Publication: Diencephalic epilepsy resembling pheochromocytoma: A first reported case in Thailand
Issued Date
1995-01-01
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ISSN
01252208
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2-s2.0-0029130933
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.78, No.6 (1995), 332-335
Suggested Citation
K. Charoenlarp, S. Gulprasutdilog, N. Jaroonvesama, P. Buranakitjaroen, N. Prayoonwiwat Diencephalic epilepsy resembling pheochromocytoma: A first reported case in Thailand. Journal of the Medical Association of Thailand. Vol.78, No.6 (1995), 332-335. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/17465
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Title
Diencephalic epilepsy resembling pheochromocytoma: A first reported case in Thailand
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Abstract
A 31 year old hypertensive patient suffered from a fluctuation of blood pressure. Pheochromocytoma was suspected because of the clinical history, and extremely labile blood pressure but did not response to therapy with alpha adrenergic blocking agent and normal excretion rates of catecholamine and vanilly mandelic acid (VMA). An enlarged left adrenal gland from computerized tomographic scan was found. So left adrenalectomy was performed and the result was consistent with cortical adrenal hyperplasia. Fluctuation of blood pressure still occurred after surgery with the symptoms of epigastric oppression and focal epileptic attack of the left arm. Epileptic potential waves were seen during hyperventilation from electroencephalogram but showed normal magnetic resonance imaging computerized tomographic scan of the brain. Diencephalic epilepsy was diagnosed and treated with anticonvulsant (carbamazepine) and eventually all of the symptoms including labile blood pressure subsided.