Primavera A, Brusa G, Novello P
Institute of Clinical Neurology, University of Genoa, Italy.
Eur Neurol. 1990;30(4):186-8. doi: 10.1159/000117342.
Epilepsy is a rare but possible manifestation of thyrotoxicosis. The patient reported here developed recurrent, generalized and focal seizures, as presenting symptoms of a thyrotoxic encephalopathy. Intercritic EEG records showed triphasic waves. Seizures and signs of encephalopathy disappeared and the EEG reverted to normal only after treatment of the thyroid hyperfunction. It is concluded that thyroid function should be evaluated in cases of otherwise unexplained encephalopathy with untreatable seizures and triphasic waves.
癫痫是甲状腺毒症一种罕见但可能出现的表现。本文报道的患者出现反复发作的全身性和局灶性癫痫发作，作为甲状腺毒性脑病的首发症状。发作间期脑电图记录显示三相波。仅在治疗甲状腺功能亢进后，癫痫发作和脑病体征消失，脑电图恢复正常。结论是，对于原因不明的伴有难以治疗的癫痫发作和三相波的脑病患者，应评估其甲状腺功能。
