Key result
Thyroid storm complicated by a left middle cerebral artery stroke occurred in a 53-year-old male, highlighting the lack of clear guidelines on anticoagulation therapy for this hypercoagulable state.
Case Report (n=1)
This case highlights a rare presentation of stroke with thyroid storm and points out the lack of clear guideline recommendations regarding anticoagulation in this hypercoagulable state.
May prompt stroke vigilance in thyroid storm; leaves open anticoagulation guidelines.
Thyroid storm is a life-threatening condition that occurs secondary to an uncontrolled hyperthyroid state. Atrial fibrillation is a cardiovascular complication occurring in up to 15% of patients experiencing thyroid storm, and if left untreated this condition could have up to a 25% mortality rate. Thyroid storm with stroke is a rare presentation. This case report details a left middle cerebral artery (MCA) stroke with global aphasia and thyroid storm in a 53-year-old Hispanic male patient. Although uncommon, this combination has been reported in multiple case series. Although it is well documented that dysfunctional thyroid levels promote a hypercoagulable state, available guidelines from multiple entities are unclear on whether anticoagulation therapy is appropriate in this situation.
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Bóssolo et al. (2016) conducted a case report in Thyroid storm and stroke (n=1). Anticoagulation therapy was evaluated. Thyroid storm complicated by a left middle cerebral artery stroke occurred in a 53-year-old male, highlighting the lack of clear guidelines on anticoagulation therapy for this hypercoagulable state.
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