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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 56 - 60 (5page)
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Coexistence of moyamoya disease and Graves’ disease is rare. A 41-year-old woman presented with symptoms of left-sided hemiparesis and dysarthria. Magnetic resonance imaging and angiography revealed acute infarction of the right thalamus and occipital lobe with complete obstruction of the distal internal carotid arteries and obstruction of the right P2. Free thyroxine, thyroid-stimulating hormone (TSH), and TSH receptor antibody levels were 79.33 pmol/L, 0.007 uIU/mL, and 151.5 u/L, respectively. She received antiplatelet therapy and standard antithyroid drug dose. After admission, seizure and unexplained fever occurred. The thyroid storm score (Burch and Wartofsky scale) was 90 points. After intensive treatment, mental status and thyrotoxicosis- related symptoms ameliorated and vital signs stabilized. We describe a case of thyroid storm following cerebrovascular ischemic events in a Korean woman with moyamoya disease and Graves’ disease. Thyroid storm combined with cerebrovascular events can lead to severe morbidity and mortality. Prompt recognition and strict management are crucial.
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참고문헌 (17)
참고문헌 신청
Burch HB / 1993 / Life-threatening thyrotoxicosis / Thyroid storm. Endocrinol Metab Clin North Am 22 (2) : 263 ~ 277
Colleran KM / 2003 / Potential association of thyrotoxicosis with vitamin B and folate deficiencies, resulting in risk for hyperhomocysteinemia and subsequent thromboembolic
Hsu SW / 2006 / Rapidly progressive fatal bihemispheric infarction secondary to Moyamoya syndrome in association with Graves thyrotoxicosis / AJNR Am J Neuroradiol 27 (3) :
Im SH / 2005 / Moyamoya disease associated with Graves disease: special considerations regarding clinical significance and management / J Neurosurg 102 (6) : 1013 ~ 1017
Iso H / 2004 / Serum total homocysteine concentrations and risk of stroke and its subtypes in Japanese / Circulation 109 (22) : 2766 ~ 2772
Colleran KM / 2003 / Potential association of thyrotoxicosis with vitamin B and folate deficiencies, resulting in risk for hyperhomocysteinemia and subsequent thromboembolic
Hsu SW / 2006 / Rapidly progressive fatal bihemispheric infarction secondary to Moyamoya syndrome in association with Graves thyrotoxicosis / AJNR Am J Neuroradiol 27 (3) :
Im SH / 2005 / Moyamoya disease associated with Graves disease: special considerations regarding clinical significance and management / J Neurosurg 102 (6) : 1013 ~ 1017
Iso H / 2004 / Serum total homocysteine concentrations and risk of stroke and its subtypes in Japanese / Circulation 109 (22) : 2766 ~ 2772
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