Kim J Y, Kim B S, Kang J H
Int J Cardiol. 2001 Aug;80(1):101-3. doi: 10.1016/s0167-5273(01)00475-2.
A 37-year-old Korean woman was admitted at 31 weeks gestation with exertional dyspnea. Three years ago she was diagnosed as having Graves' disease. Thyrotoxicosis-induced dilated cardiomyopathy was diagnosed by echocardiography. During management, a first attack of seizure occurred. Brain MRI and MRA showed occlusion of both internal carotid arteries, which confirmed the diagnosis of Moyamoya disease. Coexistence of dilated cardiomyopathy in thyrotoxicosis and Moyamoya disease is rare and the pathogenic correlation is discussed.
一名37岁的韩国女性在妊娠31周时因劳力性呼吸困难入院。三年前，她被诊断为格雷夫斯病。通过超声心动图诊断为甲状腺毒症性扩张型心肌病。在治疗过程中，首次发作癫痫。脑部MRI和MRA显示双侧颈内动脉闭塞，这证实了烟雾病的诊断。甲状腺毒症性扩张型心肌病与烟雾病并存的情况罕见，本文对其发病机制的相关性进行了讨论。
