Lazarus A, Jaffe R
Gen Hosp Psychiatry. 1986 Jan;8(1):29-31. doi: 10.1016/0163-8343(86)90061-7.
Psychoses due to thyrotoxicosis are typically affective in nature. We report on a schizophreniform psychosis in a woman with Graves' disease whose symptoms abated following subtotal thyroidectomy. Surgical thyroidectomy should be considered in thyrotoxic patients who are unresponsive to medical therapy or who manifest unremitting or life-threatening psychotic behavior, especially if long-term compliance required for medical therapy appears unlikely.
甲状腺毒症所致精神病本质上通常为情感性的。我们报告了1例患有格雷夫斯病的女性出现精神分裂症样精神病,其症状在甲状腺次全切除术后减轻。对于药物治疗无反应或出现持续或危及生命的精神病行为的甲状腺毒症患者,尤其是如果药物治疗所需的长期依从性似乎不太可能时,应考虑手术甲状腺切除术。