Severe Cerebral Vasospasm in Patients with Hyperthyroidism
| Autor: | Jai-Joon Shim, Jae-Sang Oh, Seok-Mann Yoon, Hyuk-Jin Oh, Hack-Gun Bae |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
endocrine system
endocrine system diseases medicine.medical_treatment Case Report 030204 cardiovascular system & hematology Hyperthyroidism 03 medical and health sciences 0302 clinical medicine Cerebral vasospasm Angioplasty Medicine cardiovascular diseases medicine.diagnostic_test business.industry Cerebral infarction Cortical blindness Thyroid Vasospasm medicine.disease medicine.anatomical_structure Anesthesia Angiography cardiovascular system Thyroid function business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Cerebrovascular and Endovascular Neurosurgery |
| ISSN: | 2287-3139 2234-8565 |
| Popis: | Cerebral vasospasm associated with hyperthyroidism has not been reported to cause cerebral infarction. The case reported here is therefore the first of cerebral infarction co-existing with severe vasospasm and hyperthyroidism. A 30-year-old woman was transferred to our hospital in a stuporous state with right hemiparesis. At first, she complained of headache and dizziness. However, she had no neurological deficits or radiological abnormalities. She was diagnosed with hyperthyroidism 2 months ago, but she had discontinued the antithyroid medication herself three days ago. Magnetic resonance imaging and angiography showed cerebral infarction with severe vasospasm. Thus, chemical angioplasty using verapamil was performed two times, and antithyroid medication was administered. Follow-up angiography performed at 6 weeks demonstrated complete recovery of the vasospasm. At the 2-year clinical follow-up, she was alert with mild weakness and cortical blindness. Hyperthyroidism may influence cerebral vascular hemodynamics. Therefore, a sudden increase in the thyroid hormone levels in the clinical setting should be avoided to prevent cerebrovascular accidents. When neurological deterioration is noticed without primary cerebral parenchyma lesions, evaluation of thyroid function may be required before the symptoms occur. |
| Databáze: | OpenAIRE |
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