지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Spontaneous intracerebral hemorrhage is very rare in patients with neurofibromatosis type 1. A 30-year-old woman was referred to our hospital for evaluation of headaches, nausea, and vomiting. She was diagnosed with neurofibromatosis type 1 and a spontaneous intracerebral hemorrhage. She was treated with conservative management, including antihypertensive medications for 32 months. However, because of sustained hypertension, we performed screening tests for a pheochromocytoma. The 24 hr urine VMA and urine metanephrines were elevated. Abdominal CT showed a right adrenal mass, 7.5×5.8 cm in size.. After a successful resection of the tumor, the hypertension resolved without medication for > 1 year. This case illustrates that delayed diagnosis and treatment of pheochromocytoma can cause serious complications from hypertension, such as cerebrovascular hemorrhage. Thus, in patients with neurofibromatosis and hypertension, screening for pheochromocytoma is important for the early detection of an adrenal tumor. (Korean J Med 75:103-107, 2008)
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Blickstein I / 1988 / The obstetric prospective of neurofibromatosis / Am J Obstet Gynecol 158 : 385 ~ 388
Favaloro EJ / 2004 / Evaluation of primary hemostasis in people with neurofibromatosis type 1 / Clin Lab Haematol 26 : 341 ~ 345
Greene JF Jr / 1974 / Arterial lesions associated with neurofibromatosis / Am J Clin Pathol 62 : 481 ~ 487
Jeong SW / 1998 / Cerebral hemorrhage in neurofibromatosis type 1: one case / J Korean Neurol Assoc 16 : 724 ~ 727
Kalff V / 1982 / The spectrum of pheochromocytoma in hypertensive patients with neurofibromatosis / Arch Intern Med 142 : 2092 ~ 2098
Favaloro EJ / 2004 / Evaluation of primary hemostasis in people with neurofibromatosis type 1 / Clin Lab Haematol 26 : 341 ~ 345
Greene JF Jr / 1974 / Arterial lesions associated with neurofibromatosis / Am J Clin Pathol 62 : 481 ~ 487
Jeong SW / 1998 / Cerebral hemorrhage in neurofibromatosis type 1: one case / J Korean Neurol Assoc 16 : 724 ~ 727
Kalff V / 1982 / The spectrum of pheochromocytoma in hypertensive patients with neurofibromatosis / Arch Intern Med 142 : 2092 ~ 2098
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