[内分泌疾病中的下丘脑 - 中脑危象]

[Hypothalamo-mesencephalic crises in endocrine diseases].

作者信息

Prikhozhan V M, Gaĭdina G A, Kozlov G I

出版信息

Probl Endokrinol (Mosk). 1988 Nov-Dec;34(6):38-42.

Abstract

Altogether 261 patients with different vegetative crises were investigated by clinico-neurologic, electro-, rheo-, echoencephalographic methods. The most frequent causes of crises (in 140 patients) were disorders of the hypothalamic and hypothalamo-mesencephalic sections of the brain. In the rest of the patients crises were caused by neuroses, disorders of the caudal zones of the brain stem and temporal region, pheochromocytoma, insulinoma, primary hyperaldosteronism, hypoparathyroidism and other diseases. Criteria of differential diagnosis of hypothalamic crises and crises in neuroses, disorders of the distal sections of the brain stem and temporal lobe epilepsy were specified. Some new, quite informative clinico-neurological and rheo- and electroencephalographic criteria were proposed for the differentiation of hypothalamic crises and crises in pheochromocytoma, insulinoma and primary hyperaldosteronism.

摘要

采用临床神经学、脑电图、脑血流图、脑超声图等方法，对261例不同类型植物神经危象患者进行了研究。危象最常见的病因（140例患者）是下丘脑及下丘脑 - 中脑部分的功能紊乱。其余患者的危象由神经症、脑干尾端区域和颞叶病变、嗜铬细胞瘤、胰岛素瘤、原发性醛固酮增多症、甲状旁腺功能减退及其他疾病引起。明确了下丘脑危象与神经症、脑干远端病变及颞叶癫痫所致危象的鉴别诊断标准。提出了一些新的、颇具信息价值的临床神经学、脑血流图和脑电图标准，用于鉴别下丘脑危象与嗜铬细胞瘤、胰岛素瘤及原发性醛固酮增多症所致危象。