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嗜铬细胞瘤与颅内出血
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作者 Gelis A. Pelissier J. +2 位作者 blard j.m. Pagès M 王晓琳 《世界核心医学期刊文摘(神经病学分册)》 2005年第4期50-51,共2页
Introduction. Pheochromocytoma is rarely disclosed by intracranial hemorrhage. We report two cases. Observation, The first 26- year- old patient developed subarachnoid hemorrhage due to a ruptured aneurysm of the midd... Introduction. Pheochromocytoma is rarely disclosed by intracranial hemorrhage. We report two cases. Observation, 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. Conclusion. The relationships between pheochromocytoma and cerebral aneurysm are discussed. 展开更多
关键词 嗜铬细胞瘤 颅内出血 阵发性高血压 双侧肾上腺 肾上腺瘤 脑动脉瘤 蛛网膜下腔出血 瘤体切除 儿茶酚 影像学
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