Thyroid Storm with Acute Flaccid Quadriparesis due to Thyrotoxic Myopathy: A Case Report

Hwee Ching Tee; Serena Sert Kim Khoo; Yin Khet Fung

doi:10.15605/jafes.035.01.20

Authors

Hwee Ching Tee Queen Elizabeth Hospital II
Serena Sert Kim Khoo Queen Elizabeth Hospital II https://orcid.org/0000-0001-7918-0929
Yin Khet Fung Queen Elizabeth Hospital II https://orcid.org/0000-0003-3448-4077

DOI:

https://doi.org/10.15605/jafes.035.01.20

Keywords:

Thyroid storm, quadriplegia, thyrotoxic myopathy, Grave’s disease

Abstract

Thyrotoxicosis is a well-recognized cause of myopathy, but rarely presents as acute flaccid quadriparesis. We report a 25-year-old female with underlying uncontrolled Graves’ disease who presented with thyroid storm and acute flaccid quadriparesis due to thyrotoxic myopathy. She showed marked clinical improvement with subsequent normalization of her thyroid parameters. Besides highlighting this rare association, this report underscores the importance of considering thyrotoxic myopathy in the evaluation of patients with acute flaccid quadriparesis.

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Author Biographies

Hwee Ching Tee, Queen Elizabeth Hospital II

General Physician/Endocrinology Trainee

Department of Endocrinology

Serena Sert Kim Khoo, Queen Elizabeth Hospital II

Department of Endocrinology

Yin Khet Fung, Queen Elizabeth Hospital II

Department of Endocrinology

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