| A case of pheochromocytoma as an unusual cause of quadriplegia |
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Seorin Kim, Seonkyum An, Jin Kang, Yang Ho Kang, In Ju Kim, Yong Ki Kim, Seok Man Son |
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경희대학교 의과대학 순환기내과학교실 |
| 증례 : 사지마비를 동반한 갈색세포종 1예 |
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김서린, 안성규, 강 진, 강양호, 김인주, 김용기, 손석만 |
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| Abstract |
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Pheochromocytoma is a catecholamine-secreting tumor localized in the adrenal gland in 90% of cases. It can be single or associated with other endocrine neoplasms. The clinical expression of pheochromocytoma is typically one of paroxysmal hypertension along with headache, excessive sweating, and palpitations, though clinical presentation may be variable. We present a case of a 66-year-old man who presented with hypertension, diaphoresis, and isolated quadriplegia. Initially, he was thought to have signs and symptoms of autonomic dysreflexia due to spinal cord injury or brain ischemia. Subsequent diagnostic examination revealed a 5.3¡¿4.6¡¿4.2 cm left adrenal pheochromocytoma. After alpha- and beta-adrenergic blockade, the patient underwent open left adrenalectomy without complications. The postoperative course was uneventful, and 6-month follow-up showed regression of the quadriplegia and normal blood pressure without any other treatment. |
| Key Words:
Pheochromocytoma; Quadriplegia; Catecholamine |
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