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Psychiatric manifestations of tumors in the pediatric population are not uncommon; however, in the absence of overt neurologic symptoms, the likelihood of serious intracranial pathology is low and routine neuroimaging is not indicated. Nonetheless, it is possible for pediatric patients to present with a brain tumor with psychiatric symptoms but without neurologic findings. Here, we present the case of a young man who evaded diagnosis of pituitary prolactinoma for 3 years despite debilitating psychiatric symptoms.
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