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本文报告一例昏迷伴有明显的皮质脊髓束病变的甲亢患者,采用标准药理学方法及血浆除去法处置,使总甲状腺素由28.8μg/dl降至10μg/dl;三碘甲状腺氨酸由332ng/dl降至150ng/dl。这些实验室检查结果与临床改善、精神状态改善以及皮质脊髓束症状的消失有关。这些资料支持过去关于甲状腺毒症的皮质脊髓束病变是可逆的论点。 以前文献曾提到甲亢与皮质脊髓束机能障碍的病因关系。这些论文描述了3例甲亢患者甲状腺机能
This article reports a case of hyperthyroidism in a coma with a significant corticospinal tract lesion treated with standard pharmacological methods and plasma removal to reduce total thyroxine from 28.8 μg / dl to 10 μg / dl; triiodothyronine from 332 ng / dl down to 150ng / dl. These laboratory findings correlate with clinical improvement, improved mental status, and the disappearance of corticospinal tract symptoms. These data support the argument that corticospinal tract lesions of thyrotoxicosis were reversible in the past. Previous literature has mentioned the relationship between hyperthyroidism and corticospinal tract dysfunction. These papers describe thyroid function in 3 patients with hyperthyroidism