代码 伪中风 - - 低头性周期性的病例,模仿中风
Rami Al-Handola1, Dominic Awuah1, Aram Minasian1
1Department of Internal Medicine, Hurley Medical Center, Michigan State University/College of Human Medicine, Flint, MI, USA.
European journal of case reports in internal medicine
|July 17, 2023
概括
甲状腺毒性周期性可以模仿中风症状,呈现为急性松性. 在这种甲状腺功能障碍并发症中,迅速的校正对于症状逆转至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 神经学 神经学
- 内部医学 内部医学
背景情况:
- 甲状腺毒性周期性 (TPP) 是一种与甲状腺功能障碍相关的罕见疾病.
- 它可以呈现出模仿中风的神经症状,导致诊断挑战.
研究的目的:
- 报告TPP病例出现了类似中风的症状.
- 突出考虑TPP在中风差异诊断中的重要性.
主要方法:
- 一个案例介绍的是一个61岁的女性,她的症状暗示着甲状腺毒毒症和随后的急性性.
- 诊断工作包括甲状腺功能测试,成像 (CT,血管造影,MRI) 和血清电解质测量.
主要成果:
- 这名患者出现了胆固醇毒性,后来患上了急性松性和肌痛性关节障碍,模仿中风.
- 调查显示严重的低血 (血清 2.7 mmol/l).
- 神经症状随着迅速的替代和胆固醇毒性病的管理而完全消失.
结论:
- TPP可以呈现为中风模仿,强调需要在急性神经缺陷的患者进行彻底评估.
- 识别和治疗低血对于TPP的快速恢复至关重要.
- 在无法解释的周期性的情况下,应考虑甲状腺功能过高,特别是格雷夫病.
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