Background: Thyroid storm is a life-threatening manifestation of thyrotoxicosis and presents with fever, diaphoresis, tachycardia, hypertension, and widened pulse pressure. Case presentation: We present a case of intraoperative thyroid storm in a 12-year-old female undergoing posterior spinal fusion. Despite adequate depth of anesthesia and analgesia, the patient was persistently tachycardic and hypertensive. The surgical procedure was uneventful. A thyroid panel drawn immediately after surgery showed undetectable thyroid stimulating hormone (TSH) and high free thyroxine (T4) consistent with thyroid storm. Conclusions: Intraoperative thyroid storm in a pediatric patient is extremely rare with nonspecific clinical symptoms. Low to undetectable TSH and elevated free T4 is diagnostic.
CITATION STYLE
Schaefer, A. W., Solorzano, P. J., Mavarez, A. C., & Muñoz-Monaco, G. M. (2022). Diagnosis and management of intraoperative thyroid storm in a child with undiagnosed Graves’ disease: a case report. JA Clinical Reports, 8(1). https://doi.org/10.1186/s40981-022-00543-2
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