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分化型甲状腺癌是危害儿童健康的常见恶性肿瘤之一,发病率逐年增高,并且在患儿方面表现出转移早、进展快的特殊性。由于儿童新陈代谢活跃,其对身体激素的变化更为敏感,在手术及131I治疗后更容易出现各种后遗症,如术中甲状旁腺损伤导致的不同程度的低钙血症、甲状腺功能减退(甲减)等。癫痫是较为鲜见的后遗症,国内外少有报道。
131I治疗儿童分化型甲状腺癌期间出现低钙血症伴癫痫发作一例
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[1] Hogan AR, Zhuge Y, Perez EA, et al. Pediatric thyroid carcinoma:incidence and outcomes in 1753 patients[J]. J Surg Res, 2009, 156(1):167-172. [2] Makarewicz J, Lewiński A, Karbownik-Lewińska M. Radioiodine remnant ablation of differentiated thyroid cancer does not further increase oxidative damage to membrane lipids-early effect[J/OL]. Thyroid Res, 2010, 3(1): 7[2015-01-18]. http://www. thyroidresearchjournal. com/content/3/1/7. [3] Kim YS. Impact of preserving the parathyroid glands on hypocalcemia after total thyroidectomy with neck dissection[J]. J Korean Surg Soc, 2012, 83(2):75-82. [4] 谭建.分化型甲状腺癌的个体化131I治疗.国际放射医学核医学杂志, 2014, 39(1):2-3
[5] Belluzzo M, Monti F, Pizzolato G. A case of hypocalcemia-related epilepsia partialis continua[J]. Seizure, 2011, 20(9):720-722. [6] Aydin A, Cemeroglu AP, Baklan B. Thyoxine-induced hypermotor seizure[J]. Seizure, 2004, 13(1):61-65. [7] Rowell NP, Clarke SW. Myxoedema presenting as epilepsy[J]. Postgrad Med J, 1984, 60(707):605-606. [8] Grigg-Damberger MM, Ralls F. Sleep disorders in adults with epilepsy:past, present, and future directions[J]. Curr Opin Pulm Med. 2014, 20(6):542-549.
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