ea0015p74 | Clinical practice/governance and case reports | SFEBES2008
Thomas Julia
, Vearncombe Laura
, Perry Les
, Sanghi Anita
, Carpenter Robert
, Akker Scott
A 37-year-old woman, 30 weeks pregnant, presented with palpitations and abdominal cramps. Ultrasound demonstrated a supra-renal abnormality and MRI showed a 10 cm heterogeneous left adrenal mass. For five years she had experienced episodes of palpitations, shaking, sweating and chest tightness. She was investigated by a neurologist and diagnosed with temporal lobe epilepsy. During pregnancy the frequency of episodes increased. Lamotrigine was started, but at each dose increase...