An Atypical Case of Myxedema Coma with Concomitant Nonconvulsive SeizureReport as inadecuate




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Case Reports in Critical Care - Volume 2016 2016, Article ID 3438080, 4 pages -

Case Report

Department of Medicine, St. John’s Riverside Hospital, 967 N. Broadway, Yonkers, NY 10701, USA

Lake Erie College of Osteopathic Medicine, 1858 W Grandview Blvd, Erie, PA 16509, USA

Pulmonary and Critical Care, St. John’s Riverside Hospital, 967 N. Broadway, Yonkers, NY 10701, USA

Received 25 August 2016; Accepted 5 October 2016

Academic Editor: Chiara Lazzeri

Copyright © 2016 Pratik Patel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hypothyroidism is a prevalent condition in the general population that is treatable with appropriately dosed thyroid hormone replacement medication. Infrequently, patients will present with myxedema coma, characterized by hypothermia, hypotension, bradycardia, and altered mental status in the setting of severe hypothyroidism. Myxedema coma has also been known to manifest in a number of unusual and dangerous forms. Here, we present the case of a woman we diagnosed with an uncharacteristic expression of myxedema coma and nonconvulsive seizure complicated by a right middle cerebral artery infarct.





Author: Pratik Patel, Mikhael Bekkerman, Cristina Varallo-Rodriguez, and Rajendra Rampersaud

Source: https://www.hindawi.com/



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