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    20 results match your criteria Thyroid Thyrotoxic Storm Following Thyroidectomy

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    Treatment of severe life threatening hypocalcemia with recombinant human teriparatide in patients with postoperative hypoparathyroidism - a case series.
    Endokrynol Pol 2016 8;67(4):403-12. Epub 2016 Jul 8.
    Department of Endocrinology, Metabolic Diseases, and Internal Diseases, Pomeranian Medical University, Szczecin, Poland.
    Introduction: Hypocalcaemia is a common postoperative complication, both after the resection of parathyroid adenoma associated with primary hyperparathyroidism and after total thyroidectomy due to thyroid cancer or nodular goitre. For a few years, in patients with postoperative hypoparathyroidism and severe hypocalcaemia, who cannot discontinue intravenous calcium preparations even with the use of high vitamin D doses, attempts have been made to add recombinant human parathormone (rhPTH) to the treatment schedule. In this work, for the first time in Poland, we demonstrate the potential use of teriparatide for the treatment of severe hypocalcaemia based on three different cases of postoperative hypoparathyroidism. Read More

    Myasthenic Crisis Manifesting as Postoperative Respiratory Failure following Resection of Unsuspected Intrathoracic Thymic T-Cell Lymphoma during Thyroidectomy for an Adjacent Large Retrosternal Goiter.
    Eur Thyroid J 2014 Sep 9;3(3):206-10. Epub 2014 Aug 9.
    University of Khartoum, Khartoum, Sudan.
    A middle-aged female with a goiter of 10 years' duration presented with progressive pressure symptoms, nocturnal choking and dyspnea on exertion for 5 months. Physical examination demonstrated a large simple multinodular goiter. Imaging revealed a deep retrosternal goiter extending below the tracheal bifurcation with marked tracheal deviation. Read More

    Surviving the storm: two cases of thyroid storm successfully treated with plasmapheresis.
    BMJ Case Rep 2012 Oct 19;2012. Epub 2012 Oct 19.
    Department of Medicine/Endocrinology, Baylor College of Medicine, Houston, Texas, USA.
    Thyroid storm is a rare, but critical, illness that can lead to multiorgan failure and carries a high death rate. The following case series describes two adult men with Graves' disease who presented in thyroid storm and either failed or could not tolerate conventional medical management. However, both patients responded well to plasmapheresis, which resulted in clinical and biochemical stabilisation of their disease processes. Read More

    Diagnosis and management of thyroid disease in pregnancy.
    Obstet Gynecol Clin North Am 2010 Jun;37(2):173-93
    Combined Obstetrics and Gynecology and Leadership Preventive Medicine, Department of Obstetrics and Gynecology, Dartmouth-Hitchock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA.
    Thyroid disease is common, affecting 1% to 2% of pregnant women. Pregnancy may modify the course of thyroid disease, and pregnancy outcomes can depend on optimal management of thyroid disorders. Consequently, obstetric providers must be familiar with thyroid physiology and management of thyroid diseases in pregnancy. Read More

    Thyroid crisis following interstitial nephritis.
    Intern Med 2008 1;47(13):1237-40. Epub 2008 Jul 1.
    Department of Internal Medicine, Toyama Prefectural Central Hospital, Toyama, Japan.
    A 54-year-old man with Graves' disease had been treated with thiamazole (5 mg/day). His thyroid hormone level was increased after exodontia in February 2006. Although his prescribed dose of thiamazole was increased after exodontia on the fourth day, he developed thyroid crisis on exodontia 52 nd day. Read More

    [Endoscopic thyroidectomy via chest and breasts approach in 500 cases].
    Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2007 Dec;42(12):919-23
    Department of Surgery, First Affiliated Hospital of Jinan University, 510630 Guangzhou, China.
    Objective: To discuss the method, the safety, the advantages and disadvantages of endoscopic thyroidectomy via chest and breasts.

    Methods: From Mar. 2002 to Dec. Read More

    [The surgical treatment of Graves' disease].
    Ned Tijdschr Geneeskd 2006 Jun;150(24):1321-5
    Diakonessenhuis Utrecht.
    A man aged 80 and three women aged 66, 26, and 39 years respectively, underwent surgery for Graves' disease. The first woman had pneumonia and experienced thyrotoxic storm. Euthyroidism was restored with antithyroid drugs (ATD) and thyroidectomy was performed as ablative treatment for hyperthyroidism. Read More

    Is there a place for thyroidectomy in older patients with thyrotoxic storm and cardiorespiratory failure?
    Thyroid 2003 Oct;13(10):933-40
    Department of Internal Medicine III, University of Leipzig, Leipzig, Germany.
    Early thyroidectomy is the treatment of choice for thyrotoxic storm in patients with thyroid autonomy often induced by iodine. However, older patients who are mostly affected by this condition often have underlying chronic cardiopulmonary diseases, apparently contradicting surgical intervention. The published evidence for suitable treatment strategies in these patients is limited. Read More

    [Is surgical treatment of hyperthyroidism in pregnancy reasonable?].
    Przegl Lek 2000 ;57(12):720-2
    III Katedra i Klinika Chirurgii Ogólnej Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie.
    Hyperthyroidism is second to diabetes mellitus as the most common endocrinopathy in pregnancy. It is usually caused by Graves' disease. The appropriate treatment is the only way to prevent the incidence of dangerous complications both to mother and foetus, including thyrotoxic crisis. Read More

    Hyperthyroidism. Current treatment guidelines.
    Drugs 1998 Apr;55(4):543-53
    Department of Medicine, University of Birmingham, Queen Elizabeth Hospital, Edgbaston, England.
    Hyperthyroidism is common and affects approximately 2% of women and 0.2% of men. The most common cause of hyperthyroidism is Graves' disease, an autoimmune disorder associated with circulating immunoglobulins that bind to and stimulate the thyrotropin (TSH) receptor, resulting in sustained thyroid overactivity. Read More

    Intervention in Graves' disease. Choosing among imperfect but effective treatment options.
    Postgrad Med 1992 Dec;92(8):117-24, 128-9, 133-4
    Department of Internal Medicine, Ohio State University College of Medicine, Columbus.
    Graves' disease is an autoimmune disorder that comprises the triad of diffuse toxic goiter, ophthalmopathy, and infiltrative dermopathy, although all three are not necessarily present in a given patient. The manifestations of Graves' disease vary, depending on the patient's age and other factors. Choice of therapy is influenced by the patient's age, history of heart disease, pregnancy status, expectations, and preferences. Read More

    Uncommon clinical manifestations in a case of thyroid carcinoma.
    Head Neck Surg 1984 May-Jun;6(5):974-7
    A case of multiple, functional bone metastases from a previously operated follicular thyroid carcinoma is reported in an apparently euthyroid patient. Additional uncommon clinical manifestations encountered in this case were: 1) mandibular metastasis mimicking an intraoral arteriovenous malformation, 2) extensive, destructive, and expansive intraspinal metastases in the thoracic vertebral column protruding into the posterior mediastinum and causing severe spinal lesions, and 3) the precipitation of a fatal thyroid crisis following radioactive iodine treatment. Read More

    Thyroid storm during beta blockade.
    Anaesthesia 1984 Apr;39(4):343-6
    A thyrotoxic patient who had received beta-adrenoceptor blockers pre-operatively suffered an episode of severe heart failure immediately following thyroidectomy and required artificial ventilation of the lungs for six hours. The possible causes are discussed and the likelihood of thyroid storm unmitigated by beta adrenergic blockade suggested. Read More

    Beta-adrenoceptor blockade and anaesthesia for thyroidectomy.
    Anaesthesia 1984 Apr;39(4):335-42
    The administration of beta-adrenoceptor blocking drugs in the pre-operative preparation and operative management of thyrotoxic patients undergoing subtotal thyroidectomy is reviewed. Particular reference is made to some of the recent advances and it is emphasised that there has been a considerable reduction in the incidence of problems following judicious use of these drugs. The choice of anaesthetic technique employed for thyroidectomy is less important than the degree of control of thyrotoxicosis by the beta-adrenoceptor blocking drug. Read More

    [Value of high dosage propranolol and per-operative hypothermia in thyroidectomy when conventional preparatory treatment is unsuitable (author's transl)].
    Nouv Presse Med 1980 May;9(21):1497-500
    Five hyperthyroid patients could be prepared for surgery wit propranolol alone in daily doses of 240 to 400 mg. The drug administered for 3 to 5 days before, and 5 to 15 days after the operation. Following premedication with levopromazine, almost total thyroidectomy was performed under neuroleptanalgesia and moderate hypothermia. Read More

    [Anatomoclinical correlations in postoperative acute thyrotoxic crisis].
    Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir 1978 Mar-Apr;27(2):93-6
    Analysis of 26 cases with thyreotoxic crisis following surgery on an anatomo-clinical basis shows an extensive lesional polymorphism in the stroma and the parenchyma of the thyroid gland, indicating the absence of morphologic remission after preoperative preparation. Prolonged preoperative treatment, following evident clinical improvement, may avoid the development of postoperative crisis. Read More

    Propranolol in the treatment of thyrotoxicosis: a review.
    Postgrad Med J 1976 ;52 Suppl 4:157-61
    The clinical manifestations of hyperthyroidism have suggested to physicians for many years that the sympathetic nervous system may be involved in their production. Despite this, the precise interrelationship between the thyroid gland and the sympathetic nervous system has never been defined but controlled investigations have shown that hypersensitivity to catcholamines does not occur in animals or man with artificially produced thyrotoxicosis. In recent years beta-adrenoceptor blocking drugs, and in particular propranolol, have been used in patients with hyperthyroidism. Read More

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