Anaesthetic management of thyroid storm in a patient with Friederich's ataxia. A case report

Rev Esp Anestesiol Reanim (Engl Ed). 2023 Jun-Jul;70(6):362-365. doi: 10.1016/j.redare.2023.06.002. Epub 2023 Jun 3.

Abstract

A 26-year-old patient with Friederich's ataxia with hypertrophic obstructive cardiomyopathy undergoing total thyroidectomy due to persistent amiodarone-induced thyrotoxicosis (despite high doses of antithyroid drugs and corticosteroids), presented an intraoperative episode suggestive of thyroid storm. Thyroid storm is an endocrine emergency that is associated with high morbidity and mortality. Early diagnosis and treatment, which is of vital importance to improve survival, includes symptomatic treatment, treatment of cardiovascular, neurological, and/or hepatic manifestations and thyrotoxicosis, measures to suppress or avoid triggering stimuli, and definitive treatment.

Keywords: Amiodarona; Amiodarone; Anaesthesia; Anestesia; Ataxia de Friederich; Friederich's Ataxia; Thyroid storm; Thyrotoxicosis; Tirotoxicosis; Tormenta tiroidea.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anesthetics* / adverse effects
  • Antithyroid Agents / adverse effects
  • Ataxia / complications
  • Ataxia / drug therapy
  • Humans
  • Thyroid Crisis* / complications
  • Thyroid Crisis* / diagnosis
  • Thyroid Crisis* / drug therapy
  • Thyrotoxicosis* / chemically induced
  • Thyrotoxicosis* / complications
  • Thyrotoxicosis* / surgery

Substances

  • Antithyroid Agents
  • Anesthetics