Efficacy of propranolol in hyperthyroid-induced chorea: A case report

被引：8

作者：

Hayashi, R ^{[1
]}

Hashimoto, T ^{[1
]}

Tako, K ^{[1
]}

机构：

[1] Shinshu Univ, Sch Med, Dept Med Neurol, Matsumoto, Nagano 390, Japan

来源：

MOVEMENT DISORDERS | 2003年 / 18卷 / 09期

关键词：

hyperthyroidism; choreic movements; beta-adrenoceptors; surface EMG activity;

D O I：

10.1002/mds.10477

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We describe a thyrotoxic patient with choreic movements. The latter gradually receded and disappeared as the patient was treated with methimazole and beta-adrenoceptor blocker, and the improvement deteriorated during a beta-adrenoceptor challenge test. Our findings suggest that the pathogenesis of thyrotoxic chorea seems more likely to be of biochemical origin rather than due to structural changes in the basal ganglia. (C) 2003 Movement Disorder Society.

引用

页码：1073 / 1076

页数：4

共 12 条

[1] Sympathovagal imbalance in hyperthyroidism [J].

Burggraaf, J ;

Tulen, JHM ;

Lalezari, S ;

Schoemaker, RC ;

De Meyer, PHEM ;

Meinders, AE ;

Cohen, AF ;

Pijl, H .

AMERICAN JOURNAL OF PHYSIOLOGY-ENDOCRINOLOGY AND METABOLISM, 2001, 281 (01) :E190-E195

[2] CHOREOATHETOSIS AND THYROTOXICOSIS [J].

DHAR, SK ;

NAIR, CPV .

ANNALS OF INTERNAL MEDICINE, 1974, 80 (03) :426-427

[3] CHOREOATHETOSIS AS A MANIFESTATION OF THYROTOXICOSIS [J].

FIDLER, SM ;

BUCHSBAUM, HW ;

OROURKE, RA .

NEUROLOGY, 1971, 21 (01) :55-+

[4] PAROXYSMAL CHOREOATHETOSIS ASSOCIATED WITH THYROTOXICOSIS [J].

FISCHBECK, KH ;

LAYZER, RB .

ANNALS OF NEUROLOGY, 1979, 6 (05) :453-454

[5] THYROTOXICOSIS PRESENTING AS CHOREOATHETOSIS [J].

HEFFRON, W ;

EATON, RP .

ANNALS OF INTERNAL MEDICINE, 1970, 73 (03) :425-+

[6] Cardiovascular Hemodynamics and exercise tolerance in thyroid disease [J].

Kahaly, GJ ;

Kampmann, C ;

Mohr-Kahaly, S .

THYROID, 2002, 12 (06) :473-481

[7] DOPAMINE RECEPTOR SITE SENSITIVITY IN HYPERTHYROID GUINEA-PIGS - POSSIBLE MODEL OF HYPERTHYROID CHOREA [J].

KLAWANS, HL ;

GOETZ, C ;

WEINER, WJ .

JOURNAL OF NEURAL TRANSMISSION, 1973, 34 (03) :187-193

[8] OBSERVATIONS ON DOPAMINERGIC NATURE OF HYPERTHYROID CHOREA [J].

KLAWANS, HL ;

SHENKER, DM .

JOURNAL OF NEURAL TRANSMISSION, 1972, 33 (01) :73-&

[9]

MURTHY GG, 1977, NEW YORK STATE J MED, V77, P1322

[10] Impact of hyperthyroidism and its correction on vascular reactivity in humans [J].

Napoli, R ;

Biondi, B ;

Guardasole, V ;

Matarazzo, M ;

Pardo, F ;

Angelini, V ;

Fazio, S ;

Saccà, L .

CIRCULATION, 2001, 104 (25) :3076-3080

← 1 2 →