[Intracranial haemorrhage associated with phaeochromocytoma].
BACKGROUND
Pheochromocytoma is rarely disclosed by intracranial hemorrhage. We report two cases.


METHODS
The first 26-year-old patient developed subarachnoid hemorrhage due to a ruptured aneurysm of the middle cerebral artery. The second patient, aged 44 years, had a temporal hematoma. Diagnosis was suggested in both patients by hypertension and elevated urinary catecholamines and confirmed by imaging and MIBG scintigraphy. Adrenal gland tumors, on both glands in the first patient and on the right gland in the second were successfully removed; cranial hypertension totally regressed. Von Hippel Lindau disease was diagnosed by molecular genetics in the first patient. Paroxysmal hypertension could explain the brain hemorrhage in the first patient and may have favored aneurysmal rupture in the second.


CONCLUSIONS
The relationships between pheochromocytoma and cerebral aneurysm are discussed.
Gelis
A
A
Service de Neurologie A, Centre Gui de Chauliac, Montpellier.
Pelissier
J
J
Blard
J M
JM
Pagès
M
M
D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D002395:Catecholamines / Q000652:urine; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000601:surgery; D006406:Hematoma / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000150:complications; D002532:Intracranial Aneurysm / Q000150:complications; D008279:Magnetic Resonance Imaging; D008297:Male; D020768:Middle Cerebral Artery / Q000473:pathology; D019635:Neurosurgical Procedures; D010673:Pheochromocytoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011877:Radionuclide Imaging; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000473:pathology; D014057:Tomography, X-Ray Computed; D006623:von Hippel-Lindau Disease / Q000175:diagnosis / Q000209:etiology / Q000235:genetics
D002395:Catecholamines