title: [Giant euthyreotic retrosternal struma complicated by compression and thrombosis of brachiocephalic, subclavia, jugular and axillary veins, edema and necrosis of brain].
abstract: The case of giant euthyreotic retro-sternal struma complicated by compression and thrombosis of brachiocephalic, subclavia, jugular and axillary veins, edema and necrosis of brain is presented in the article. 64-year-old man was admitted to the hospital due to ischemic stroke. Retrosternal struma was suspected according to clinical symptoms of compression of superior vena cava. Due to progression of neurologic symptoms the patient died. During autopsy giant euthyreotic retrosternal struma complicated by compression and thrombosis of brachiocephalic, subclavia, jugular and axillary veins, edema and necrosis of brain was found. Timely established diagnosis and effective surgical treatment of retrosternal struma could prevent such dangerous complications as edema and necrosis of the brain.
authors.affiliation: Clinic of Internal Medicine, A. Mickeviciaus 9, 44307 Kaunas, Lithuania. vidlig@takas.lt
authors.forename: Albinas
authors.initials: A
authors.lastname: Naudziūnas
authors.forename: Genovaite
authors.initials: G
authors.lastname: Korsakiene
authors.forename: Palmira
authors.initials: P
authors.lastname: Kopustinskaite
mesh_terms: D001344:Autopsy; D001367:Axillary Vein; D016121:Brachiocephalic Veins; D001921:Brain / Q000473:pathology; D001929:Brain Edema / Q000209:etiology* / Q000473:pathology; D006045:Goiter, Substernal / Q000150:complications* / Q000473:pathology; D006801:Humans; D007601:Jugular Veins; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D020521:Stroke / Q000209:etiology* / Q000473:pathology; D013350:Subclavian Vein; D020246:Venous Thrombosis / Q000150:complications*