甲状腺功能减退所致可逆性脑病作为帕金森病中帕金森症和肌阵挛加重的原因
Hypothyroidism-induced Reversible Encephalopathy as a Cause of Aggravation of Parkinsonism and Myoclonus in Parkinson's Disease.
作者信息
Ehm Gwanhee, Kim Han-Joon, Jeon Beomseok
机构信息
Department of Neurology, National Medical Center, Seoul, Korea.
Department of Neurology, College of Medicine, Seoul National University, Seoul, Korea.
出版信息
Tremor Other Hyperkinet Mov (N Y). 2017 Oct 19;7:505. doi: 10.7916/D8BP0F9F. eCollection 2017.
BACKGROUND
Myoclonus and encephalopathy are unusual in patients with Parkinson's disease (PD).
CASE REPORT
We describe the case of a 59-year-old male with PD who developed myoclonus and encephalopathy. Underlying hypothyroidism was revealed after admission and treated with levothyroxine. Myoclonus and encephalopathy were completely resolved following thyroid hormone replacement.
DISCUSSION
Hypothyroidism can cause reversible myoclonus and encephalopathy along with unusual aggravation of parkinsonism symptoms in patients with PD.
背景
帕金森病（PD）患者出现肌阵挛和脑病并不常见。
病例报告
我们描述了一名59岁患帕金森病男性出现肌阵挛和脑病的病例。入院后发现潜在的甲状腺功能减退，并给予左甲状腺素治疗。甲状腺激素替代治疗后，肌阵挛和脑病完全缓解。
讨论
甲状腺功能减退可导致帕金森病患者出现可逆性肌阵挛和脑病，以及帕金森症状异常加重。
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