Cerebrovascular Accident due to Thyroid Storm: Should We Anticoagulate?

Cerebrovascular Accident due to Thyroid Storm: Should We Anticoagulate?

Case Rep Endocrinol. 2016;2016:5218985

Authors: Gonzalez-Bossolo A, Gonzalez-Rivera A, Coste-Sibilia S

Abstract
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.

PMID: 27597905 [PubMed]

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