고혈압뇌병의 임상증상으로 내원하여 크롬친화세포종으로 진단된 12세 남자 환아
Pheochromocytoma Presenting with Hypertensive Encephalopathy in a 12-Year-Old Boy
김중헌, 류정민,
소속 상세정보
김중헌 ( Kim Jung-Heon )
울산대학교 의과대학 서울아산병원 소아청소년병원 소아응급센터
류정민 ( Ryu Jeong-Min )
울산대학교 의과대학 서울아산병원 소아청소년병원 소아응급센터
KMID : 1037620150020010048
Abstract
Although pheochromocytoma is rare in children, it could result in hypertensive emergency. We describe the case of a 12-yearold boy with pheochromocytoma. His clinical manifestations indicated hypertensive encephalopathy; however, there were no space-occupying lesion in the brain and definitive evidence of secondary cause of hypertension. Knowing that he had extremely high blood pressure, headache, palpitation, and perspiration rendered sympathetic crisis a presumptive diagnosis. Subsequently, pheochromocytoma was diagnosed by computed tomography and catecholamine assay. After stabilizing the blood pressure with antihypertensive medications, such as phenoxybenzamine, laparoscopic adrenalectomy was performed, and he was discharged without residual discomfort. We would like to highlight expeditious diagnosis and proper management of pheochromocytoma with hypertensive encephalopathy.
키워드
Pheochromocytoma; Hypertensive Encephalopathy; Child
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