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下丘脑和原发性甲状腺功能减退症治疗后出现的假性脑瘤

Pseudotumor cerebri following treatment of hypothalamic and primary hypothyroidism.

作者信息

Huseman C A, Torkelson R D

出版信息

Am J Dis Child. 1984 Oct;138(10):927-31. doi: 10.1001/archpedi.1984.02140480029010.

DOI:10.1001/archpedi.1984.02140480029010
PMID:6475854
Abstract

Pseudotumor cerebri occurs in many diverse endocrine and nonendocrine disorders. We report what we believe is a new association following initiation of thyroxine (T4) replacement in hypothalamic hypothyroidism, as well as another occurrence following T4 replacement in primary hypothyroidism. The less than benign clinical course reported in these two patients suggests the need for careful neurologic and funduscopic evaluation during the initial months of T4 replacement in all cases of hypothyroidism.

摘要

假性脑瘤见于多种内分泌和非内分泌疾病。我们报告了我们认为在下丘脑性甲状腺功能减退症开始甲状腺素(T4)替代治疗后出现的一种新关联,以及原发性甲状腺功能减退症T4替代治疗后的另一例情况。这两名患者所报告的并非良性的临床病程提示,在所有甲状腺功能减退症病例的T4替代治疗最初数月期间,需要进行仔细的神经学和眼底镜检查评估。

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