Intracerebral Bleeding and Massive Pericardial Effusion as Presenting Symptoms of Myxedema Crisis
Joint Authors
Nickel, Christian H.
Kirsch, M.
Rimpau, C.
Baier, P.
Source
Case Reports in Emergency Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-01
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
The endocrinological emergency of a fully blown myxedema crisis can present as a multicolored clinical picture.
This can obscure the underlying pathology and easily lead to mistakes in clinical diagnosis, work-up, and treatment.
We present a case of an unconscious 39-year-old patient with a medical history of weakness, lethargy, and findings of hyponatremia, intracerebral bleeding, and massive pericardial effusion.
Finally, myxedema crisis was diagnosed as underlying cause.
Replacement therapy of thyroid hormone and conservative management of the intracerebral bleeding resulted in patient’s survival without significant neurological impairment.
However, diagnostic pericardiocentesis resulted in life-threatening pericardial tamponade.
It is of tremendous importance to diagnose myxoedema crisis early to avoid adverse health outcomes.
American Psychological Association (APA)
Kirsch, M.& Rimpau, C.& Nickel, Christian H.& Baier, P.. 2017. Intracerebral Bleeding and Massive Pericardial Effusion as Presenting Symptoms of Myxedema Crisis. Case Reports in Emergency Medicine،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1145290
Modern Language Association (MLA)
Kirsch, M.…[et al.]. Intracerebral Bleeding and Massive Pericardial Effusion as Presenting Symptoms of Myxedema Crisis. Case Reports in Emergency Medicine No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1145290
American Medical Association (AMA)
Kirsch, M.& Rimpau, C.& Nickel, Christian H.& Baier, P.. Intracerebral Bleeding and Massive Pericardial Effusion as Presenting Symptoms of Myxedema Crisis. Case Reports in Emergency Medicine. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1145290
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145290