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VOLUME 22 , ISSUE 1 ( 2018 ) > List of Articles

CASE REPORT

An interesting presentation of pheochromocytoma

Mehmet Urumdas

Keywords : Acute cerebellar infarct, acute myocardial infarction, aortic thrombi, pheochromocytoma

Citation Information : Urumdas M. An interesting presentation of pheochromocytoma. Indian J Crit Care Med 2018; 22 (1):40-42.

DOI: 10.4103/ijccm.IJCCM_407_17

License: CC BY-ND 3.0

Published Online: 00-01-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Pheochromocytoma is a rare cause of hypertension, but it could have severe consequences if not recognized and treated appropriately. Pheochromocytoma classically presents with paroxysms of hypertension and adrenergic symptoms including classic triad of episodic headache, sweating, and tachycardia. The clinical presentation of pheochromocytoma can mimic a number of other medical conditions including migraine, cardiac arrhythmias, myocardial infarction, and stroke, thus making the diagnosis of pheochromocytoma difficult, and treatment is directed toward presenting issue rather than underlying problem in such patients. We present a case of a 41-year-old male patient who presented with cerebellar infarct and found to have aortic thrombi and later developed acute myocardial infaction during same hospitalization. To the best of our knowledge, this is the first reported case of this kind.

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  1. Rupala K, Mittal V, Gupta R, Yadav R. Atypical presentation of pheochromocytoma: Central nervous system pseudovasculitis. Indian J Urol 2017;33:82-4.
  2. Pacak K, Linehan WM, Eisenhofer G, Walther MM, Goldstein DS. Recent advances in genetics, diagnosis, localization, and treatment of pheochromocytoma. Ann Intern Med 2001;134:315-29.
  3. Hou R, Leathersich AM, Ruud BT. Pheochromocytoma presenting with arterial and intracardiac thrombus in a 47-year-old woman: A case report. J Med Case Rep 2011;5:310.
  4. Bravo EL. Evolving concepts in the pathophysiology, diagnosis, and treatment of pheochromocytoma. Endocr Rev 1994;15:356-68.
  5. Menke-van der Houven van Oordt CW, Twickler TB, van Asperdt FG, Ackermans P, Timmers HJ, Hermus AR, et al. Pheochromocytoma mimicking an acute myocardial infarction. Neth Heart J 2007;15:248-51.
  6. Kaiser S, Chronakos J, Dietzek AM. Acute upper extremity arterial thrombosis and stroke in an unresected pheochromocytoma. J Vasc Surg 2013;58:1069-72.
  7. Danta G. Pre- and postoperative platelet adhesiveness in pheochromocytoma. Thromb Diath Haemorrh 1970;23:189-90.
  8. Nakada K, Enami T, Kawada T, Hoson M, Wakisaka M, Mochizuki A, et al. Characterization of platelet activity in neuroblastoma. J Pediatr Surg 1994;29:625-9.
  9. Raghavan R, Ince PG, Walls TJ, Gholkar A, Dark JH, Foster JB, et al. Malignant cerebrovascular thromboembolization by phaechromocytoma. Clin Neuropathol 1995;14:69-71.
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