Thunderclap-like headache triggered by micturition and angina as an initial manifestation of bladder pheochromocytoma. A case report

Sao Paulo Medical Journal

You Jin Han¹  So Young Ock¹  Eun Jung Kim¹  Ho Sik Shin¹  Yeon Soon Jung¹  Hark Rim¹ 

关键词: Pheochromocytoma;    Headache disorders;    primary;    Micturition;    Angina pectoris;    Catecholamines;    Feocromocitoma;    Transtornos da cefaleia primários;    Micção;    Angina pectoris;    Catecolaminas;   

DOI  :  10.1590/1516-3180.2013.6890002

来源: SciELO

【 摘 要 】

CONTEXT:Pheochromocytoma is a catecholamine-producing tumor characterized by hypertension, headache, tachycardia, excessive diaphoresis and angina. The thunderclap headache is so named because the pain strikes suddenly and severely. Although the symptoms of bladder pheochromocytoma are rather evident, the diagnosis of this rare neuroendocrine tumor can be missed.CASE REPORT:This study reports the case of a woman diagnosed with bladder pheochromocytoma who experienced thunderclap headache triggered by micturition and angina as an initial manifestation.CONCLUSION:This case study suggests that thunderclap headache and angina occurring concurrently with sudden blood pressure elevation during or immediately after micturition are important diagnostic clues for bladder pheochromocytoma.

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