Case of Episodic and Positional Hypertension: Diagnosis and Treatment

Hypertension. 2020 Sep;76(3):614-621. doi: 10.1161/HYPERTENSIONAHA.120.15243. Epub 2020 Jul 20.

Abstract

A case of episodic hypertension related to changes in position with the biochemical diagnosis of pheochromocytoma confirmed on imaging. The positional hypertension due to pheochromocytoma was treated by right open adrenalectomy, but the episodic hypertension recurred after 1 year and remained unresolved.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adrenal Gland Neoplasms* / blood
  • Adrenal Gland Neoplasms* / diagnosis
  • Adrenal Gland Neoplasms* / pathology
  • Adrenal Gland Neoplasms* / surgery
  • Adrenal Glands* / diagnostic imaging
  • Adrenal Glands* / pathology
  • Adrenal Glands* / surgery
  • Adrenalectomy* / adverse effects
  • Adrenalectomy* / methods
  • Antihypertensive Agents / therapeutic use*
  • Diagnosis, Differential
  • Epinephrine / analysis*
  • Humans
  • Hypertension* / diagnosis
  • Hypertension* / etiology
  • Hypertension* / physiopathology
  • Hypertension* / therapy
  • Male
  • Medical History Taking / methods
  • Middle Aged
  • Patient Positioning
  • Pheochromocytoma* / blood
  • Pheochromocytoma* / diagnosis
  • Pheochromocytoma* / pathology
  • Pheochromocytoma* / surgery
  • Positron-Emission Tomography / methods
  • Postoperative Complications* / diagnosis
  • Postoperative Complications* / physiopathology
  • Postoperative Complications* / therapy
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome

Substances

  • Antihypertensive Agents
  • Epinephrine