Graves病合并烟雾病的临床分析

目的探讨Graves病（GD）合并烟雾病（MMD）的临床特征。方法对2例GD合并MMD患者的临床、实验室、影像学表现进行回顾性分析。结果2例均为女性,GD先于MMD发病,随着甲亢症状被控制,神经系统症状有所改善。结论甲亢合并烟雾病仅见于女性,常于甲状腺毒血症期间发生脑卒中,控制甲亢有助于神经系统症状的恢复和防止复发。

Clinical analysis of patients with Graves disease and Moyamoya disease

Objective To explore the Clinical features of Graves disease （GD）combined with Moyamoya disease （MMD）. Methods The manifestations of clinic,laboratory and neuroimaging in 2 patients with GD and MMD were retro-spectively analyzed. Results MMD combined with GD was more often seen in femal （ up to 100% in our study）. Onset of GD was prior to MMD. With the function of thyroid improvement, the symptom of MMD can also be improved. Conclusion GD combined with MMD is only seen in females. Cerebral stroke commonly occurred during the presence of thyrotoxicosis. Anti - thyroid treatment is beneficial for recovery of the central nervous system and prevention of recurrence.