{"id":"https://openalex.org/W30548580","doi":null,"title":"Thyrotoxicosis presenting as acute bulbar palsy.","display_name":"Thyrotoxicosis presenting as acute bulbar palsy.","publication_year":2011,"publication_date":"2011-06-01","ids":{"openalex":"https://openalex.org/W30548580","mag":"30548580","pmid":"https://pubmed.ncbi.nlm.nih.gov/21751598"},"language":"en","primary_location":{"id":"pmid:21751598","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21751598","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of the Association of Physicians of India","raw_type":"Case Reports"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041464052","display_name":"Betsy Mathew","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210145302","display_name":"St.John's Medical College Hospital","ror":"https://ror.org/04z7fc725","country_code":"IN","type":"education","lineage":["https://openalex.org/I4210129261","https://openalex.org/I4210145302"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Betsy Mathew","raw_affiliation_strings":["Department of General Medicine, St. Johns Medical Colege and Hospital, Bangalore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Medicine, St. Johns Medical Colege and Hospital, Bangalore","institution_ids":["https://openalex.org/I4210145302"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002377138","display_name":"Anup Joseph Devasia","orcid":"https://orcid.org/0000-0002-3587-8601","observed_orcids":["https://orcid.org/0000-0002-3587-8601"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Anup J Devasia","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Vaggesh Ayyar","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vaggesh Ayyar","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037002244","display_name":"Vijayasree Thyagaraj","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vijayasree Thyagaraj","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5110208483","display_name":"Geetha Ann Francis","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Geetha Ann Francis","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.4108,"has_fulltext":false,"cited_by_count":16,"citation_normalized_percentile":{"value":0.64743735,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"59","issue":null,"first_page":"386","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10293","display_name":"Thyroid Disorders and Treatments","score":0.7846999764442444,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10293","display_name":"Thyroid Disorders and Treatments","score":0.7846999764442444,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11538","display_name":"Ophthalmology and Eye Disorders","score":0.15489999949932098,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11728","display_name":"Thyroid and Parathyroid Surgery","score":0.02500000037252903,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/thyrotoxicosis","display_name":"thyrotoxicosis","score":1.0},{"id":"https://openalex.org/keywords/graves-disease","display_name":"Graves' disease","score":0.9100000262260437},{"id":"https://openalex.org/keywords/bulbar-palsy","display_name":"bulbar palsy","score":0.8560000061988831},{"id":"https://openalex.org/keywords/dysphagia","display_name":"dysphagia","score":0.9440000057220459},{"id":"https://openalex.org/keywords/dysphonia","display_name":"dysphonia","score":0.9929999709129333},{"id":"https://openalex.org/keywords/aspiration","display_name":"aspiration","score":0.9760000109672546},{"id":"https://openalex.org/keywords/hyperthyroidism","display_name":"hyperthyroidism","score":0.875},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.7459999918937683}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9786103963851929},{"id":"https://openalex.org/C2780596822","wikidata":"https://www.wikidata.org/wiki/Q623289","display_name":"Dysphagia","level":2,"score":0.8897840976715088},{"id":"https://openalex.org/C137627325","wikidata":"https://www.wikidata.org/wiki/Q156318","display_name":"Etiology","level":2,"score":0.8259900808334351},{"id":"https://openalex.org/C2780527005","wikidata":"https://www.wikidata.org/wiki/Q2060353","display_name":"Bulbar palsy","level":2,"score":0.7603329420089722},{"id":"https://openalex.org/C2777300911","wikidata":"https://www.wikidata.org/wiki/Q692536","display_name":"Myopathy","level":2,"score":0.5959477424621582},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.5594301223754883},{"id":"https://openalex.org/C2780801072","wikidata":"https://www.wikidata.org/wiki/Q837512","display_name":"Differential diagnosis","level":2,"score":0.4916260838508606},{"id":"https://openalex.org/C2778097013","wikidata":"https://www.wikidata.org/wiki/Q68212673","display_name":"Palsy","level":3,"score":0.46478745341300964},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.352524995803833},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.25751757621765137},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.18910393118858337},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000208","descriptor_name":"Acute Disease","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000319","descriptor_name":"Adrenergic beta-Antagonists","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D002231","descriptor_name":"Carbimazole","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D003680","descriptor_name":"Deglutition Disorders","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D003937","descriptor_name":"Diagnosis, Differential","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010244","descriptor_name":"Bulbar Palsy, Progressive","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D010244","descriptor_name":"Bulbar Palsy, Progressive","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D010244","descriptor_name":"Bulbar Palsy, Progressive","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D011433","descriptor_name":"Propranolol","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D013956","descriptor_name":"Antithyroid Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D013960","descriptor_name":"Thyroid Function Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013971","descriptor_name":"Thyrotoxicosis","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D013971","descriptor_name":"Thyrotoxicosis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D013971","descriptor_name":"Thyrotoxicosis","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055154","descriptor_name":"Dysphonia","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:21751598","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21751598","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of the Association of Physicians of India","raw_type":"Case Reports"},{"id":"mag:30548580","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21751598","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":132,"referenced_works":["https://openalex.org/W962052387","https://openalex.org/W1521563970","https://openalex.org/W1555654520","https://openalex.org/W1586210396","https://openalex.org/W1817917437","https://openalex.org/W1890255919","https://openalex.org/W1918027543","https://openalex.org/W1939946462","https://openalex.org/W1941138517","https://openalex.org/W1967249468","https://openalex.org/W1972389555","https://openalex.org/W1975072114","https://openalex.org/W1978460527","https://openalex.org/W1979090002","https://openalex.org/W1979471273","https://openalex.org/W1980295643","https://openalex.org/W1980512687","https://openalex.org/W1981052020","https://openalex.org/W1982078028","https://openalex.org/W1988978438","https://openalex.org/W1990227293","https://openalex.org/W1991056941","https://openalex.org/W1991162692","https://openalex.org/W1993706336","https://openalex.org/W1994079415","https://openalex.org/W1994404723","https://openalex.org/W1995229645","https://openalex.org/W1997339787","https://openalex.org/W2001951399","https://openalex.org/W2002308789","https://openalex.org/W2002438043","https://openalex.org/W2002622989","https://openalex.org/W2005323891","https://openalex.org/W2008527819","https://openalex.org/W2010409614","https://openalex.org/W2010410145","https://openalex.org/W2010737673","https://openalex.org/W2017120735","https://openalex.org/W2017435031","https://openalex.org/W2019153085","https://openalex.org/W2022007497","https://openalex.org/W2025827978","https://openalex.org/W2027217648","https://openalex.org/W2030473466","https://openalex.org/W2030551333","https://openalex.org/W2031647166","https://openalex.org/W2031675290","https://openalex.org/W2035356920","https://openalex.org/W2038512027","https://openalex.org/W2039191702","https://openalex.org/W2040452815","https://openalex.org/W2042349555","https://openalex.org/W2042839797","https://openalex.org/W2043380212","https://openalex.org/W2046627081","https://openalex.org/W2046854220","https://openalex.org/W2049401592","https://openalex.org/W2050385053","https://openalex.org/W2050701851","https://openalex.org/W2052098392","https://openalex.org/W2057581154","https://openalex.org/W2064922798","https://openalex.org/W2064978553","https://openalex.org/W2066371393","https://openalex.org/W2066392228","https://openalex.org/W2066751287","https://openalex.org/W2068568965","https://openalex.org/W2068916684","https://openalex.org/W2075291842","https://openalex.org/W2076220903","https://openalex.org/W2076587628","https://openalex.org/W2079089760","https://openalex.org/W2079609118","https://openalex.org/W2080109550","https://openalex.org/W2081080567","https://openalex.org/W2084335435","https://openalex.org/W2087560312","https://openalex.org/W2088273716","https://openalex.org/W2090003718","https://openalex.org/W2093281361","https://openalex.org/W2095004208","https://openalex.org/W2098183783","https://openalex.org/W2098586364","https://openalex.org/W2099407632","https://openalex.org/W2105244370","https://openalex.org/W2107988120","https://openalex.org/W2119847241","https://openalex.org/W2121299956","https://openalex.org/W2122367477","https://openalex.org/W2123573371","https://openalex.org/W2125196794","https://openalex.org/W2125713429","https://openalex.org/W2126774581","https://openalex.org/W2127686290","https://openalex.org/W2135457199","https://openalex.org/W2136868885","https://openalex.org/W2148583445","https://openalex.org/W2148676055","https://openalex.org/W2152508822","https://openalex.org/W2153720415","https://openalex.org/W2153865973","https://openalex.org/W2160664367","https://openalex.org/W2164881750","https://openalex.org/W2167801466","https://openalex.org/W2169373397","https://openalex.org/W2176038513","https://openalex.org/W2179827150","https://openalex.org/W2233857184","https://openalex.org/W2306015672","https://openalex.org/W2343938601","https://openalex.org/W2346911215","https://openalex.org/W2417811962","https://openalex.org/W2462591281","https://openalex.org/W2465316333","https://openalex.org/W2468699119","https://openalex.org/W2472915319","https://openalex.org/W2473619759","https://openalex.org/W2473818331","https://openalex.org/W2477346460","https://openalex.org/W2534957084","https://openalex.org/W2555570490","https://openalex.org/W2557847767","https://openalex.org/W2561211914","https://openalex.org/W2565611254","https://openalex.org/W2594678320","https://openalex.org/W2594683771","https://openalex.org/W2597542119","https://openalex.org/W2610851752","https://openalex.org/W2621361823","https://openalex.org/W2719167248","https://openalex.org/W2761601763","https://openalex.org/W7075679483"],"related_works":["https://openalex.org/W4283014442","https://openalex.org/W267534826","https://openalex.org/W2142463677","https://openalex.org/W4415451425","https://openalex.org/W2093283831","https://openalex.org/W2144479852","https://openalex.org/W4310398755","https://openalex.org/W4401942450","https://openalex.org/W2009282640","https://openalex.org/W2402313039"],"abstract_inverted_index":{"Myopathy":[0],"chiefly":[1],"affecting":[2],"the":[3,7,29,77],"proximal":[4],"muscles":[5],"of":[6,31,45,63,80,82],"limbs":[8],"is":[9,23,67],"frequently":[10],"seen":[11],"in":[12,25,76],"hyperthyroidism.":[13,64],"But":[14],"isolated":[15],"acute":[16],"bulbar":[17],"palsy":[18],"without":[19],"skeletal":[20],"muscle":[21],"involvement":[22],"rare":[24],"thyrotoxicosis.":[26,53],"We":[27],"report":[28],"case":[30,66],"a":[32],"52":[33],"year":[34],"old":[35],"man":[36],"who":[37],"presented":[38],"with":[39,61],"severe":[40],"dysphagia,":[41],"dysphonia":[42],"and":[43],"bouts":[44],"aspiration.":[46],"Laboratory":[47],"testing":[48],"revealed":[49],"an":[50],"underlying":[51],"Graves'":[52],"His":[54],"symptoms":[55],"recovered":[56],"dramatically":[57],"within":[58],"6":[59],"weeks":[60],"treatment":[62],"This":[65],"reported":[68],"to":[69],"emphasize":[70],"that":[71],"thyrotoxicosis":[72],"should":[73],"be":[74],"considered":[75],"differential":[78],"diagnosis":[79],"dysphagia":[81],"obscure":[83],"etiology.":[84]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":4},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":4},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2012,"cited_by_count":2}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}