烟雾病合并甲状腺功能亢进症10例临床分析

Clinical analysis of 10 cases of Moyamoya disease combined with hyperthyroidism

目的探讨烟雾病合并甲状腺功能亢进症(甲亢)的临床特点及其可能的发病机制。方法回顾性分析10例烟雾病合并甲亢患者的临床资料。结果本组10例患者中,男1例,女9例。所有患者均表现为缺血性脑血管病。其中DSA确诊烟雾病1例,CTA确诊4例,MRA确诊5例;双侧颈内动脉系统受累9例,单侧受累1例。结论对于烟雾病患者,尤其是女性,应常规行甲状腺功能筛查;而甲亢患者也应行脑血管病变筛查,以尽早发现脑血管病变,早期预防,避免卒中。

Objective To investigate the clinical features and possible pathogenesis of Moyamoya disease combined with hyperthyroidism. Methods The clinical data of 10 cases Moyamoya disease combined with hyperthyroidism were retrospectively analyzed. Results Among 10 patients in this group,1 patient was male and 9patients were female. All the patients were presented as ischemic cerebrovascular disease. One patient was diagnosed by DSA,4 patients was diagnosed by CTA,and 5 patients was diagnosed by MRA. Nine patients had bilateral lesions and 1 patient had unilateral lesions. Conclusions The routine screening of thyroid function should be performed for patients with Moyamoya disease,especially women. And people who affected stroke should test cerebral vascular to early prevention and avoid stroke.