intracerebral bleeding and massive pericardial effusion as presenting symptoms of myxedema crisis

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2017
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Abstract
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.
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kirsch2017caseintracerebral Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;M. Kirsch;C. Rimpau;C. H. Nickel;P. Baier
Journal Ecology letters
Year 2017
DOI
10.1155/2017/8512147
URL
http://dx.doi.org/10.1155/2017/8512147
Keywords
critical care first aid intensive care medical emergencies

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