甲状腺功能亢进症过程中的高钙血症性脑病。

Hypercalcemic encephalopathy in the course of hyperthyroidism.

作者信息

Juvarra G, Bettoni L, Olivieri M F, Bortone E, Cavatorta A

出版信息

Eur Neurol. 1985;24(2):121-7. doi: 10.1159/000115772.

Abstract

A hypercalcemic condition can be observed in association with hyperthyroidism. The case of a patient suffering from hypercalcemia and hyperthyroidism is reported. A confusional state and EEG alterations, among which diffuse monomorphic delta rhythms were remarkable, are shown. As soon as normalization of calcemia was achieved, a rapid clinical and EEG improvement took place. A hypothetical interpretation is proposed, according to which a prolonged, though inconstant, and mild hypercalcemia in the course of hyperthyroidism could determine an encephalopathy, concealing in some way thyrotoxic symptoms.

摘要

甲状腺功能亢进症可伴有高钙血症。本文报道了一例患有高钙血症和甲状腺功能亢进症的患者。患者出现意识模糊状态和脑电图改变，其中弥漫性单形性δ波节律显著。血钙水平一旦恢复正常，临床症状和脑电图就迅速改善。本文提出了一种假设性解释，即甲状腺功能亢进症过程中持续时间较长但不恒定且轻微的高钙血症可能导致脑病，在某种程度上掩盖了甲状腺毒症症状。