DOI: 10.36347/sajb.2017.v05i07.006

Pages: 503-505

Graves’ disease of thyroid occasionally requires surgical thyroidectomy for cure. In a well controlled (euthyroidised) patient with antithyroid drugs and beta blockers, it is a straight forward operation with uneventful outcome when managed by an experienced surgeon-anesthestic team. But, unlike non-toxic goiters, minor cardiac and hemodynamic events are a norm than exception during surgery for Graves’ disease. In this case report, we highlight a turbulent intraoperative course with hypertensive crisis in a 43 year old patient, who was well controlled and non-hypertensive pre-operatively. We also discuss the probable underlying pathophysiology and management options through this interesting case.