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Stressful situations such as surgery or infection are the usual precipitating factors for myxoedema coma. The patient responded well to treatment with levothyroxin, 0.9% saline infusion and other general supportive measures. Judicious use of intravenous saline to correct hyponatraemia is important. Correction with 3% normal saline should be carried out with great caution, as rapid correction with 3% normal saline can lead to central pontine demyelination.<\/jats:p>","DOI":"10.1136\/bcr-2013-010066","type":"journal-article","created":{"date-parts":[[2014,2,13]],"date-time":"2014-02-13T11:20:33Z","timestamp":1392290433000},"page":"bcr2013010066","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Postoperative myxoedema coma"],"prefix":"10.1136","volume":"2014","author":[{"given":"Robert","family":"James","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessie","family":"James","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amarjit Singh","family":"Vij","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamaljeet Kaur","family":"Vij","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,2,13]]},"reference":[{"key":"2025042702382680000_2014.feb13_1.bcr2013010066.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(96)90539-9"},{"key":"2025042702382680000_2014.feb13_1.bcr2013010066.2","first-page":"36","volume":"2","author":"James","year":"2013","journal-title":"Indian J Med Case Rep"},{"key":"2025042702382680000_2014.feb13_1.bcr2013010066.3","doi-asserted-by":"publisher","DOI":"10.4103\/0972-5229.106510"},{"key":"2025042702382680000_2014.feb13_1.bcr2013010066.4","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(71)90322-6"},{"key":"2025042702382680000_2014.feb13_1.bcr2013010066.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)62563-9"},{"key":"2025042702382680000_2014.feb13_1.bcr2013010066.6","first-page":"1","article-title":"Osmotic and nonosmotic control of vasopressin release and the pathogenesis of impaired water excretion in adrenal, thyroid, and edematous disorders","volume":"98","author":"Schrier","year":"1981","journal-title":"J Lab Clin Med"},{"key":"2025042702382680000_2014.feb13_1.bcr2013010066.7","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(78)90581-8"},{"key":"2025042702382680000_2014.feb13_1.bcr2013010066.8","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2006030240"},{"key":"2025042702382680000_2014.feb13_1.bcr2013010066.9","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.159.1.79"},{"key":"2025042702382680000_2014.feb13_1.bcr2013010066.10","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-70-2-534"},{"key":"2025042702382680000_2014.feb13_1.bcr2013010066.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-2977(01)00081-X"},{"key":"2025042702382680000_2014.feb13_1.bcr2013010066.12","doi-asserted-by":"publisher","DOI":"10.1001\/archneurpsyc.1959.02340140020004"},{"key":"2025042702382680000_2014.feb13_1.bcr2013010066.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.semnephrol.2009.03.002"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-010066","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:38:31Z","timestamp":1745746711000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-010066"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2,13]]},"references-count":13,"alternative-id":["10.1136\/bcr-2013-010066"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-010066","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,2,13]]}}}