Thyroid storm. Presenting with coma and seizures. In a 3-year-old girl.
Thyroid storm is a rare occurrence in the adult population and is even more unusual in children. The current report is of a 3.5-year-old girl who had thyroid storm with unique neurologic manifestations, namely seizure and coma. Acute medical management with propylthiouracil, saturated solution of potassium iodide, hydrocortisone, and propranolol brought about complete resolution of symptoms.
Aiello
D P
DP
Department of Medicine, Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, Hershey 17033.
DuPlessis
A J
AJ
Pattishall
E G
EG
Kulin
H E
HE
D001037:Aphasia / Q000503:physiopathology; D002675:Child, Preschool; D003128:Coma / Q000503:physiopathology; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000503:physiopathology; D012640:Seizures / Q000503:physiopathology; D013958:Thyroid Crisis / Q000503:physiopathology / Q000628:therapy