Isolated unilateral leg weakness as the presenting symptom of primary aldosteronism: a case report

2014 ◽  
Vol 115 (3) ◽  
pp. 501-503 ◽  
Author(s):  
Jin-Sung Park ◽  
Jun Nyung Lee ◽  
Jin-Hong Shin
Keyword(s):  
Case Report ◽  
Primary Aldosteronism ◽  
Leg Weakness

scholarly journals Asymptomatic normotensive primary aldosteronism. Case report.

Hypertension ◽  
1983 ◽  
Vol 5 (2) ◽  
pp. 240-243 ◽  
Author(s):  
M Matsunaga ◽  
A Hara ◽  
T S Song ◽  
M Hashimoto ◽  
S Tamori ◽  
...  
Keyword(s):  
Case Report ◽  
Primary Aldosteronism

Primary aldosteronism and pregnancy: A case report

2009 ◽  
Vol 49 (5) ◽  
pp. 558-558 ◽  
Author(s):  
Weina LU ◽  
Fenping ZHENG ◽  
Hong LI ◽  
Lingxiang RUAN
Keyword(s):  
Case Report ◽  
Primary Aldosteronism

Abstract 1122‐000205: Bilateral ACA Stroke ‐ A Case Report of an Unusual Presentation

2021 ◽  
Vol 1 (S1) ◽  
Author(s):  
Tejeswi Suryadevara ◽  
Bhavya Narapureddy ◽  
Carlos Y Lopez ◽  
Karen C Albright
Keyword(s):  
Case Report ◽  
Brain Magnetic Resonance Imaging ◽  
Whole Body ◽  
Rapid Improvement ◽  
Stroke Registry ◽  
Disconnection Syndrome ◽  
Leg Weakness ◽  
Anatomic Variants ◽  
Computed Tomography Angiogram ◽  
Cerebrovascular Risk

Introduction : Bilateral ACA strokes are rare, with one stroke registry reporting 2 cases out of 1490 strokes (1). These strokes are even less common in the absence of anatomic variants, such as an azygos ACA. Diagnosis may be difficult given the variability in clinical presentation. Methods : This is a case report. Results : A 51‐year‐old right handed man with no cerebrovascular risk factors on no antithrombotic medications presented two hours from last known well with complaints of generalized weakness, inability to speak or move, and feeling numb all‐over during intercourse. He reported rapid improvement in symptoms. Emergency room exam was notable for right leg weakness (3/5) and left leg plegia with intact sensation. Hoover’s sign was positive in the left leg and the patient was able to bear some weight while standing with a two‐person assist. A computed tomography angiogram (CTA) of his head and neck was preliminarily interpreted as normal. No azygos ACA or single internal carotid artery origin for the ACAs were present. His exam improved to an isolated left foot dorsiflexor and plantar flexor weakness. The decision was made not to use thrombolytics based on his symptoms and exam which were improving and not entirely consistent with acute stroke. Brain magnetic resonance imaging demonstrated bilateral parasagittal acute strokes. It was later noted the that non‐contrast head CT demonstrated bilateral hyperdense ACAs. Conclusions : This case demonstrates the difficulty in diagnosing bilateral ACA infarcts in a previously healthy adult in the setting of whole‐body numbness and positive Hoover’s sign. In retrospect, his transient inability to speak or move may have been transient akinetic mutism or callosal disconnection syndrome. Additionally, this case emphasizes the importance of evaluating for the hyperdense ACA sign (2) in patients complaining of bilateral leg weakness.

scholarly journals Leg Weakness Caused by Bilateral Piriformis Syndrome: A Case Report

2015 ◽  
Vol 39 (6) ◽  
pp. 1042 ◽  
Author(s):  
Hee Bong Moon ◽  
Ki Yeun Nam ◽  
Bum Sun Kwon ◽  
Jin Woo Park ◽  
Gi Hyeong Ryu ◽  
...  
Keyword(s):  
Case Report ◽  
Piriformis Syndrome ◽  
Leg Weakness

Adrenocortical carcinoma manifesting pure primary aldosteronism: A case report and analysis of steroidogenic enzymes

2000 ◽  
Vol 23 (2) ◽  
pp. 112-117 ◽  
Author(s):  
Takanobu Yoshimoto ◽  
M. Naruse ◽  
Y. Ito ◽  
K. Naruse ◽  
T. Ueda ◽  
...  
Keyword(s):  
Case Report ◽  
Adrenocortical Carcinoma ◽  
Primary Aldosteronism ◽  
Steroidogenic Enzymes

Isolated primary aldosteronism in adrenocortical carcinoma: A case report and review of literature

1993 ◽  
Vol 25 (4) ◽  
pp. 212-216 ◽  
Author(s):  
B. Ludvik ◽  
B. Niederle ◽  
R. Roka ◽  
F. Längle ◽  
N. Neuhold ◽  
...  
Keyword(s):  
Case Report ◽  
Adrenocortical Carcinoma ◽  
Primary Aldosteronism ◽  
Review Of Literature

Neurologically presenting Whipple disease: case report and review of the literature

2008 ◽  
Vol 61 (10) ◽  
pp. 1140-1141 ◽  
Author(s):  
M J Buckle ◽  
R W Ellis ◽  
M Bone ◽  
H Lockman
Keyword(s):  
Case Report ◽  
Periodic Acid ◽  
Review Of The Literature ◽  
Healthy Male ◽  
Periodic Acid Schiff ◽  
Whipple Disease ◽  
Disease Case ◽  
Leg Weakness ◽  
Foamy Macrophages

A previously healthy male with subacute onset right leg weakness was suspected to have an astrocytoma as imaging showed a lesion. Subsequent biopsy showed the presence of foamy macrophages containing periodic acid-Schiff staining granules, suggesting Whipple disease as a possible diagnosis.

Diagnosis and Management of Primary Aldosteronism in Pregnancy: Case Report and Review of the Literature

2002 ◽  
Vol 19 (01) ◽  
pp. 031-036 ◽  
Author(s):  
Toshiaki Okawa ◽  
Kimisato Asano ◽  
Toshihiro Hashimoto ◽  
Keiya Fujimori ◽  
Kaoru Yanagida ◽  
...  
Keyword(s):  
Case Report ◽  
Primary Aldosteronism ◽  
Review Of The Literature ◽  
Diagnosis And Management ◽  
In Pregnancy

scholarly journals The forgotten cause of hypertension: A case report and literature review of the prevalence, diagnosis and management of primary aldosteronism

2018 ◽  
Vol 5 (3) ◽  
pp. 4
Author(s):  
Mariah Pagath Barlow ◽  
Ahmed Abdel-Latif
Keyword(s):  
Public Health ◽  
Case Report ◽  
Literature Review ◽  
Primary Aldosteronism ◽  
Cardiovascular Complications ◽  
Current Medical ◽  
Public Health Issue ◽  
Diagnosis And Management ◽  
Cardiovascular Morbidity And Mortality ◽  
Number Of Patients

In recent years, primary aldosteronism (PA) has been found to have a much higher prevalence than previously thought, especially among those with resistant hypertension. As hypertension has become a prominent public health issue affecting billions of people, the number of patients potentially affected by PA is a significant. Current medical and surgical therapies for PA are highly effective, and as untreated PA can lead to significant cardiovascular morbidity and mortality this stresses the importance of astute diagnosis and management on part of physicians. We present a case of a patient presenting with cardiovascular complications of untreated primary aldosteronism and review recent guidelines regarding screening, diagnosis, and management.

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