A Case of Paraganglioma Presenting as Stroke

J Korean Neurol Assoc > Volume 10(3); 1992 > Article

Journal of the Korean Neurological Association 1992;10(3): 366-369.

뇌졸중으로 발현한 부신경절종 1예

권순희, 최영철,이명식,최일생,김기황,지훈상,정우희

연세대학교 신경과, 방사선과, 일반외과, 해부병리과.

A Case of Paraganglioma Presenting as Stroke

Soon-Hee Kwon, M.D., Young-Chul Choi, M.D., Myung-Sik Lee, M.D., Il-Saing Choi, M.D., Ki-Hwang Kim, M.D., Hoon- Sang Ji, M.D., Woo-Hee Chung, M.D.

Department of Neurology, Radiology, General Surgery and Pathology, College of Medicine, Yoensei University

Abstract

Paraganglioma is a pheochromocytoma arising from chromaffin cells in peripheral ganglia and extremely rare. Although pheochromocytoma occurs only in approximately 0.1% of the hypertensive population, it has the significance since it is a curable disease. Pheochromocytoma shows variable symptoms of anxiety, headache, precordial and epigastric distress, blanching of the extremities, perioral pallor, shortness of breath, tachycardia, palpitation, nausea or vomiting, and dizziness besides persistent or paroxysmal hypertension. Few cases of cerebral infarct or hemorrhage have been reported also. There has been no report of lacunar infarct caused by paraganglioma in this country since it occurs rarely. Here we shall report a case of paraganglioma with ataxic hemiparesis.