不典型的甲亢性眼肌病误诊为神经系统疾病10例分析  

Ten Cases Analysis of Atypical Hyperthyroid Ophthalmoplegia Misdiagnose as Neurological Diseases

作　　者：缪礁丹[1] 刘艳[1] 

机构地区：[1]四川省成都市第三人民医院神经内科,四川成都610031

出　　处：《华西医学》2009年第7期1850-1851,共2页West China Medical Journal

摘　　要：目的:分析以眼睑下垂为首发症状的甲亢性眼肌病的误诊原因。方法:对我院10例不典型的甲亢性眼肌病进行系统分析。结果:误诊为重症肌无力5例、颅内动脉瘤2例、颅底炎症1例、脑干腔隙性梗死1例、糖尿病性周围神经病变1例。结论:以眼睑下垂为首发症状的甲亢性眼肌病极易误诊,加强对该病的认识及尽早进行甲状腺功能检查,可有效减少误诊机会。Objective： To analysis the cause of misdiagnosis that hyperthyroid ophthalmoplegia with the primary symptom of Drooping Eyelid. Methods： Integrated analysis the 10 cases of hyperthyroid ophthalmoplegia in our hospital. Results： In 10 misdiagnosis patients with hyperthyroid ophthalmoplegia, 5 cases misdiagnose as myasthenia gravis, 2 cases misdiagnose as intracranial aneurysm, 1 case misdiagnose as inflamination of skull-base, 1 case misdiagnose as Lacunar Infarction of Brain Stem, 1 case misdiagnose as Diabetic Peripheral Neuropathy. Conclusion： Hyperthyroid ophthalmoplegia with the primary symptom of Drooping Eyelid is easy to be misdiagnosed. Understanding well this disease and detection of thyroid function in the first time could reduce the rate of error diagnosis effectively.

关 键 词：甲亢性眼肌病 误诊 重症肌无力 颅内动脉瘤 

分 类 号：R581.1[医药卫生—内分泌] R741[医药卫生—内科学]