Severe Cerebral Vasospasm in Patients with Hyperthyroidism
| العنوان: | Severe Cerebral Vasospasm in Patients with Hyperthyroidism |
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| المؤلفون: | Jai-Joon Shim, Jae-Sang Oh, Seok-Mann Yoon, Hyuk-Jin Oh, Hack-Gun Bae |
| المصدر: | Journal of Cerebrovascular and Endovascular Neurosurgery |
| بيانات النشر: | Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | endocrine system, endocrine system diseases, medicine.medical_treatment, Case Report, 030204 cardiovascular system & hematology, Hyperthyroidism, 03 medical and health sciences, 0302 clinical medicine, Cerebral vasospasm, Angioplasty, Medicine, cardiovascular diseases, medicine.diagnostic_test, business.industry, Cerebral infarction, Cortical blindness, Thyroid, Vasospasm, medicine.disease, medicine.anatomical_structure, Anesthesia, Angiography, cardiovascular system, Thyroid function, business, 030217 neurology & neurosurgery |
| الوصف: | Cerebral vasospasm associated with hyperthyroidism has not been reported to cause cerebral infarction. The case reported here is therefore the first of cerebral infarction co-existing with severe vasospasm and hyperthyroidism. A 30-year-old woman was transferred to our hospital in a stuporous state with right hemiparesis. At first, she complained of headache and dizziness. However, she had no neurological deficits or radiological abnormalities. She was diagnosed with hyperthyroidism 2 months ago, but she had discontinued the antithyroid medication herself three days ago. Magnetic resonance imaging and angiography showed cerebral infarction with severe vasospasm. Thus, chemical angioplasty using verapamil was performed two times, and antithyroid medication was administered. Follow-up angiography performed at 6 weeks demonstrated complete recovery of the vasospasm. At the 2-year clinical follow-up, she was alert with mild weakness and cortical blindness. Hyperthyroidism may influence cerebral vascular hemodynamics. Therefore, a sudden increase in the thyroid hormone levels in the clinical setting should be avoided to prevent cerebrovascular accidents. When neurological deterioration is noticed without primary cerebral parenchyma lesions, evaluation of thyroid function may be required before the symptoms occur. |
| اللغة: | English |
| تدمد: | 2287-3139 2234-8565 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::de6e1c78031d1413feaf4f4690bf7d73 http://europepmc.org/articles/PMC5298982 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....de6e1c78031d1413feaf4f4690bf7d73 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22873139 22348565 |
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