Cerebrovascular Accident due to Thyroid Storm: Should We Anticoagulate?

Abstract EN

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.