Balasubramanian Gokulakrishnan, Nellaiappan Vallikantha
Department of Internal Medicine, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA.
BMJ Case Rep. 2014 Feb 20;2014:bcr2013203425. doi: 10.1136/bcr-2013-203425.
Paraganglioma are tumours arising from neural crest cells of the sympathetic and parasympathetic paraganglia. Functional paraganglioma presents with symptoms of catecholamine excess that includes hypertension, flushing, diaphoresis, etc. Non-functional paraganglioma are usually found incidentally during imaging studies. Early diagnoses of functional paraganglioma are important because their removal is often curative. We present the case of a young man who presented with hypertensive crisis and severe headache, who was later found to have functional paraganglioma.
副神经节瘤是起源于交感和副交感神经节神经嵴细胞的肿瘤。功能性副神经节瘤表现为儿茶酚胺过量症状,包括高血压、脸红、多汗等。非功能性副神经节瘤通常在影像学检查时偶然发现。功能性副神经节瘤的早期诊断很重要,因为切除肿瘤往往可以治愈。我们报告了一例年轻男性病例,该患者出现高血压危象和严重头痛,后来被发现患有功能性副神经节瘤。