Malignant Catatonia Mimicking Pheochromocytoma
Joint Authors
Li, Dailin
Pudek, Morris
Hughes, Barbara
Wong, Sophia
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-10-22
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Malignant catatonia is an unusual and highly fatal neuropsychiatric condition which can present with clinical and biochemical manifestations similar to those of pheochromocytoma.
Differentiating between the two diseases is essential as management options greatly diverge.
We describe a case of malignant catatonia in a 20-year-old male who presented with concurrent psychotic symptoms and autonomic instability, with markedly increased 24-hour urinary levels of norepinephrine at 1752 nmol/day (normal, 89–470 nmol/day), epinephrine at 1045 nmol/day (normal, <160 nmol/day), and dopamine at 7.9 μmol/day (normal, 0.4–3.3 μmol/day).
The patient was treated with multiple sessions of electroconvulsive therapy, which led to complete clinical resolution.
Repeat urine collections within weeks of this presenting event revealed normalization or near normalization of his catecholamine and metanephrine levels.
Malignant catatonia should be considered in the differential diagnosis of the hypercatecholamine state, particularly in a patient who also exhibits concurrent catatonic features.
American Psychological Association (APA)
Wong, Sophia& Hughes, Barbara& Pudek, Morris& Li, Dailin. 2013. Malignant Catatonia Mimicking Pheochromocytoma. Case Reports in Endocrinology،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-500340
Modern Language Association (MLA)
Wong, Sophia…[et al.]. Malignant Catatonia Mimicking Pheochromocytoma. Case Reports in Endocrinology No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-500340
American Medical Association (AMA)
Wong, Sophia& Hughes, Barbara& Pudek, Morris& Li, Dailin. Malignant Catatonia Mimicking Pheochromocytoma. Case Reports in Endocrinology. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-500340
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-500340