DOI QR코드

DOI QR Code

Severe Posterior Reversible Encephalopathy in Pheochromocytoma: Importance of Susceptibility-Weighted MRI

  • Serter, Asli (Department of Radiology, Bezmialem Vakif University School of Medicine) ;
  • Alkan, Alpay (Department of Radiology, Bezmialem Vakif University School of Medicine) ;
  • Aralasmak, Ayse (Department of Radiology, Bezmialem Vakif University School of Medicine) ;
  • Kocakoc, Ercan (Department of Radiology, Bezmialem Vakif University School of Medicine)
  • 투고 : 2013.04.21
  • 심사 : 2013.06.30
  • 발행 : 2013.09.01

초록

Pheochromocytoma is a rare cause of hypertension in children. Hypertension is one of the common reasons of posterior reversible encephalopathy. Intracerebral hemorrhage is a serious and unexpected complication of hypertensive encephalopathy due to pheochromocytoma, and very rarely seen in the childhood. Intracerebral hemorrhages should be searched if there are hypertensive reversible signal changes on the brain. Susceptibility weighted imaging (SWI) is a more sensitive method than conventional MRI when demonstrating cerebral microhemorrhagic foci. This is the first report of SWI findings on intracerebral hemorrhages in basal ganglia, brain stem and periventricular white matter due to hypertensive encephalopathy in a child with pheochromocytoma.

키워드

참고문헌

  1. Yeo H, Roman S. Pheochromocytoma and functional paraganglioma. Curr Opin Oncol 2005;17:13-18 https://doi.org/10.1097/01.cco.0000147900.12325.d9
  2. McKinney AM, Sarikaya B, Gustafson C, Truwit CL. Detection of microhemorrhage in posterior reversible encephalopathy syndrome using susceptibility-weighted imaging. AJNR Am J Neuroradiol 2012;33:896-903 https://doi.org/10.3174/ajnr.A2886
  3. Singh VP, Singh M, Malhotra M, Kumar A, Agarwal AK. Extraadrenal phaeochromocytoma-a case report of refractory hypertension. Indian Heart J 2012;64:203-205 https://doi.org/10.1016/S0019-4832(12)60063-7
  4. Eclavea A, Gagliardi JA, Jezior J, Burton B, Donahue JP. Phaeochromocytoma with central nervous system manifestations. Australas Radiol 1997;41:373-376 https://doi.org/10.1111/j.1440-1673.1997.tb00737.x
  5. Beltsevich DG, Kuznetsov NS, Kazaryan AM, Lysenko MA. Pheochromocytoma surgery: epidemiologic peculiarities in children. World J Surg 2004;28:592-596
  6. Kang E, Jeon SJ, Choi SS. Uremic encephalopathy with atypical magnetic resonance features on diffusion-weighted images. Korean J Radiol 2012;13:808-811 https://doi.org/10.3348/kjr.2012.13.6.808
  7. McKinney AM, Short J, Truwit CL, McKinney ZJ, Kozak OS, SantaCruz KS, et al. Posterior reversible encephalopathy syndrome: incidence of atypical regions of involvement and imaging findings. AJR Am J Roentgenol 2007;189:904-912 https://doi.org/10.2214/AJR.07.2024
  8. Choi JM, Kim YH, Roh SY. Acute hepatic encephalopathy presenting as cortical laminar necrosis: case report. Korean J Radiol 2013;14:324-328 https://doi.org/10.3348/kjr.2013.14.2.324
  9. Camara-Lemarroy CR, Lara-Campos JG, Perez-Contreras E, Rodriguez-Gutierrez R, Galarza-Delgado DA. Takayasu's arteritis and posterior reversible encephalopathy syndrome: a case-based review. Clin Rheumatol 2013;32:409-415 https://doi.org/10.1007/s10067-012-2151-9
  10. Jones BV, Egelhoff JC, Patterson RJ. Hypertensive encephalopathy in children. AJNR Am J Neuroradiol 1997;18:101-106
  11. Casey SO, Sampaio RC, Michel E, Truwit CL. Posterior reversible encephalopathy syndrome: utility of fluid-attenuated inversion recovery MR imaging in the detection of cortical and subcortical lesions. AJNR Am J Neuroradiol 2000;21:1199-1206
  12. Chester EM, Agamanolis DP, Banker BQ, Victor M. Hypertensive encephalopathy: a clinicopathologic study of 20 cases. Neurology 1978;28(9 Pt 1):928-939 https://doi.org/10.1212/WNL.28.9.928

피인용 문헌

  1. Adrenal Disorders and the Paediatric Brain: Pathophysiological Considerations and Clinical Implications vol.2014, pp.None, 2014, https://doi.org/10.1155/2014/282489
  2. Catecholamine-induced cerebral vasospasm and multifocal infarctions in pheochromocytoma vol.2020, pp.None, 2013, https://doi.org/10.1530/edm-20-0078
  3. Atypical Posterior Reversible Encephalopathy Syndrome as the First Presentation of a Pheochromocytoma: A Case Report vol.45, pp.6, 2013, https://doi.org/10.30476/ijms.2020.85052.1486