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Seizures as a presenting symptom of phaeochromocytoma in a young soldier
A Leiba1, Y Bar-Dayan, R R Leker
1Department of Internal Medicine D, The Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Abstract:
New onset of seizures in young adults is frequently related to alcohol withdrawal, toxic exposure, central nervous system trauma and neoplasm. We describe a young soldier presenting to the emergency department with seizures and transient coma. On admission, he had hypertension, marked leukocytosis, hyper-glycaemia, acidosis, elevated creatinine and elevated creatine phosphokinase of muscle origin. A thorough work-up revealed elevated urinary catecholamines, and a left adrenal mass was found on MRI and MIBG scan. The patient underwent laparoscopic adrenalectomy and completely recovered. This is the first description of seizures as a presenting symptom of phaeochromocytoma.
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