title: An Atypical Case of Myxedema Coma with Concomitant Nonconvulsive Seizure.
abstract: Hypothyroidism is a prevalent condition in the general population that is treatable with appropriately dosed thyroid hormone replacement medication. Infrequently, patients will present with myxedema coma, characterized by hypothermia, hypotension, bradycardia, and altered mental status in the setting of severe hypothyroidism. Myxedema coma has also been known to manifest in a number of unusual and dangerous forms. Here, we present the case of a woman we diagnosed with an uncharacteristic expression of myxedema coma and nonconvulsive seizure complicated by a right middle cerebral artery infarct.
authors.affiliation: Department of Medicine, St. John's Riverside Hospital, 967 N. Broadway, Yonkers, NY 10701, USA.
authors.forename: Pratik
authors.initials: P
authors.lastname: Patel
authors.affiliation: Department of Medicine, St. John's Riverside Hospital, 967 N. Broadway, Yonkers, NY 10701, USA; Lake Erie College of Osteopathic Medicine, 1858 W Grandview Blvd, Erie, PA 16509, USA.
authors.forename: Mikhael
authors.identifier: 0000-0003-2201-6874
authors.initials: M
authors.lastname: Bekkerman
authors.affiliation: Department of Medicine, St. John's Riverside Hospital, 967 N. Broadway, Yonkers, NY 10701, USA.
authors.forename: Cristina
authors.initials: C
authors.lastname: Varallo-Rodriguez
authors.affiliation: Pulmonary and Critical Care, St. John's Riverside Hospital, 967 N. Broadway, Yonkers, NY 10701, USA.
authors.forename: Rajendra
authors.identifier: 0000-0003-1201-0620
authors.initials: R
authors.lastname: Rampersaud