Abstract
Background: Thyroid storm is a life-threatening manifestation of thyrotoxicosis and presents with fever, diaphoresis, tachycardia, hypertension, and widened pulse pressure. Case presentation: We present a case of intraoperative thyroid storm in a 12-year-old female undergoing posterior spinal fusion. Despite adequate depth of anesthesia and analgesia, the patient was persistently tachycardic and hypertensive. The surgical procedure was uneventful. A thyroid panel drawn immediately after surgery showed undetectable thyroid stimulating hormone (TSH) and high free thyroxine (T4) consistent with thyroid storm. Conclusions: Intraoperative thyroid storm in a pediatric patient is extremely rare with nonspecific clinical symptoms. Low to undetectable TSH and elevated free T4 is diagnostic.
Original language | English (US) |
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Article number | 52 |
Journal | JA Clinical Reports |
Volume | 8 |
Issue number | 1 |
DOIs | |
State | Published - Dec 2022 |
Keywords
- Graves’ disease
- Pediatrics
- Thyroid storm
- Thyrotoxicosis
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine