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Updated: Jun 28, 2026

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
[Transient paraparesis due to thyrotoxicosis]
Oleg Shafir1, Eduard Spivak, Avi Ohry
1Section of Rehabilitation Medicine, Reuth Medical Center, Tel Aviv.
Abstract:
A 70-year old woman was admitted with an acute nontraumatic paraparesis. She enjoyed complete independence in all activities of daily living, although she had essential hypertension, dyslipidemia, mild depression and urinary frequency. In the past, the patient underwent a total right knee replacement and removal of right eye cataract. Neurological and radiological investigations excluded any cause for spinal cord compression. Enlarged thyroid gland which was seen on cervical MR scanning was left unnoticed. The diagnosis was made: a spinal stroke. After admission to the rehabilitation ward, full thyroid gland function investigations were conducted. Lower limbs weakness totally subsided when therapy was provided.
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