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Pheochromocytoma Presenting as Stroke in Two Taiwanese Children by Y.-H. Van; H.-S. Wang; C.-H. Lai; J.-N. Lin; F.-S. Lo is a Medicine article available to read on EtoBox.

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Pheochromocytoma is a rare tumor and accounts for about 1% of pediatric hypertension. Its diagnosis is important because the hypertension is usually curable by eradication of the tumor. We report two Taiwanese children with pheochromocytoma presenting as stroke. Patient 1 developed a cerebral infarction and patient 2 had an intracranial hemorrhage. Abdominal MRI of patient 1 showed an extraadrenal tumor 5.1 χ 4 χ 4.7 cm in size and abdominal CT of patient 2 revealed a left adrenal mass 4 χ 2.9 χ 4 cm in size. 24-h urinary excretion of norepinephrine for patients 1 and 2 were 1480.8 and 3279 μg/day, respectively. Preoperative a-and ß-adrenergic blockade was used for hypertension control. Both patients underwent successful tumor resection, upon which blood pressure and 24-h urinary excretion of catecholamines returned to normal without any further medication. They have been free from hypertension for 4 years (patient 1) and 2 years (patient 2).

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Author

Y.-H. Van; H.-S. Wang; C.-H. Lai; J.-N. Lin; F.-S. Lo

Publisher

Walter de Gruyter GmbH

Published

2002

Language

EN

Field

Medicine (Health Sciences)