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Koumaras Ch, Anagnostis P, Tzimou M, et al. Paraganglioma in a young patient with asymptomatic severe hypertension: a case report and review of the literature. Hippokratia. 2010;14(4):300-2
Koumaras, C. h., Anagnostis, P., Tzimou, M., Giavanidis, I., Gossios, T., Antoniadis, A., Athyros, V. G., & Karagiannis, A. (2010). Paraganglioma in a young patient with asymptomatic severe hypertension: a case report and review of the literature. Hippokratia, 14(4), 300-2.
Koumaras, Ch, et al. "Paraganglioma in a young patient with asymptomatic severe hypertension: a case report and review of the literature." Hippokratia vol. 14,4 (2010): 300-2.
Koumaras Ch, Anagnostis P, Tzimou M, Giavanidis I, Gossios T, Antoniadis A, Athyros VG, Karagiannis A. Paraganglioma in a young patient with asymptomatic severe hypertension: a case report and review of the literature. Hippokratia. 2010 Oct;14(4):300-2. PMID: 21311646; PMCID: PMC3031332.
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Hippokratia. 2010 Oct;14(4):300-2.

Paraganglioma in a young patient with asymptomatic severe hypertension: a case report and review of the literature.

Hippokratia

Ch Koumaras, P Anagnostis, M Tzimou, I Giavanidis, Th Gossios, A Antoniadis, V G Athyros, A Karagiannis

PMID: 21311646 PMCID: PMC3031332

Abstract

We present a case of a 19-year old woman who was admitted to our department with a recently, and incidentally, diagnosed severe hypertension [220/140 mmHg systolic/diastolic blood pressure (BP)]. The patient was asymptomatic. The laboratory investigation demonstrated both elevated plasma norepinephrine (1807 pg/ml, normal range 120-350 pg/ml) and 24h urinary free catecholamines (483 µg/24h, normal range <150 µg/24h), making the diagnosis of a catecholamineproducing tumor highly probable. Although magnetic resonance imaging of the abdomen showed normal adrenal glands, it revealed a mass (4x4 cm) anterior to the inferior vena cava. The diagnosis of paraganglioma was confirmed by the (131)Imeta- iodobenzylguanidine scintigraphy. Preoperatively, α- and β-adrenergic receptor blockers were administered. After successful resection of the tumor, the patient's BP was restored to normal and remained stable during the 3-month follow up. Plasma and 24h urinary catecholamine levels were also normalized. In conclusion, it is important to consider paragangliomas as a possible cause of secondary hypertension and proceed to diagnosis and treatment as described above, since surgical removal of the tumor, especially in sporadic cases, may cure the patient.

Keywords: catecholamines; hypertension; paraganglioma

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