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Dog - hypothyroidism - neurology: what is the connection?

机译:狗-甲状腺功能减退-神经内科:有什么联系?

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Hypothyroidism is a common endocrinological disorder in older, large breed dogs and has various clinical symptoms. Polyneuropathies are a common sequela affecting spinal and cranial nerves. Symptoms include generalized weakness, ataxia, hyporeflexia, vestibular signs and facial nerve paresis or paralysis. Circling and seizure disorders indicate an involvement of the central nervous system. Combined measurement of T4 and cTSH is often sufficient to distinguish between euthyroid, hypothyroid and euthyroid conditions. TRH stimulation test, electrodiagnostic facilities and biopsies of affected nerves and muscles can also provide further information. Substitution therapy has beneficial effects in most cases of polyneuropathy and seizure activity. However, several diseases and drugs can decrease thyroid hormone levels despite normal thyroid function which is defined as euthyroid syndrome. In dogs with idiopathic epilepsy and without anticonvulsive therapy, this phenomenon has been described recently..
机译:甲状腺功能减退症是老年大型犬的常见内分泌疾病,具有多种临床症状。多发性神经病是影响脊髓和颅神经的常见后遗症。症状包括全身无力,共济失调,反射不足,前庭体征和面神经麻痹或瘫痪。盘旋和癫痫发作表明中枢神经系统受累。 T4和cTSH的联合测量通常足以区分甲状腺功能正常,甲状腺功能减退和甲状腺功能正常。 TRH刺激测试,电诊断设备以及受影响的神经和肌肉的活检也可以提供进一步的信息。替代疗法在多发性神经病和癫痫发作的大多数情况下具有有益的作用。然而,尽管甲状腺功能正常,这被定义为正常甲状腺综合症,但某些疾病和药物仍可以降低甲状腺激素水平。在患有特发性癫痫且未进行抗惊厥治疗的狗中,这种现象最近已有描述。

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