[Cerebral vascular complications in Conn's disease: report of two cases].
We report two patients with arterial hypertension (AHT) secondary to Conn's disease and cerebral vascular accident (CVA). Both had histories of long-standing AHT that had been poorly controlled with drugs, though no complications had developed up to the time of presentation. One CVA was a hemorrhage in the right capsular-lenticular region and the other was a cerebral ischemic infarction. Blood tests done upon admission found low potassium levels. The final clinical-pathological diagnosis was primary hyperaldosteronism secondary to suprarenal adenoma. After laparoscopic surgery AHT reverted to normal in one patient. Although Conn's disease is a rare cause of AHT, early diagnosis and treatment can provide a cure and prevent the development of severe complications.
Miró
O
O
Servicio de Medicina Interna General, Hospital Clínic i Provincial, Barcelona.
Pastor
P
P
Pedrol
E
E
Mallofré
C
C
Grau
J M
JM
Cardellach
F
F
D000236:Adenoma / Q000150:complications / Q000473:pathology / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery; D000311:Adrenal Glands / Q000473:pathology / Q000601:surgery; D002561:Cerebrovascular Disorders / Q000150:complications* / Q000503:physiopathology; D005260:Female; D006801:Humans; D006929:Hyperaldosteronism / Q000209:etiology*; D006973:Hypertension / Q000209:etiology*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011188:Potassium / Q000097:blood; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D011188:Potassium