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Jung Hark Rim 1 Article
Bladder Pheochromocytoma Presented as Thunderclap Headache Triggered by Urination and Angina Pectoris
You Jin Han, Ho Sik Shin, Yeon Soon, Jung Hark Rim, So Young Ock, Eun Jeong Kim
Kosin Med J. 2013;28(2):161-165.   Published online January 19, 2013
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Abstract PDFPubReader   ePub   

Pheochromocytoma is a catecholamine-producing tumor characterized by hypertension, headache, tachycardia, excessive diaphoresis, and angina pectoris. The thunderclap headache is so named because the pain strikes suddenly and severely. Although the symptoms of bladder pheochromocytoma are rather evident, the diagnosis of this rare neuroendocrine tumor can be missed. This study reports the case of a woman diagnosed with bladder pheochromocytoma who experienced thunderclap headache triggered by urination and angina pectoris as an initial manifestation. This case study suggests that thunderclap headache and angina pectoris occurring concurrently with sudden blood pressure elevation during or immediately after urination are important diagnostic clues of bladder pheochromocytoma.


Citations to this article as recorded by  
  • Micturition induced primary thunderclap headache in an 11-year-old with response to nimodipine
    Katherine M. Wojcicki, Rachel L. Evans, Benjamin Zwain, Stephen Deputy
    Journal of the Neurological Sciences.2021; 426: 117474.     CrossRef

KMJ : Kosin Medical Journal