Pheochromocytoma presenting as intra-cerebral hemorrhage in a young male

Pragati Basera; Shivam Singh; Ammar S. Siddiqui; Aditya Anand

doi:10.18203/2320-6012.ijrms20223675

Authors

Pragati Basera Department of Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India
Shivam Singh Department of Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India
Ammar S. Siddiqui Department of Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India
Aditya Anand Department of Medicine, King George’s Medical University, Lucknow, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20223675

Keywords:

Pheochromocytoma, Intra-cerebral hemorrhage, Adolescent health

Abstract

A male in his late teens presented with sudden onset left-sided hemiparesis and right-sided facial weakness. The patient had a history of persistent pulsatile headache for 1 year with the blurring of vision. He also had a history of diaphoresis and palpitations. The patient was diagnosed as a case of hypertension 1 year back. On examination, Right-sided upper motor neuron type facial palsy was present, and power was 0/5 in the left upper and lower limbs; BP was 220/120 mm Hg and was controlled using prazosin and nifedipine. A non-contrast computed-tomography scan (NCCT) of the brain revealed an intracerebral hemorrhage in the right ganglio-capsular region. Abdominal CT scan findings revealed a right suprarenal mass. 24-hour urinary normetanephrine was elevated, suggesting a diagnosis of pheochromocytoma. The surgical resection of the mass was delayed as the patient had developed Dengue shock syndrome, and he died of multiple organ dysfunction syndrome.

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