International Journal of Endocrinology and Metabolism

Published by: Kowsar

Surgical Management of an Atypical Presentation of a Thyroid Storm

Ricardo Mario Aulet 1 , Richard O. Wein 2 , * and Richard D. Siegel 3
Authors Information
1 Tufts University School of Medicine, Boston, USA
2 Department of Otolaryngology-HNS, Tufts Medical Center, Boston, USA
3 Department of Endocrinology and Diabetes, Tufts Medical Center, Boston, USA
Article information
  • International Journal of Endocrinology and Metabolism: April 01, 2014, 12 (2); e13539
  • Published Online: April 1, 2014
  • Article Type: Case Report
  • Received: July 13, 2013
  • Revised: December 15, 2013
  • Accepted: December 25, 2013
  • DOI: 10.5812/ijem.13539

To Cite: Aulet R M, Wein R O, Siegel R D. Surgical Management of an Atypical Presentation of a Thyroid Storm, Int J Endocrinol Metab. 2014 ; 12(2):e13539. doi: 10.5812/ijem.13539.

Copyright © 2014, Research Institute For Endocrine Sciences and Iran Endocrine Society. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Introduction
2. Case Presentation
3. Discussion
  • 1. Bjorndal MM, Sandmo Wilhelmsen K, Lu T, Jorde R. Prevalence and causes of undiagnosed hyperthyroidismin an adult healthy population. The Tromso study. J Endocrinol Invest. 2008; 31(10): 856-60[PubMed]
  • 2. Sarlis NJ, Gourgiotis L. Thyroid emergencies. Rev Endocr Metab Disord. 2003; 4(2): 129-36[PubMed]
  • 3. Akamizu T, Satoh T, Isozaki O, Suzuki A, Wakino S, Iburi T, et al. Diagnostic criteria, clinical features, and incidence of thyroid storm based on nationwide surveys. Thyroid. 2012; 22(7): 661-79[DOI][PubMed]
  • 4. Klubo-Gwiezdzinska J, Wartofsky L. Oxford Textbook of Endocrinology and Diabetes. 2011; : 454-61
  • 5. Akamizu T. [Diagnosis and treatment of thyroid storm]. Nihon Rinsho. 2012; 70(11): 2000-4[PubMed]
  • 6. Burch HB, Wartofsky L. Life-threatening thyrotoxicosis. Thyroid storm. Endocrinol Metab Clin North Am. 1993; 22(2): 263-77[PubMed]
  • 7. Reinwein D, Benker G, Konig MP, Pinchera A, Schatz H, Schleusener A. The different types of hyperthyroidism in Europe. Results of a prospective survey of 924 patients. J Endocrinol Invest. 1988; 11(3): 193-200[PubMed]
  • 8. Bahn Chair RS, Burch HB, Cooper DS, Garber JR, Greenlee MC, Klein I, et al. Hyperthyroidism and other causes of thyrotoxicosis: management guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists. Thyroid. 2011; 21(6): 593-646[DOI][PubMed]
  • 9. Cooper DS. The Side Effects of Antithyroid Drugs. The Endocrinologist. 1999; 9(6): 457-78
  • 10. Pruijm MT, Pereira AM. [Thyrotoxic crisis in a patient with Graves' disease]. Ned Tijdschr Geneeskd. 2004; 148(34): 1691-4[PubMed]
  • 11. Scholz GH, Hagemann E, Arkenau C, Engelmann L, Lamesch P, Schreiter D, et al. Is there a place for thyroidectomy in older patients with thyrotoxic storm and cardiorespiratory failure? Thyroid. 2003; 13(10): 933-40[DOI][PubMed]
  • 12. Reichmann I, Frilling A, Hormann R, Krause U, Broelsch CE. [Early operation as a treatment measure in thyrotoxic crisis]. Chirurg. 2001; 72(4): 402-7[PubMed]
  • 13. Schaaf L, Greschner M, Paschke R, Kusterer K, Teuber J, Huck K, et al. Thyrotoxic crisis in Graves' disease: indication for immediate surgery. Klin Wochenschr. 1990; 68(21): 1037-41[PubMed]
  • 14. Akamizu T, Satoh T, Isozaki O, Suzuki A, Wakino S, Iburi T, et al. Diagnostic criteria and clinico-epidemiological features of thyroid storm based on a nationwide survey. Thyroid. 2012; [DOI][PubMed]
  • 15. Astwood EB, Vanderlaan WP. Treatment of hyperthyroidism with propylthiouracil. Ann Int Med. 1946; 25(5): 813-21[DOI]
  • 16. Shafer RB, Nuttall FQ. Thyroid crisis induced by radioactive iodine. J Nucl Med. 1971; 12(5): 262-4[PubMed]
  • 17. Hintze G, Lepsien G, Becker HD, Kobberling J. [Subtotal thyroid resection in severe, iodine-induced hyperthyroidism]. Chirurg. 1985; 56(9): 594-8[PubMed]
  • 18. Kulaksizoglu M, Gonen MS, Kebapcilar L, Sahin F, Acikgoz B, Demir T, et al. Multiorgan dysfunction accompanied with metimazole and thyroid storm. Transfus Apher Sci. 2012; 46(2): 149-52[DOI][PubMed]
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