), low Follicle-stimulating hormone (FSH) with a level of 0.929 IU/L (n 1.5-12.4 IU/L), and low luteinizing hormone (LH) with a level of 1.11 IU/L (n 1.7-8.6 IU/L). Other investigations of serum cortisol, growth hormone (GH), thyroid-stimulating hormone (TSH), platelet count and coagulation profiles were normal. The patient was treated conservatively in the ward for acute ischaemic stroke and later was started on dopamine agonist cabergoline for hyperprolactinaemia.enPituitary, prolactin, macroadenoma, stroke.Article505373Special Issue on Clinical Scenarios In Medicine, A Malaysian Experience (Case Report)