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Pheochromocytoma presented with vertebral artery dissection
Bulent Bakar1, Murat M Sumer, Safak Bulut
1Kırıkkale University, Neurosurgery, Kırıkkale, Turkey. bulentbanrs@yahoo.com
Brain Injury
|September 10, 2011
Summary
Pheochromocytoma can rarely lead to arterial dissection. This report details a unique case of pheochromocytoma complicated by vertebral artery dissection (VAD) and stroke, highlighting atypical presentations.
Area of Science:
- Endocrinology
- Neurology
- Vascular Surgery
Background:
- Pheochromocytoma, a rare adrenal tumor, can present with unusual complications.
- Arterial dissection, particularly vertebral artery dissection (VAD), is an uncommon but serious manifestation.
Observation:
- A 48-year-old male presented with symptoms suggestive of myocardial infarction, followed by unstable hypertension post-angiography.
- The patient subsequently developed cerebellar and occipital lobe infarction, diagnosed in conjunction with VAD.
- Diagnostic workup, including urinary catecholamines and abdominal MRI, confirmed pheochromocytoma.
Findings:
- This case represents the first reported instance of pheochromocytoma co-occurring with vertebral artery dissection and stroke.
- The patient's presentation underscores the diverse and atypical neurological sequelae of pheochromocytoma.
Implications:
- Increased clinical awareness of pheochromocytoma's potential to cause VAD and stroke is crucial.
- Early diagnosis and management of pheochromocytoma are vital to prevent severe cerebrovascular events.
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