Case Report

Delayed Paraganglioma Diagnosis: A Case Report and Literature Update

10.5152/imj.2015.92668

  • Şamil Ecirli
  • Mustafa Korkmaz
  • Orkide Kutlu
  • Cevdet Duran
  • Mustafa Önder Gören
  • Abdullah Sakin

Received Date: 28.07.2015 Accepted Date: 04.09.2015 İstanbul Med J 2015;16(4):162-164

Paragangliomas are rare catecholamine secreting neuroendocrine tumors arising from extra-adrenal autonomic ganglia. Almost all sympathetic paragangliomas secrete norepinephrine and present with hypertension, headache, sweating, and tachycardia episodes similar to pheochromocytoma. Parasympathetic paragangliomas of which localized along the glossopharyngeal/vagal nerve through the neck and skull base are usually nonfunctional 80%–90%, and create a clinic with mass effect. Herein, we report a patient who had hypertensive crisis and pulmonary edemas several times, diagnosed as paraganglioma. Consequently, implanted cardioverter defibrillator was diagnosed as paraganglioma.

Keywords: Paraganglioma, pheochromocytoma, extra-adrenal, cardiac arrest