Somatoform dysfunction of the autonomic nervous system in patients with adrenal incidentalomas

This article is devoted to the analysis of hypertesive crises in patients with adrenal incidentalomas. Such patients, as a rule, have no symptoms of primary hyperaldosteronism or Cushing’s syndrome. In the meanwhile, sudden elevation of blood pressure suggests an idea of a pheochromocytoma. However this diagnosis is not always confirmed during further studies. According to the conducted research authors came to a conclusion that crises of arterial hypertension in these patients could be most often caused by idiopathic hypertensia, somatoform disorder and, less frequently, sudden emission of catecholamins in a blood stream by a pheochromocytoma. The results of the analysis show the fact that even the correctly reached diagnosis doesn’t exclude the need for the undergoing complete evaluation of patients.