| Diencephalic epilepsy resembling pheochromocytoma: a first reported case in Thailand. | |
| | |
MedLine Citation:
|
PMID: 7561559 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A 31 year old hypertensive patient suffered from a fluctuation of blood pressure. Pheochromocytoma was suspected because of the clinical history, and extremely labile blood pressure but did not respond to therapy with alpha adrenergic blocking agent and normal excretion rates of catecholamine and vanilly mandelic acid (VMA). An enlarged left adrenal gland from computerized tomographic scan was found. So left adrenalectomy was performed and the result was consistent with cortical adrenal hyperplasia. Fluctuation of blood pressure still occurred after surgery with the symptoms of epigastric oppression and focal epileptic attack of the left arm. Epileptic potential waves were seen during hyperventilation from electroencephalogram but showed normal magnetic resonance imaging computerized tomographic scan of the brain. Diencephalic epilepsy was diagnosed and treated with anticonvulsant (carbamazepine) and eventually all of the symptoms including labile blood pressure subsided. |
| | |
Authors:
|
K Charoenlarp; P Buranakitjaroen; S Gulprasutdilog; N Prayoonwiwat; N Jaroonvesama |
Related Documents
:
|
2818749 - Blood pressure, renin-angiotensin-aldosterone axis and cortisol changes during withdraw... 17302879 - Dehydroepiandrosterone substitution in female adrenal failure: no impact on endothelial... 3011329 - Time course of changes in blood pressure, aldosterone and body fluids during enalapril ... 18212439 - Effect of age on hypertension: analysis of over 4,800 referred hypertensive patients. 9749859 - Resection of pheochromocytoma under inferior vena caval isolation and extracorporeal ch... 2990769 - Plasma na+-k+ atpase inhibitory activity in normal and hypertensive subjects: relations... 9609089 - Pressure overload induces cardiac hypertrophy in angiotensin ii type 1a receptor knocko... 8908669 - Intrinsic urethral closure mechanisms in the female pig. 4008399 - Clearance of mucus by simulated cough. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Journal of the Medical Association of Thailand = Chotmaihet thangphaet Volume: 78 ISSN: 0125-2208 ISO Abbreviation: J Med Assoc Thai Publication Date: 1995 Jun |
Date Detail:
|
Created Date: 1995-10-24 Completed Date: 1995-10-24 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 7507216 Medline TA: J Med Assoc Thai Country: THAILAND |
Other Details:
|
Languages: eng Pagination: 332-6 Citation Subset: IM |
Affiliation:
|
Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adrenal Gland Neoplasms
/
diagnosis* Adult Diagnosis, Differential Diencephalon / physiopathology Epilepsy / diagnosis*, etiology Female Humans Pheochromocytoma / diagnosis* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Thrombotic thrombocytopenic purpura (TTP): 4 case reports and review of the literature.
Next Document: Post-traumatic empyema thoracis in blunt chest trauma.