Intracerebral haemorrhage: A rare presentation of phaeochromocytoma
Phaeochromocytoma is a rare childhood adrenal medullary catecholamine secreting tumour, arising from the chromaffin cells of the sympathetic origin derived from the neural crest cells. Only a few cases have been reported in the literature so far. We report an uncommon presentation in a 5-year-old bo...
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Wolters Kluwer Medknow Publications
2021
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oai:doaj.org-article:b470bdb422de4e159bc75563ea878e7c2021-11-19T10:42:06ZIntracerebral haemorrhage: A rare presentation of phaeochromocytoma0971-92611998-389110.4103/jiaps.JIAPS_197_20https://doaj.org/article/b470bdb422de4e159bc75563ea878e7c2021-01-01T00:00:00Zhttp://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=6;spage=439;epage=441;aulast=Chhikarahttps://doaj.org/toc/0971-9261https://doaj.org/toc/1998-3891Phaeochromocytoma is a rare childhood adrenal medullary catecholamine secreting tumour, arising from the chromaffin cells of the sympathetic origin derived from the neural crest cells. Only a few cases have been reported in the literature so far. We report an uncommon presentation in a 5-year-old boy with intracerebral haemorrhage, hemiplegia, and paroxysmal hypertension. Magnetic resonance imaging of the brain showed chronic and acute hemorrhagic infarcts in the left cerebral hemisphere and no vascular anomaly seen on cerebral venogram. Computed tomography scan abdomen showed a mass in the lesser sac and urinary catecholamines were elevated. The patient underwent exploratory laparotomy and the mass was excised in toto. Histopathological examination (HPE) confirmed the diagnosis. This case illustrates the need for keeping in mind atypical presentations of phaeochromocytoma especially in children; as it is a treatable cause of hypertension and early diagnosis with adequate management can prevent morbidity and fatal outcomes.Swati ChhikaraVijay KumarShrikiran HebbarSantosh P PrabhuSundeep P ThotanSuneel C MundkurWolters Kluwer Medknow Publicationsarticlechildrenintracerebral hemorrhageparoxysmal hypertensionphaeochromocytomaPediatricsRJ1-570SurgeryRD1-811ENJournal of Indian Association of Pediatric Surgeons, Vol 26, Iss 6, Pp 439-441 (2021) |
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children intracerebral hemorrhage paroxysmal hypertension phaeochromocytoma Pediatrics RJ1-570 Surgery RD1-811 |
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children intracerebral hemorrhage paroxysmal hypertension phaeochromocytoma Pediatrics RJ1-570 Surgery RD1-811 Swati Chhikara Vijay Kumar Shrikiran Hebbar Santosh P Prabhu Sundeep P Thotan Suneel C Mundkur Intracerebral haemorrhage: A rare presentation of phaeochromocytoma |
description |
Phaeochromocytoma is a rare childhood adrenal medullary catecholamine secreting tumour, arising from the chromaffin cells of the sympathetic origin derived from the neural crest cells. Only a few cases have been reported in the literature so far. We report an uncommon presentation in a 5-year-old boy with intracerebral haemorrhage, hemiplegia, and paroxysmal hypertension. Magnetic resonance imaging of the brain showed chronic and acute hemorrhagic infarcts in the left cerebral hemisphere and no vascular anomaly seen on cerebral venogram. Computed tomography scan abdomen showed a mass in the lesser sac and urinary catecholamines were elevated. The patient underwent exploratory laparotomy and the mass was excised in toto. Histopathological examination (HPE) confirmed the diagnosis. This case illustrates the need for keeping in mind atypical presentations of phaeochromocytoma especially in children; as it is a treatable cause of hypertension and early diagnosis with adequate management can prevent morbidity and fatal outcomes. |
format |
article |
author |
Swati Chhikara Vijay Kumar Shrikiran Hebbar Santosh P Prabhu Sundeep P Thotan Suneel C Mundkur |
author_facet |
Swati Chhikara Vijay Kumar Shrikiran Hebbar Santosh P Prabhu Sundeep P Thotan Suneel C Mundkur |
author_sort |
Swati Chhikara |
title |
Intracerebral haemorrhage: A rare presentation of phaeochromocytoma |
title_short |
Intracerebral haemorrhage: A rare presentation of phaeochromocytoma |
title_full |
Intracerebral haemorrhage: A rare presentation of phaeochromocytoma |
title_fullStr |
Intracerebral haemorrhage: A rare presentation of phaeochromocytoma |
title_full_unstemmed |
Intracerebral haemorrhage: A rare presentation of phaeochromocytoma |
title_sort |
intracerebral haemorrhage: a rare presentation of phaeochromocytoma |
publisher |
Wolters Kluwer Medknow Publications |
publishDate |
2021 |
url |
https://doaj.org/article/b470bdb422de4e159bc75563ea878e7c |
work_keys_str_mv |
AT swatichhikara intracerebralhaemorrhageararepresentationofphaeochromocytoma AT vijaykumar intracerebralhaemorrhageararepresentationofphaeochromocytoma AT shrikiranhebbar intracerebralhaemorrhageararepresentationofphaeochromocytoma AT santoshpprabhu intracerebralhaemorrhageararepresentationofphaeochromocytoma AT sundeeppthotan intracerebralhaemorrhageararepresentationofphaeochromocytoma AT suneelcmundkur intracerebralhaemorrhageararepresentationofphaeochromocytoma |
_version_ |
1718420153599787008 |