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Thyroid storm following suicide attempt by hanging
J M Shrum1, B Byers2, K Parhar3
1Department of Internal Medicine, University of Calgary, Calgary, Alberta, Canada.
BMJ Case Reports
|July 11, 2014
Summary
Trauma-induced thyroid storm is a rare complication of neck trauma, such as hanging. Prompt diagnosis and traditional hyperthyroid treatments can effectively manage this condition.
Area of Science:
- Endocrinology
- Trauma Medicine
- Emergency Medicine
Background:
- Thyroid storm is a life-threatening exacerbation of thyrotoxicosis.
- Neck trauma can potentially trigger thyroid dysfunction.
- Uncommon complications require thorough investigation.
Observation:
- A 19-year-old female presented with asphyxiation and cardiac arrest post-suicide attempt by hanging.
- Persistent hypertension, tachycardia, and agitation were noted despite sedation.
- Thyroid function tests revealed progressive thyrotoxicosis.
Findings:
- Imaging indicated thyroid inflammation due to traumatic pressure from hanging.
- The patient was diagnosed with trauma-induced thyroid storm.
- Treatment with beta-blockers and a thionamide resolved the condition.
Implications:
- Trauma-induced thyroid storm should be considered in patients with blunt neck injuries and hypermetabolic symptoms.
- Standard hyperthyroid treatments are effective for this condition.
- Highlights the importance of considering endocrine emergencies in trauma patients.
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