TITLE

Pheochromocytoma Causing Cardiomyopathy, Ischemic Stroke and Acute Arterial Thrombosis: A Case Report and Review of the Literature

AUTHOR(S)
VINDENES, TINE; CRUMP, NATALIE; CASENAS, RITCHE; WOOD, KELLY
PUB. DATE
February 2013
SOURCE
Connecticut Medicine;Feb2013, Vol. 77 Issue 2, p95
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
Pheochromocytoma is a rare catecholamine secreting neuroendocrine tumor with an estimated annual incidence of one to four per million and prevalence among hypertensive patients of 0.1 to 0.6 %. The symptoms and signs of pheochromocytoma include the classic triad of episodic headache, increased sweating, and palpitations. These are as a result of an uncontrolled release of catecholamines. There exist only a small number of reports of pheochromocytoma simulating hypertrophic obstructive cardiomyopathy, few reports of pheochromocytoma-induced ischemic stroke and only two reported cases with pheochromocytoma-induced arterial thrombosis. We present a case of multiple, rare clinical complications of pheochromocytoma occurring in the same patient and the review of literature of these complications.
ACCESSION #
85425091

 

Related Articles

  • Mother-induced hypertension in familial dysautonomia. Norcliffe-Kaufmann, Lucy; Palma, Jose-Alberto; Kaufmann, Horacio // Clinical Autonomic Research;Feb2016, Vol. 26 Issue 1, p79 

    Here we report the case of a patient with familial dysautonomia (a genetic form of afferent baroreflex failure), who had severe hypertension (230/149 mmHg) induced by the stress of his mother taking his blood pressure. His hypertension subsided when he learnt to measure his blood pressure...

  • Increased carotid intima-media thickness in patients with pheochromocytoma in comparison to essential hypertension. Holaj, R.; Zelinka, T.; Wichterle, D.; Petrák, O.; Štrauch, B.; Vránková, A.; Majtan, B.; Spáčil, J.; Malik, J.; Widimský, J. // Journal of Human Hypertension;May2009, Vol. 23 Issue 5, p350 

    Catecholamines due to various mechanisms may contribute to the accumulation of collagen fibers and extracellular matrix in the arterial wall. The aim of this study was to compare intima-media thickness (IMT) of the common carotid artery (CCA) and carotid bifurcation (CB) in patients with...

  • Increased urinary catecholamines in a hypertensive child with renal artery stenosis. Berard, Etienne; Candito, Mirande; Diaine, Bernard; Kurzenne, Jean-Yves; Bekri, Soumeya; Chambon, Pierre; Mariani, Roger // Pediatric Nephrology;1996, Vol. 10 Issue 6, p761 

    We report a hypertensive child with renal artery stenosis who exhibited increased urinary excretion of norepinephrine (NE) and normetanephrine (NMN), while vanillylmandelic acid (VMA) excretion was within the normal range. The NMN values prompted us to investigate the patient for...

  • Phaeochromocytoma. Pace, Nick; Buttigieg, Michael // Continuing Education in Anaesthesia, Critical Care & Pain;Feb2003, Vol. 3 Issue 1, p20 

    The article offers information on the functionally active catecholamine tumours of chromaffin cells in the adrenal medulla called phaeochromocytomas. It states that phaeochromocytomas are responsible for 0.5% of hypertensive conditions that have been documented in 0.1% of routine autopsies....

  • No Elevated Plasma Catecholamine Levels during Sleep in Newly Diagnosed, Untreated Hypertensives. Rasch, Björn; Dodt, Christoph; Sayk, Friedhelm; Mölle, Matthias; Born, Jan // PLoS ONE;2011, Vol. 6 Issue 6, p1 

    The sympatho-adrenergic system is highly involved in regulating sleep, wake and arousal states, and abnormalities in this system are regarded as a key factor in the development and progression of arterial hypertension. While hypertension is associated with a hyperadrenergic state during...

  • Urine catecholamines in paediatrics. Erdelyi, Daniel J.; Elliott, Martin; Phillips, Bob // Archives of Disease in Childhood -- Education & Practice Edition;Jun2011, Vol. 96 Issue 6, p107 

    The article explores urinary catecholamines and its metabolites in pediatric patients. High performance liquid chromatography (HPLC) is the most common way of analyzing urine catecholamines and their metabolites. Hypertensive children diagnosed with the rare disorder Phaeochromocytoma are...

  • Association of early post-procedure hemodynamic management with the outcomes of subarachnoid hemorrhage patients. Kuwabara, Kazuaki; Fushimi, Kiyohide; Matsuda, Shinya; Ishikawa, Koichi; Horiguchi, Hiromasa; Fujimori, Kenji // Journal of Neurology;Mar2013, Vol. 260 Issue 3, p820 

    Post-procedure hemodynamic management for aneurysmal subarachnoid hemorrhage is controversial because of the paucity of studied patients. Using a Japanese administrative database, we tested whether increased albumin, catecholamine, and volumes of fluid administered between the procedure and the...

  • Anesthetic management of a patient with undiagnosed paraganglioma. In Soo Han; Yee-Suk Kim; Joo-Hyun Yoo; Sung Soo Lim; Tae Kwane Kim // Korean Journal of Anesthesiology;Dec2013, Vol. 65 Issue 6, p574 

    Retroperitoneal paragangliomas are uncommon neuroendocrine tumors which are derived from extra-adrenal paraganglioma with various clinical signs and symptoms. Although most extra-adrenal paragangliomas are histologically benign, some tumors can synthesize and secrete excess catecholamine from...

  • Evaluation and Validation of a Method for Determining Platelet Catecholamine in Patients with Obstructive Sleep Apnea and Arterial Hypertension. Feres, Marcia C.; Cintra, Fatima D.; Rizzi, Camila F.; Mello-Fujita, Luciane; Lino de Souza, Altay A.; Tufik, Sergio; Poyares, Dalva // PLoS ONE;Jun2014, Vol. 9 Issue 6, p1 

    Background: Measurements of plasma and urinary catecholamine are susceptible to confounding factors that influence the results, complicating the interpretation of sympathetic nervous system (SNS) activity in the Obstructive sleep apnea (OSA) and arterial hypertension (HYP) conditions. Objective:...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics