Cerebral ischaemic stroke and bilateral pheochromocytoma.
We report a case of a 10-year-old girl who presented with an acute neurological deficit preceded by a 2 month history of headaches. The patient was treated for acute viral encephalitis because of the presence of inflammation. A computed tomography (CT) scan of her brain scan showed a cerebral ischaemic stroke, and paroxysmal arterial hypertension led us to suspect pheochromocytoma. The diagnosis was confirmed by elevated urinary catecholamine and by imaging (abdominal x-ray and abdominal/pelvic CT scan). Bilateral adrenal gland tumours were successfully removed. This report illustrates an uncommon presentation of pheochromocytoma in children and shows the importance of a careful investigation for pheochromocytoma as a cause of hypertension in children with cerebral ischaemic stroke.
Mère-enfant Hospital, Pediatrics, University Hospital Hassan II, Fez 30000, Morocco. abourazzak77@yahoo.fr
Sana
S
Abourazzak
Samir
S
Atmani
Larbi El
LE
Arqam
Sanae
S
Chaouki
Smail
S
Labib
Moustapha
M
Harrandou
Siham
S
Tizniti
Youssef
Y
Bouabdellah
Abdelhak
A
Bouharrou
Moustapha
M
Hida
D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D002648:Child; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D010673:Pheochromocytoma / Q000000981:diagnostic imaging* / Q000601:surgery; D011860:Radiography, Abdominal; D020521:Stroke / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed