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Multiple Cerebral Infarction and Cardiomyopathy With Pheochromocytoma
- Source :
- The Neurologist. 17:34-37
- Publication Year :
- 2011
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2011.
-
Abstract
- A 44-year-old woman was admitted to our hospital with altered mental status and weakness in the left upper and lower limbs. A brain magnetic resonance imaging indicated multiple cerebral infarctions in the bilateral frontal and parietal lobes and in the left occipital lobe. Magnetic resonance angiography indicated overall arterial wall irregularity and stenosis. An electrocardiogram showed negative T waves, troponin I was elevated at 0.60 ng/mL, and an echocardiogram showed severe hypokinesis, leading to a diagnosis of ischemic heart disease; however, no stenosis was found at cardiac catheterization. No other etiology for the angiopathy could be found. Whole-body computed tomography demonstrated an adrenal tumor and urinary catecholamine levels were elevated. Following excision of the adrenal tumor, a diagnosis of pheochromocytoma was made. Postoperatively, the patient's arterial stenosis and cardiac abnormalities improved. It was hypothesized that the patient's cardiomyopathy and vasospasm were secondary to excessive catecholamine secretion from the pheochromocytoma.
- Subjects :
- Adult
medicine.medical_specialty
medicine.medical_treatment
Adrenal Gland Neoplasms
Cardiomyopathy
Pheochromocytoma
Magnetic resonance angiography
Electrocardiography
Catecholamines
Internal medicine
medicine
Humans
Cardiac catheterization
medicine.diagnostic_test
business.industry
Arterial stenosis
Cerebral infarction
Vasospasm
Cerebral Infarction
General Medicine
medicine.disease
Stenosis
Diffusion Magnetic Resonance Imaging
Cerebrovascular Circulation
Cardiology
Female
Neurology (clinical)
Cardiomyopathies
business
Subjects
Details
- ISSN :
- 10747931
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- The Neurologist
- Accession number :
- edsair.doi.dedup.....12c74d731cbd528f1b6c4a14c0d4994a