Pheochromocytoma with an unusual presentation

Goel, Richa; Srinivasan, Siddharth; Khadatkar, Aniker; Banerjee, Jayant Kumar

doi:10.1016/j.mjafi.2020.03.018

Cited by 1 publication

(1 citation statement)

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“…Surgical excision remains the treatment of choice. [ 12 ] If the patient presents in crisis, surgery must be deferred until the patient is hemodynamically stable which is achieved by adequate alpha and beta blockade. Our patient was operated 1 week after the presentation and was rendered normotensive thereafter.…”

Section: Discussionmentioning

confidence: 99%

An atypical manifestation of pheochromocytoma crisis: Acute delirium

Agarwal¹,

Kant²,

Pattar³

2023

Journal of Family Medicine and Primary Care

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A BSTRACT Pheochromocytoma is a rare neuroendocrine tumor presenting with a classical triad of symptoms. In 10% of the cases, the presentation can be atypical, and the diagnosis is often missed for several years. Most common neurological manifestations are haemorrhage, seizures, etc., but pheochromocytoma crisis presenting as delirium has been infrequently reported. We present a case of a middle-aged female who presented with hypertensive emergency and an acute confusional state. Other causes of delirium were ruled out in the patient and a timely diagnosis of pheochromocytoma was made with CT abdomen showed a large right suprarenal mass which was confirmed on 123I-MIBG scan and supported by elevated plasma metanephrines. She responded to alpha and beta blockers following which her blood pressure spikes were controlled, and subsequently, her sensorium improved significantly. Patient underwent surgical resection of the tumor and was followed up after 2 weeks with her blood pressure controlled without any medications. Conclusion: A high degree of clinical suspicion is essential in such rare presentations of pheochromocytoma. Early diagnosis, adequate preoperative preoperative stabilization followed by a definitive surgical excision offers a complete cure to such patients.

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Section: Discussionmentioning

confidence: 99%