Thyroid Storm in Postoperative Delirium Etiology: Case Report

Autor: Nermin Kelebek Girgin, Remzi İşçimen, İrem Aydoğmuş, Sinan Bora, Ayşen Akkurt Kocaeli, Ferda Kahveci
Jazyk: English<br />Turkish
Rok vydání: 2016
Předmět:
Zdroj: Türk Yoğun Bakim Derneği Dergisi, Vol 14, Iss 2, Pp 63-67 (2016)
Druh dokumentu: article
ISSN: 2146-6416
2147-267X
DOI: 10.4274/tybdd.13007
Popis: Delirium is an acute organic brain syndrome of different physical and pathophysiological etiologies characterized by a disturbance in consciousness with accompanying change in cognition. Delirium causes prolonged length of stay in hospital and intensive care unit, also increased morbidity and mortality. Thyroid storm is a severe, life-threatening type of thyrotoxicosis and is one of a few endocrine disorders that cause delirium. It is mostly occured suddenly after acute infection, surgical stress or trauma. This condition occurs due to excess production of thyroid hormone and 20-50% mortality rate depends on early diagnosis and treatment. In this study it was aimed to present the diagnosis and treatment of a previously unknown hyperthyroid patient who underwent suspension laryngoscopy under general anesthesia and was post-operatively admitted to the intensive care unit because of pulmonary edema and proceeded to develop severe delirium caused by hyrotoxicosis.
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