<症例>昏迷状態を繰返した甲状腺機能低下症例

概要

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This case is a 65-year-old housewife who showed several times a state from benumbness to stupor particularly in winter for two and a half years. The physical examinations were within normal limits except for dry skin and hair thinning. Clinical investigations revealed the findings ; T4 and T3 were done, TSH was up, moreover BMR was -37% and ^<131>I uptake was 3%. As the result this case was diagnosed as hypothyroidism. Neurological examinations and CT SCAN were normal. In this case it is of interest that marked changes in EEG were recognized almost pararell to the improvement of hypofunction through thyroid therapy. Namely both slowing of waves and lowering of voltages in background activities before the therapy were improved from 30μV-7.5c/s slow waves to 50μV-8.5c/sα waves at 16-day after beginning the therapy, and at 52-day finally to 50μV-9c/sα waves. By remarking on EEG findings, this case was discussed with special reference to the so-called exogenic reaction type (Bonhoeffer).
近畿大学の論文
1979-03-25