Paroxysmal Headache as First Finding of Pheochromocytoma, A Case Report

Journal of Contemporary Medicine

Özlem Dur¹  Büşra Koç²  Mehmet Coskun²  Nida Dinçel²  Aslı Kantar²  Betül Pehlivan Zorlu²  Fatma Devrim²  Uğur Seyhan³ 

[1] SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İZMİR DR. BEHÇET UZ ÇOCUK HASTALIKLARI VE CERRAHİSİ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ;SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İZMİR DR. BEHÇET UZ ÇOCUK HASTALIKLARI VE CERRAHİSİ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ;Sancaktepe Şehit Prof .Dr. İlhan Varank Eğitim Araştırma Hastanesi, Istanbul, Türkiye;

关键词: feokromasitoma;    çocuk;    baş ağrısı;    hipertansiyon;    pheochromocytoma;    children;    headache;    hypertension;   

DOI  :  10.16899/jcm.838712

来源: DOAJ

【 摘 要 】

Pheochromocytoma is a rare tumor that develops from the chromaffin cells of the sympathetic nervous system. Although hypertension is the most common manifestation of pheochromocytoma, it is less common in children than in adults. This condition may be overlooked like in our patient who had an undiagnosed headache for several years. Our patient was admitted to our emergency department due to the increase in headache, which lasted for about 6 years, and a neurological evaluation was performed. Due to the high blood pressure in her follow-up, she was examined further. Abdominal USG revealed a 36x26x27 mm solid lesion in the right adrenal gland with a mild hyperechogenic appearance with a cystic component. With supporting findings in magnetic resonance imaging and high catecholamine levels in blood, she was diagnosed with pheochromocytoma. Our aim in sharing this case is to emphasize the importance of measuring blood pressure in patients accurately and at each examination, evaluating them with percentile charts, and monitoring them closely.

【 授权许可】

Unknown