Garg Sunil Kumar, Garg Pragya, Urumdas Mehmet
Department of Critical Care Medicine, NMC Hospital, Dubai, United Arab Emirates.
Indian J Crit Care Med. 2018 Jan;22(1):40-42. doi: 10.4103/ijccm.IJCCM_407_17.
Pheochromocytoma is a rare cause of hypertension, but it could have severe consequences if not recognized and treated appropriately. Pheochromocytoma classically presents with paroxysms of hypertension and adrenergic symptoms including classic triad of episodic headache, sweating, and tachycardia. The clinical presentation of pheochromocytoma can mimic a number of other medical conditions including migraine, cardiac arrhythmias, myocardial infarction, and stroke, thus making the diagnosis of pheochromocytoma difficult, and treatment is directed toward presenting issue rather than underlying problem in such patients. We present a case of a 41-year-old male patient who presented with cerebellar infarct and found to have aortic thrombi and later developed acute myocardial infaction during same hospitalization. To the best of our knowledge, this is the first reported case of this kind.
嗜铬细胞瘤是高血压的罕见病因，但如果未得到正确识别和治疗，可能会产生严重后果。嗜铬细胞瘤典型表现为阵发性高血压和肾上腺素能症状，包括发作性头痛、出汗和心动过速这一经典三联征。嗜铬细胞瘤的临床表现可模仿许多其他疾病，包括偏头痛、心律失常、心肌梗死和中风，因此嗜铬细胞瘤的诊断较为困难，并且在这类患者中治疗往往针对当前症状而非潜在病因。我们报告一例41岁男性患者，该患者以小脑梗死就诊，发现有主动脉血栓形成，且在同一住院期间后来发生了急性心肌梗死。据我们所知，这是首例此类报告病例。
