Complex Presentation of Pheochromocytoma: Hypertensive Encephalopathy and Takotsubo-Like Cardiomyopathy in a Young Female

08 September 2024 : Case report USA

Challenging differential diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care

Nidhi Garg^1ABDE, Lekhya Raavi^2ABDE*, Surabhi Maheshwari

^3BE, Nafiye Busra Celik^4BE, Ashu Rastogi

^5ABDEF, Pankaj Garg

^4ABDEFG

DOI: 10.12659/AJCR.944024

Am J Case Rep 2024; 25:e944024

Introduction Case Report Discussion Conclusions References:

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Table 1. Investigation reports of prior hospitalization in the outside hospital.

Investigation	Value/impression
Troponin I	1.6 µg/L
MRI brain	Multiple T2/(FLAIR) hyperintense lesions involving the deep white matter of bilateral frontal and parietal lobe, suggestive of hypertensive encephalopathy
Electrocardiogram	Acute ischemic changes in the form of ST-segment depression and T-wave inversion, non-ST-elevation myocardial infarction
Echocardiography (on day 5 of admission)	Global LV hypokinesia with apical ballooning. LVEF of 25% and mild mitral regurgitation
Echocardiography (after 1 month)	Global LV hypokinesia, no apical ballooning. Significant improvement in LVEF (34%)
Echocardiography (after 5 months)	Normal LVEF (61%) and no diastolic dysfunction
FLAIR – fluid-attenuated inversion recovery; LV – left ventricle; EF – ejection fraction.

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