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目的新疆是地方性甲减的神经精神病多发区,尤其是南疆地区缺碘严重,致使中老年甲减的神经精神系统表现为多样化误诊原因,是一种自身免疫性疾病。提高神经科临床医师对甲减病人的识别能力。方法对6例长期误诊为神经系统疾病的甲减病人临床资料进行分析。结果成年人甲减常以神经精神症状为主诉,症状与脑动脉硬化症相似,可出现共济失调、肌病等神经系统局灶体征。常合并阻塞性睡眠呼吸暂停综合征。结论本病临床症状缺乏特异性,避免误诊的关键在于对本病的警惕,提高临床综合分析能力。
Purpose Xinjiang is endemic hypothyroidism neuropsychiatric multiple areas, especially in southern Xinjiang iodine deficiency, resulting in hypothyroidism of the neuropsychiatric system showed a variety of misdiagnosis causes, is an autoimmune disease. Improve the ability of neurologists to recognize patients with hypothyroidism. Methods Six cases of hypothyroidism who had been misdiagnosed as neurological diseases for a long time were analyzed. Results Adult hypothyroidism often neuropsychiatric symptoms as the main complaint, symptoms and cerebral atherosclerosis similar, there may be ataxia, myopathy and other nervous system focal signs. Often associated with obstructive sleep apnea syndrome. Conclusion The clinical symptoms of the disease is lack of specificity, the key to avoid misdiagnosis lies in the vigilance of the disease and improve the ability of clinical comprehensive analysis.