Conns syndrome - atypical presentations

Primary hyperaldosteronism (Conns syndrome) commonly presents with a combi­nation of clinical features of hypokalemia and hypertension. Atypical presentations like normo­tension, normokalemia and neurological ailments are described in few cases. We encountered two such cases, the first presenting with acute neurological complaint and second case having insig­nificant hypertension. Both the patients had a characteristic biochemical and imaging profile consistent with primary hyperaldosteronism and responded to surgical resection of adrenal adenoma.