J Korean Neurosurg Soc.  2005 Jul;38(1):61-64.

An Extra-adrenal Pheochromocytoma Presenting with Spontaneous Intracerebral Hematoma

• Park SK
• Lee JK
• Kim JH
• Kim SH

Abstract

TWe report a 18-year-old man, who has been taking antihypertensive medication for 1month in a local clinic, presented with a sudden onset headache followed by left blindness. He experienced palpitation and chest discomfort during physical exertion since 2years before admission, but unfortunately has been ignored. Brain CT showed intracerebral hemorrhage in the left temporoparietal area, but cerebral angiogram and magnetic resonance image revealed no vascular anomaly. He was managed conservatively, and headache and visual loss were improved over time. Subsequently, on the evaluation of hypertension, he was diagnosed as having extra-adrenal pheochromocytoma on left paraaortic area from the results of endocrinological evaluations, abdominal CT scan, and 131I-MIBG scintigraphy.

Keyword

Spontaneous intracerebral hematoma; Extra-adrenal pheochromocytoma; Secondary hypertension

MeSH Terms

Adolescent
Blindness
Brain
Cerebral Hemorrhage
Headache
Hematoma*
Humans
Hypertension
Pheochromocytoma*
Physical Exertion
Radionuclide Imaging
Thorax
Tomography, X-Ray Computed