Neurology of endocrine disease.

摘要

Most neurological presentations, ranging from acute confusional states through to slowly progressive gait disturbance, have endocrine disease as a potential cause. These conditions include diabetes, hyper-and hypothyroidism, hyper- and hypoparathyroidism, acromegaly, adrenal insufficiency, glucocorticoid excess and diabetes insipidus. Patients with established endocrine disease also commonly present with a similarly wide range of neurological symptoms and signs. It is therefore vital to 'think endocrine' when assessing most patients with neurological symptoms, particularly because many of the underlying endocrine disorders are common, can be reliably diagnosed and may be treatable.