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[一名青少年在接受甲状腺乳头状癌手术后及¹³¹I放疗后发生桥本脑病:一例报告]

[An adolescent with Hashimoto's encephalopathy after surgery and ¹³¹I radiotherapy for papillary thyroid carcinoma: one case report].

作者信息

Pang Y J, Zhang J Y, Chen X H, Dong Z, Wu S F, Zhang F F, Gao J L

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Feb 5;31(3):235-236. doi: 10.13201/j.issn.1001-1781.2017.03.018.

DOI:10.13201/j.issn.1001-1781.2017.03.018
PMID:29871232
Abstract

Hashimoto's encephalopathy is a rare brain disease. Its etiology is still unknown. In this paper, we reported a 15-year-old female patient underwent total thyroidectomy and lymph node dissection, due to a multifocal papilliferous carcinoma of the right lobus. Forty-two days after surgery, the patient was treated by ¹³¹I radiotherapy in another hospital and begun to have a headache after 48 hours. At last, the patient was diagnosed by HE on the basis of all considerations. She recovered from by i.v. Immunoglobulin. Till now, the patient has not relapsed for more than 4 years follow-up.

摘要

桥本脑病是一种罕见的脑部疾病。其病因仍不明。在本文中,我们报告了一名15岁女性患者,因右叶多灶性乳头状癌接受了甲状腺全切除术和淋巴结清扫术。术后42天,患者在另一家医院接受¹³¹I放射治疗,48小时后开始出现头痛。最后,综合各方面考虑,该患者被诊断为桥本脑病。她通过静脉注射免疫球蛋白后康复。截至目前,经过4年多的随访,该患者未复发。

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