A Rare Case of Presacral Paraganglioma Presenting with Hypertensive Encephalopathy

Dhiraj KB., and Mamatha B., (2015) A Rare Case of Presacral Paraganglioma Presenting with Hypertensive Encephalopathy. Journal of Surgical Academia, vol.5 (1). pp. 54-57. ISSN 2231-7481


Official URL: http://jsurgical.com


Paragangliomas are exceptionally rare tumors in children of neural crest origin. Our case report represents an extremely rare location for paraganglioma including its imaging features, perioperative challenges and histopathological characteristics. In the present case, a 10-year-old boy had headache and blurring of vision for four years but was not diagnosed until he came with malignant hypertension and hypertensive encephalopathy. The symptoms raised urinary catecholamines and CT findings confirmed the diagnosis of a functioning paraganglioma in presacral region. Challenges during surgery are to control the fluctuating blood pressure which may suddenly rise during tumor handling and suddenly fall following its removal. The unusual location of the tumor in pararectal region also made surgical resection difficult. Paragangliomas are rare and should be kept in mind while evaluating a child with hypertension and complete excision is the treatment of choice.

Item Type:Article
Keywords:Presacralpararectal paraganglioma, malignant hypertension, hypertensive encephalopathy, perioperative challenges, complete excision
Journal:Journal of Surgical Academia
ID Code:8658
Deposited By: Mr. Muhammad Wafi -
Deposited On:11 Jun 2015 06:21
Last Modified:14 Dec 2016 06:47

Repository Staff Only: item control page