Drouet A, Guilloton L, Jacquin O, Renoult P A, Felten D
Service de Neurologie, Hôpital d'Instruction des Armées Desgenettes, Lyon.
Rev Neurol (Paris). 2003 Jul;159(6-7 Pt 1):673-7.
A 55-year-old woman presented first episode of paraplegia at D6 level with a marked improvement of neurological signs, but relapse occurred five months later. Hashimoto's thyroiditis with euthyroidism was found. Long-term 9 months treatment with oral corticosteroids was applied. Also she was able to walk with help. Two years after the second palsy she developed a new paraplegia at D6 level with a severe residual deficit five months later in spite of oral corticosteroids. Thyroid antibodies remained positive. Devic's disease without optica neuritis associated with thyroiditis or spinal cord localisation of Hashimoto's encephalopathy was discussed.
一名55岁女性首次出现D6水平截瘫，神经体征明显改善，但5个月后复发。发现患有甲状腺功能正常的桥本甲状腺炎。给予口服皮质类固醇9个月的长期治疗。她在他人帮助下也能够行走。第二次截瘫两年后，她再次出现D6水平截瘫，尽管接受了口服皮质类固醇治疗，但5个月后仍遗留严重的神经功能缺损。甲状腺抗体仍为阳性。讨论了不伴有视神经炎的视神经脊髓炎谱系疾病与甲状腺炎或桥本脑病脊髓定位的相关性。
