title: [Flaccid paraplegia revealing an adenoma of Conn: a case report].
abstract: We report the case of Conn's adenoma in a 36-year-old woman, revealed by low extremities weakness. The patient had hypertension at 170/90 mmHg. Her initial potassium level was low i.e., 1.5 mmol/L. The diagnosis, confirmed by hormonal investigation, showed an elevation of plasma aldosterone and lower plasma renin activity. Abdominal MRI revealed a lesion in left adrenal gland, measuring 1.8 cm in diameter and taking contrast in periphery, compatible with an adrenal adenoma. The patient underwent a left laparoscopic adrenalectomy and microscopic examination confirmed the diagnosis. The postoperative course was uneventful with normalization of serum potassium level and blood pressure.
authors.affiliation: Service de cardiologie, hôpital Général-Grand-Yoff, BP 3270, Dakar, Sénégal. spessinaba@yahoo.fr
authors.forename: S
authors.initials: S
authors.lastname: Pessinaba
authors.forename: A
authors.initials: A
authors.lastname: Mbaye
authors.forename: N V
authors.initials: NV
authors.lastname: Yaméogo
authors.forename: Ad
authors.initials: A
authors.lastname: Kane
authors.forename: M B
authors.initials: MB
authors.lastname: Ndiaye
authors.forename: M
authors.initials: M
authors.lastname: Diao
authors.forename: M
authors.initials: M
authors.lastname: Bodian
authors.forename: M
authors.initials: M
authors.lastname: Kane
authors.forename: D
authors.initials: D
authors.lastname: Diagne
authors.forename: B
authors.initials: B
authors.lastname: Fall
authors.forename: A
authors.initials: A
authors.lastname: Kane
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000097:blood / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D000315:Adrenalectomy; D018246:Adrenocortical Adenoma / Q000097:blood / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D000328:Adult; D000450:Aldosterone / Q000097:blood; D015415:Biomarkers / Q000097:blood; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology; D008279:Magnetic Resonance Imaging; D010264:Paraplegia / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D000450:Aldosterone