Severe Paroxysmal Hypertension (Pseudopheochromocytoma) Case Report

Paroxysmal hypertension is characterized by sudden, episodic elevations in blood pressure accompanied by autonomic symptoms such as headache, palpitations, and diaphoresis. These episodes may closely mimic pheochromocytoma, making diagnosis challenging when biochemical and imaging studies are negative. We present a case of severe paroxysmal hypertension in a middle-aged male who experienced recurrent hypertensive crises with normal inter-episodic blood pressure. This case highlights the importance of recognizing pseudopheochromocytoma as a distinct clinical entity and outlines an effective management strategy.