title: Thyrotoxicosis presenting with headache.
abstract: We report three cases of thyrotoxicosis who presented acutely with headache to our neurology service in a 1-year period. In two of these patients there was a pre-existing or subsequent history of migraine. With hindsight, there were other clinical features of thyrotoxicosis but this diagnosis had been missed in primary care. Severe headache can be a striking presenting feature of thyrotoxicosis, but these cases provide reassurance to the clinician that when this does occur, other clinical features of hyperthyroidism are usually present.
authors.affiliation: School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Edinburgh, UK. jon.stone@ed.ac.uk
authors.forename: J
authors.initials: J
authors.lastname: Stone
authors.forename: A
authors.initials: A
authors.lastname: Foulkes
authors.forename: K
authors.initials: K
authors.lastname: Adamson
authors.forename: L
authors.initials: L
authors.lastname: Stevenson
authors.forename: R
authors.initials: R
authors.lastname: Al-Shahi Salman
mesh_terms: D000328:Adult; D013956:Antithyroid Agents / Q000627:therapeutic use; D002231:Carbimazole / Q000627:therapeutic use; D005260:Female; D006111:Graves Disease / Q000150:complications / Q000188:drug therapy; D006261:Headache / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D013971:Thyrotoxicosis / Q000150:complications* / Q000188:drug therapy
chemical_list: D013956:Antithyroid Agents; D002231:Carbimazole