Thyrotoxic crisis presenting as status epilepticus.
A 30 year old male patient with thyrotoxic crisis presenting as status epilepticus is reported. The aetiology, manifestations and management of this medical emergency are discussed. The importance of prompt, vigorous and comprehensive treatment of thyrotoxic crisis is emphasized. Rapid control of hyperthyroidism as well as other supportive measures are essential if the high fatality rate is to be reduced. Comprehensive management reduces mortality from 90% to 20%.
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Department of Internal Medicine and Biochemistry, Gwynedd District General Hospital, Bangor, UK.
Griffiths
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KD
Maxwell
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RT
D000328:Adult; D006801:Humans; D008297:Male; D011441:Propylthiouracil / Q000627:therapeutic use; D013226:Status Epilepticus / Q000209:etiology*; D013958:Thyroid Crisis / Q000097:blood / Q000150:complications* / Q000188:drug therapy; D013972:Thyrotropin / Q000097:blood; D013974:Thyroxine / Q000097:blood; D014284:Triiodothyronine / Q000097:blood
D014284:Triiodothyronine; D011441:Propylthiouracil; D013972:Thyrotropin; D013974:Thyroxine