ECE2016 Eposter Presentations Thyroid (non-cancer) (120 abstracts)
Secondary hypothyroidism and the tarsal tunnel syndrome
Blertina Dyrmishi 1 , Taulant Olldashi 1 , Neritan Borici 1 , Thanas Fureraj 2 & Agron Ylli 2
1Hygeia Hospital Tirana, Tirana, Albania; 2UHC “Mother Tirana”, Tirana, Albania.
Clinical Case: We referred one case with primary hypothyroidism and tarsal tunnel syndrome. The boy 11 6/12 years old was presents in our clinic with fatigue, obesity, difficulty during walking, low performance in school, hyposthenia and dementia. His weight was 48 kg +3.8 DS; height 153 cm +2 DS; the patient has bilateral symptoms of the tarsal tunnel syndrome and his foot symptom was aggravated by walking. The hormonal values were: TSH 2.3 mUI/ml (0.35–4.04); FT4 0.54 ng/dl (0.93–1.7); FT3 1.97 ng/dl (2.3–4.2); Ac anti TPO 12.2 UI/ml; Ac anti Thyroglobulin 24 UI/ml, Thyroid ultrasound: Isoecogenic structure in both lobes of thyroid. MRI of head: Normal; The electro diagnostic study show evidence of bilateral tarsal tunnel syndrome (examination show chronic diffuse suffering of neurologic type of central origin with normal distal motor latencies bilaterally. Compression of tibial nerve in the tarsal tunnel. The patient begin the treatment with levothyroxine and after 6 months of treatment the FT3 and FT4 was normal; FT4 1.17 ng/dl; FT3 3.4 ng/dl; but the tarsal syndrome is not improved and he was underwent surgical treatment for tarsal tunnel release.
Conclusion: Prolonged untreated hypothyroidism may have neurological complication including tarsal tunnel syndrome
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