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- Bryan Donald Laliberte, Emily Goldenberg, and Sarah J Reece-Stremtan.
- From the *Division of Anesthesiology, Children's National Medical Center, Washington, DC; and †Department of Anesthesiology, Georgetown University Medical Center, Washington, DC.
- A A Case Rep. 2014 Oct 15;3(8):107-9.
AbstractThyroid 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.
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