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KMID : 0882420080740000203
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Korean Journal of Medicine
2008 Volume.74 No. 0 p.203 ~ p.208
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A case of pheochromocytoma as an unusual cause of quadriplegia
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Kim Seo-Rin
An Seon-Kyum
Kang Jin
Kang Yang-Ho
Kim In-Ju
Kim Yong-Gi
Son Suk-Man
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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. (Korean J Med 74:S203-S208, 2008)
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KEYWORD
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Pheochromocytoma, Quadriplegia, Catecholamine
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