Aneurysmal subarachnoid haemorrhage in a patient with thyrotoxicosis

A case of subarachnoid haemorrhage secondary to rupture of an intracranial aneurysm occurring in a patient with new-onset, frank thyrotoxicosis is described. This unusual case highlights the dilemma of whether to continue beta-blockers such as propanolol for frank thyrotoxicosis, or whether to assig...

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Bibliographic Details
Published in:British journal of neurosurgery 2006-06, Vol.20 (3), p.165-168
Main Authors: Bhatia, R., Hughes, D., Crocker, M., Strong, A. J.
Format: Article
Language:English
Subjects:
Adult
Aneurysm, Ruptured - complications
Aneurysm, Ruptured - surgery
Biological and medical sciences
Clinical outcomes
Drug therapy
Hemorrhage
Humans
Intracranial Aneurysm - complications
Intracranial Aneurysm - diagnostic imaging
Intracranial Aneurysm - surgery
Male
Medical sciences
Medical treatment
Neurosurgery
Subarachnoid Hemorrhage - etiology
Subarachnoid Hemorrhage - therapy
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Thyroid diseases
Thyrotoxicosis - complications
Thyrotoxicosis - therapy
Tomography, X-Ray Computed
Vasospasm, Intracranial - complications
Vasospasm, Intracranial - therapy
Veins & arteries
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Summary:A case of subarachnoid haemorrhage secondary to rupture of an intracranial aneurysm occurring in a patient with new-onset, frank thyrotoxicosis is described. This unusual case highlights the dilemma of whether to continue beta-blockers such as propanolol for frank thyrotoxicosis, or whether to assign higher priority to maintaining adequate cerebral perfusion pressure in established ischaemic deficit due to vasospasm. In a complicated case such as this, the Maudsley Mentation Test score and perfusion CT scanning are two useful adjuncts for the early detection and evaluation of the course of ischaemic deficit.
ISSN:0268-8697
1360-046X
DOI:10.1080/02688690600777133