甲状腺功能亢进症和缺血性脑卒中

Hyperthyroidism and ischemic stroke

甲状腺功能亢进症（甲亢）和亚临床甲亢时房颤的发生率增加,其伴有的高凝状态也可引起心源性脑卒中的发生.此外,甲亢时可伴有急性脑静脉血栓形成、巨细胞性颞动脉炎和烟雾病等缺血性脑血管病,但缺乏相关证据.现对甲亢与脑血管疾病之间的关系作一综述,旨在探讨其共同的发病机制及临床特点,并为两者合并存在时的正确治疗提供参考.

The occurrence of atrial fibrillation in hyperthyroidism and subclinical hyperthyroidism increases over the time. Hypercoagulability state,usually accompanying with these two diseases above,can also result in the formation of cardioembolic stroke. Additionally, hyperthyroidism is related with ischemic cerebro-vascular disease,for instance acute cerebral venous thrombosis,giant cell temporal arteritis. Moyamoya disease, but sound evidence is lacking. Here reviews the relationship between hyperthyroidism and cerebrovas-cular disease, in order to investigate the pathogenesis and clinical characteristics and provide the evidence for corrent therapy.