摘要
【目的】分析甲亢合并烟雾病的临床特点和可能的病因学联系。【方法】回顾性分析本院收治的5例甲亢合并烟雾病患者的临床表现和神经影像学特点。5例均行头部磁共振平扫（MRI）和磁共振血管造影（MRA）以及甲状腺功能检测。【结果】5例患者中，男1例，女4例；5例均表现为缺血性卒中。MRA表现：双侧颈内动脉系统狭窄或闭塞4例。1例单侧颈内动脉系统受累。3例可见网状侧枝血管。2例同时合并大脑后动脉狭窄。【结论】对于临床拟诊烟雾病的中青年女性，应常规筛查甲状腺功能。
[Objective] To analyze and explore the pathogenesis and possible etiology correlation of moyamoya disease in hyperthyroidism. [Methods] The clinical manifestations and neuroimaging features in 5 cases of hyperthyroidism complicated with moyamoya disease in our hospital were retrospectively analyzed. Brain MRI, MRA and thyroid function test were all performed in 5 patients. [Results] Among 5 patients, 1 patient was male and 4 patients were female. All 5 patients had ischemic stroke. MRA showed that bilateral internal carotid artery system was stenosis or occlusive in 4 patients and unilateral internal carotid artery system was involved in 1 patient. Net-like collateral vessels were found in 3 patients. Two patients were complicated with the stenosis on posterior cerebral arteries. [Conclusion] The routine screening of thyroid function should be performed for the young and middle-aged women with suspected moyamoya disease.
出处
《医学临床研究》
CAS
2011年第6期1017-1018,1021,共3页
Journal of Clinical Research
