title: Intraoperative diagnosis and treatment of thyroid storm in a 15-year-old male.
abstract: Thyroid storm, a severe complication of hyperthyroidism, can be a devastating medical emergency requiring rapid management. Intraoperative thyrotoxicosis, a hypermetabolic syndrome with increased thyroid hormone levels, also presents a challenging scenario. Clinical suspicion is key along with eliminating other potentially catastrophic emergencies such as malignant hyperthermia or pheochromocytoma. In this case report, we describe a 15-year-old male undergoing halo traction placement for displaced dens and C1 fractures. Preoperative tachycardia and a history suggestive of hyperthyroidism raised our clinical suspicion for thyrotoxicosis when hypertension and tachycardia developed after induction of anesthesia.
authors.affiliation: From the *Division of Anesthesiology, Children's National Medical Center, Washington, DC; and †Department of Anesthesiology, Georgetown University Medical Center, Washington, DC.
authors.forename: Bryan Donald
authors.initials: BD
authors.lastname: Laliberte
authors.forename: Emily
authors.initials: E
authors.lastname: Goldenberg
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Reece-Stremtan