Case 23-2006 -- A 36-Year-Old Man with Numbness in the Right Hand and Hypertension

doi:10.1056/NEJMcpc069014

A correction has been published: N Engl J Med 2006;355(11):1184.

Volume 355:394-402		July 27, 2006		Number 4

Case 23-2006 — A 36-Year-Old Man with Numbness in the Right Hand and Hypertension

Othon Iliopoulos, M.D., Gayun Chan-Smutko, M.S., C.G.C., R. Gilberto Gonzalez, M.D., Ph.D., David N. Louis, M.D., and James R. Stone, M.D., Ph.D.

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PubMed Citation

Presentation of Case

Dr. Joanna J. Wykrzykowska (Medicine): A 36-year-old man wasadmitted to the hospital because of a mass in the right adrenalgland. The patient had been well until seven months before admission,when numbness developed in his left arm, one week after he hadbeen in a motor vehicle accident. He saw a chiropractor, whoordered magnetic resonance imaging (MRI) of his cervical spine,which disclosed a cystic lesion in the medulla. During the evaluationhe was noted to have hypertension. Atenolol and nortriptylinewere prescribed, and three and a half weeks before admission,he was referred to the surgical . . . [Full Text of this Article]

Differential Diagnosis

Multiple Endocrine Neoplasia

Neurofibromatosis

Familial Paraganglioma

Von Hippel–Lindau Disease

Dr. Othon Iliopoulos's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Cancer Center (O.I., G.C.-S.), and the Departments of Medicine (O.I.), Radiology (R.G.G.), and Pathology (D.N.L., J.R.S.), Massachusetts General Hospital; and the Departments of Medicine (O.I.), Radiology (R.G.G.), and Pathology (D.N.L., J.R.S.), Harvard Medical School.