Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report

Detalhes bibliográficos
Autor(a) principal: Bazan, Rodrigo [UNESP]
Data de Publicação: 2017
Outros Autores: Fernandes, Thiago Dias [UNESP], Ferreira da Silva Mazeto, Glaucia Maria [UNESP], Alencar Marques, Mariangela Esther [UNESP], Braga, Gabriel Pereira [UNESP], Luvizutto, Gustavo Jose, Zanati Bazan, Silmeia Garcia [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1159/000479730
http://hdl.handle.net/11449/164423
Resumo: We report a case of a male patient with stroke caused by atrial fibrillation (AF) due to thyrotoxicosis. At hospital admission, he presented hypertension and AF. Magnetic resonance imaging confirmed a right-side ischemic area. The thyrotoxicosis was confirmed by thyroid function and thyroid scintigraphy that showed goiter with diffuse hypercaptation. The patient was treated with tapazole and total thyroidectomy, and pathological findings suggested Graves' disease. Hyperthyroidism is associated with increased supraventricular ectopic activity in patients with a normal heart, and may be an important causal link between hyperthy- roidism and AF. The patient experienced significant clinical improvement, but presented long-term neuropsychiatric disorders. (C) 2017 The Author(s) Published by S. Karger AG, Basel
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spelling Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case ReportStrokeAtrial fibrillationThyrotoxicosisTotal thyroidectomyWe report a case of a male patient with stroke caused by atrial fibrillation (AF) due to thyrotoxicosis. At hospital admission, he presented hypertension and AF. Magnetic resonance imaging confirmed a right-side ischemic area. The thyrotoxicosis was confirmed by thyroid function and thyroid scintigraphy that showed goiter with diffuse hypercaptation. The patient was treated with tapazole and total thyroidectomy, and pathological findings suggested Graves' disease. Hyperthyroidism is associated with increased supraventricular ectopic activity in patients with a normal heart, and may be an important causal link between hyperthy- roidism and AF. The patient experienced significant clinical improvement, but presented long-term neuropsychiatric disorders. (C) 2017 The Author(s) Published by S. Karger AG, BaselUniv Estadual Paulista, Botucatu Sch Med, Dept Neurol Psychol & Psychiat, Sao Paulo, BrazilUniv Estadual Paulista, Botucatu Sch Med, Dept Internal Med, Sao Paulo, BrazilUniv Estadual Paulista, Botucatu Sch Med, Dept Pathol, Sao Paulo, BrazilUniv Fed Triangulo Mineiro, Inst Hlth Sci, Dept Appl Phys Therapy, Casa Terra,Rua Capitao Domingos 309, BR-38025010 Uberaba, MG, BrazilUniv Estadual Paulista, Botucatu Sch Med, Dept Neurol Psychol & Psychiat, Sao Paulo, BrazilUniv Estadual Paulista, Botucatu Sch Med, Dept Internal Med, Sao Paulo, BrazilUniv Estadual Paulista, Botucatu Sch Med, Dept Pathol, Sao Paulo, BrazilKargerUniversidade Estadual Paulista (Unesp)Univ Fed Triangulo MineiroBazan, Rodrigo [UNESP]Fernandes, Thiago Dias [UNESP]Ferreira da Silva Mazeto, Glaucia Maria [UNESP]Alencar Marques, Mariangela Esther [UNESP]Braga, Gabriel Pereira [UNESP]Luvizutto, Gustavo JoseZanati Bazan, Silmeia Garcia [UNESP]2018-11-26T17:54:29Z2018-11-26T17:54:29Z2017-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article228-233application/pdfhttp://dx.doi.org/10.1159/000479730Case Reports In Neurology. Basel: Karger, v. 9, n. 3, p. 228-233, 2017.1662-680Xhttp://hdl.handle.net/11449/16442310.1159/000479730WOS:000438559100002WOS000438559100002.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengCase Reports In Neurologyinfo:eu-repo/semantics/openAccess2023-12-20T06:24:26Zoai:repositorio.unesp.br:11449/164423Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-12-20T06:24:26Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
title Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
spellingShingle Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
Bazan, Rodrigo [UNESP]
Stroke
Atrial fibrillation
Thyrotoxicosis
Total thyroidectomy
title_short Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
title_full Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
title_fullStr Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
title_full_unstemmed Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
title_sort Stroke in a Young Man Secondary to Paroxysmal Atrial Fibrillation and Thyrotoxicosis: A Case Report
author Bazan, Rodrigo [UNESP]
author_facet Bazan, Rodrigo [UNESP]
Fernandes, Thiago Dias [UNESP]
Ferreira da Silva Mazeto, Glaucia Maria [UNESP]
Alencar Marques, Mariangela Esther [UNESP]
Braga, Gabriel Pereira [UNESP]
Luvizutto, Gustavo Jose
Zanati Bazan, Silmeia Garcia [UNESP]
author_role author
author2 Fernandes, Thiago Dias [UNESP]
Ferreira da Silva Mazeto, Glaucia Maria [UNESP]
Alencar Marques, Mariangela Esther [UNESP]
Braga, Gabriel Pereira [UNESP]
Luvizutto, Gustavo Jose
Zanati Bazan, Silmeia Garcia [UNESP]
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
Univ Fed Triangulo Mineiro
dc.contributor.author.fl_str_mv Bazan, Rodrigo [UNESP]
Fernandes, Thiago Dias [UNESP]
Ferreira da Silva Mazeto, Glaucia Maria [UNESP]
Alencar Marques, Mariangela Esther [UNESP]
Braga, Gabriel Pereira [UNESP]
Luvizutto, Gustavo Jose
Zanati Bazan, Silmeia Garcia [UNESP]
dc.subject.por.fl_str_mv Stroke
Atrial fibrillation
Thyrotoxicosis
Total thyroidectomy
topic Stroke
Atrial fibrillation
Thyrotoxicosis
Total thyroidectomy
description We report a case of a male patient with stroke caused by atrial fibrillation (AF) due to thyrotoxicosis. At hospital admission, he presented hypertension and AF. Magnetic resonance imaging confirmed a right-side ischemic area. The thyrotoxicosis was confirmed by thyroid function and thyroid scintigraphy that showed goiter with diffuse hypercaptation. The patient was treated with tapazole and total thyroidectomy, and pathological findings suggested Graves' disease. Hyperthyroidism is associated with increased supraventricular ectopic activity in patients with a normal heart, and may be an important causal link between hyperthy- roidism and AF. The patient experienced significant clinical improvement, but presented long-term neuropsychiatric disorders. (C) 2017 The Author(s) Published by S. Karger AG, Basel
publishDate 2017
dc.date.none.fl_str_mv 2017-01-01
2018-11-26T17:54:29Z
2018-11-26T17:54:29Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1159/000479730
Case Reports In Neurology. Basel: Karger, v. 9, n. 3, p. 228-233, 2017.
1662-680X
http://hdl.handle.net/11449/164423
10.1159/000479730
WOS:000438559100002
WOS000438559100002.pdf
url http://dx.doi.org/10.1159/000479730
http://hdl.handle.net/11449/164423
identifier_str_mv Case Reports In Neurology. Basel: Karger, v. 9, n. 3, p. 228-233, 2017.
1662-680X
10.1159/000479730
WOS:000438559100002
WOS000438559100002.pdf
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Case Reports In Neurology
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 228-233
application/pdf
dc.publisher.none.fl_str_mv Karger
publisher.none.fl_str_mv Karger
dc.source.none.fl_str_mv Web of Science
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
_version_ 1799965350648872960

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