Cerebrovascular Accident due to Thyroid Storm: Should We Anticoagulate?
Thyroid storm is a life-threatening condition that occurs secondary to an uncontrolled hyperthyroid state. Atrial fibrillation is a cardiovascular complication occurring in up to 15% of patients experiencing thyroid storm, and if left untreated this condition could have up to a 25% mortality rate. Thyroid storm with stroke is a rare presentation. This case report details a left middle cerebral artery (MCA) stroke with global aphasia and thyroid storm in a 53-year-old Hispanic male patient. Although uncommon, this combination has been reported in multiple case series. Although it is well documented that dysfunctional thyroid levels promote a hypercoagulable state, available guidelines from multiple entities are unclear on whether anticoagulation therapy is appropriate in this situation.
Internal Medicine Training Program, Department of Medicine, University District Hospital, University of Puerto Rico School of Medicine, P.O. Box 365067, San Juan, PR 00936-5067, USA.
Alex
0000-0002-2840-7190
A
Gonzalez-Bossolo
Internal Medicine Training Program, Department of Medicine, University District Hospital, University of Puerto Rico School of Medicine, P.O. Box 365067, San Juan, PR 00936-5067, USA.
Alexis
A
Gonzalez-Rivera
Internal Medicine Training Program, Department of Medicine, University District Hospital, University of Puerto Rico School of Medicine, P.O. Box 365067, San Juan, PR 00936-5067, USA.
Santiago
S
Coste-Sibilia