Common Symptom with Rare Entity

Paragangliomas are extremely rare neuroendocrine neoplasms with an incidence of 2-8 per million. They mostly present as headache, hypertension, palpitations and diaphoresis. CT scan and MRI abdomen helps in the diagnosis and Positron Emission Tomography (PET) helps to rule out malignancy. Paragangliomas are diagnosed on clinical history, biochemical parameters and radiological imaging but rarely requires histopathology. Surgery is the gold standard treatment which should be performed as early as possible. Here we are reporting the case of young female patient at the age of 18 years presenting with atypical symptoms. Paragangliomas is rare with complex entity which requires a wide approach.