Case of March 2007

Clinical History:

A seventy-nine-year-old lady was admitted for percutaneous coronary intervention (PCI).  The procedure was uneventful but during the rehabilitation period, she suffered from hypertensive crisis with blood pressure more than 300mmHg.  Her urine vanillylmandelic acid (VMA) and cathecholamine were grossly elevated. 

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Figure 4: MIBG scintiscan images in 24 and 48 hours respectively