Therapy of hyperthyroidism

The symptoms called hyperthyroidosis are caused by a thyroid hormone intoxication, which may have various causes. More than 95% of the hyperthyroidosis are caused by an autoimmune thyropathy (Basedow's disease) or autonomy (autonomous adenoma, disseminated autonomy). Other causes are rare. The therapy has 2 aims: the normalisation of the supply of the thyroid hormone and the removal or influence of the cause. Thus apart from an exact functional diagnostics the etiopathogenetic coordination must be done which has an essential influence on the differential-therapeutic decision. Beside the general therapeutic measures the thyrostatic long-term therapy, the subtotal thyroid resection and the radioiodine therapy are at our disposal. Diagnosis, performance, advantages and disadvantages are demonstrated.