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Updated: Jun 30, 2026

A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
[Pheochromocytoma revealed by stroke in a child]
A F Rakototiana1, A C Ramorasata, H N Rakoto-Ratsimba
1Service de chirurgie urologique B, CHU Joseph-Ravoahangy-Andrianavalona, BP 4150, 101 Antananarivo, Madagascar. drauberlin@yahoo.fr
Insights
Pediatric pheochromocytoma, a rare tumor, can cause severe complications like stroke. Early diagnosis and surgical removal of this adrenal gland tumor are crucial for recovery.
Area of Science:
- Pediatric Endocrinology
- Pediatric Oncology
- Cardiovascular Pediatrics
Background:
- Pheochromocytoma is a rare neuroendocrine tumor originating from chromaffin cells, typically in the adrenal medulla.
- While uncommon in children, it can lead to significant cardiovascular and neurological complications.
- This case highlights the importance of considering rare diagnoses in pediatric patients presenting with severe systemic symptoms.
Observation:
- A 6-year-old boy presented with cerebral ischemia secondary to acute cardiac failure.
- Initial investigations revealed markedly increased 24-hour urinary catecholamines.
- Diagnostic imaging, including ultrasonography and CT, identified an adrenal gland tumor.
Findings:
- The tumor was confirmed as pheochromocytoma located in the left adrenal gland.
- Surgical excision of the pheochromocytoma resulted in the complete resolution of hypertension.
- The patient's symptoms of cerebral ischemia and cardiac failure resolved post-operatively.
Implications:
- This case underscores the critical need for prompt diagnosis and management of pediatric pheochromocytoma.
- Early detection and surgical intervention are key to preventing life-threatening complications such as stroke and heart failure.
- The successful outcome emphasizes the importance of a multidisciplinary approach in managing pediatric adrenal tumors.
Abstract:
Pheochromocytoma is uncommon in children. We report herein a case in a 6-year-old boy whose pheochromocytoma was revealed by cerebral ischemia as a consequence of acute-cardiac failure. Twenty-four-hour urinary catecholamines were markedly increased. Abdominal ultrasonography and computed tomography located the tumor on the left adrenal gland. After surgical excision, hypertension disappeared. Diagnosis and treatment of pheochromocytoma in children are discussed.
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