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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Anaesthetic management of thyroid storm in a patient with Friederich’s ataxia....
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Vol. 70. Issue 6.
Pages 362-365 (June - July 2023)
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Vol. 70. Issue 6.
Pages 362-365 (June - July 2023)
Case report
Anaesthetic management of thyroid storm in a patient with Friederich’s ataxia. A case report
Manejo anestésico de una tormenta tiroidea en un paciente afecto de ataxia de Friederich. A propósito de un caso
M. Sneyers Closa
Corresponding author
msc9319@gmail.com

Corresponding author.
, A. Pérez Requena, S. Sánchez García, J. Sistac Ballarín
Servicio Anestesiología, Reanimación y Terapéutica del Dolor del Hospital Universitari Arnau de Vilanova, Lleida, Spain
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Abstract

A 26-year-old patient with Friederich's ataxia with hypertrophic obstructive cardiomyopathy undergoing total thyroidectomy due to persistent amiodarone-induced thyrotoxicosis (despite high doses of antithyroid drugs and corticosteroids), presented an intraoperative episode suggestive of thyroid storm.

Thyroid storm is an endocrine emergency that is associated with high morbidity and mortality. Early diagnosis and treatment, which is of vital importance to improve survival, includes symptomatic treatment, treatment of cardiovascular, neurological, and/or hepatic manifestations and thyrotoxicosis, measures to suppress or avoid triggering stimuli, and definitive treatment.

Keywords:
Thyrotoxicosis
Amiodarone
Thyroid storm
Friederich's Ataxia
Anaesthesia
Resumen

Paciente de 26 años afecto de ataxia de Friederich con una miocardiopatía hipertrófica obstructiva sometido a una tiroidectomía total por tirotoxicosis secundaria a amiodarona persistente (a pesar de elevadas dosis de antitiroideos y corticoides) que intraoperatoriamente presentó un episodio sugestivo de tormenta tiroidea.

La tormenta tiroidea es una emergencia endocrinológica que asocia una elevada morbimortalidad. Para mejorar la supervivencia es de vital importancia un diagnóstico y tratamiento precoz que incluya: un tratamiento sintomático; el tratamiento de las manifestaciones cardiovasculares, neurológicas y/o hepáticas y de la tirotoxicosis; y así como suprimir o evitar estímulos desencadenantes y practicar un tratamiento definitivo.

Palabras clave:
Tirotoxicosis
Amiodarona
Tormenta tiroidea
Ataxia de Friederich
Anestesia

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