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February 1985

Pontine Hemorrhage in a Patient With Pheochromocytoma

Author Affiliations

From the Departments of Neurology (Drs Scardigli and Biller), Internal Medicine (Drs Brooks and Cespedes), and Radiology (Dr Posniak), Loyola University Medical Center, Maywood, Ill. Dr Biller is now with the Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City.

Arch Intern Med. 1985;145(2):343-344. doi:10.1001/archinte.1985.00360020187030

• A 24-year-old woman with a two-year history of hypertension was hospitalized for coma and quadriplegia secondary to pontine hemorrhage. A seven-year history of intermittent severe headaches, diaphoresis, and anxiety together with persistent severe hypertension led to the diagnosis of pheochromocytoma. This unusual but devastating manifestation of pheochromocytoma illustrates the importance of excluding remedial forms of hypertension in young patients before initiating antihypertensive therapy.

(Arch Intern Med 1985;145:343-344)