Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
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Data
2017-01-01
Autores
Bazan, Rodrigo [UNESP]
Fernandes, Thiago Dias [UNESP]
Ferreira da Silva Mazeto, Glaucia Maria [UNESP]
Alencar Marques, Mariangela Esther [UNESP]
Braga, Gabriel Pereira [UNESP]
Luvizutto, Gustavo Jose
Zanati Bazan, Silmeia Garcia [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Karger
Resumo
We report a case of a male patient with stroke caused by atrial fibrillation (AF) due to thyrotoxicosis. At hospital admission, he presented hypertension and AF. Magnetic resonance imaging confirmed a right-side ischemic area. The thyrotoxicosis was confirmed by thyroid function and thyroid scintigraphy that showed goiter with diffuse hypercaptation. The patient was treated with tapazole and total thyroidectomy, and pathological findings suggested Graves' disease. Hyperthyroidism is associated with increased supraventricular ectopic activity in patients with a normal heart, and may be an important causal link between hyperthy- roidism and AF. The patient experienced significant clinical improvement, but presented long-term neuropsychiatric disorders. (C) 2017 The Author(s) Published by S. Karger AG, Basel
Descrição
Palavras-chave
Stroke, Atrial fibrillation, Thyrotoxicosis, Total thyroidectomy
Como citar
Case Reports In Neurology. Basel: Karger, v. 9, n. 3, p. 228-233, 2017.