[Reversibility of dementia in hypothyroidism].

M Haupt, A Kurz
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Abstract

Thirteen percent of all dementia disorders are potentially reversible. Hypothyroidism is among the most frequent causes of reversible dementias. Although it is generally accepted that dementia symptoms in hypothyroidism can be significantly reduced, many questions about the therapeutic efficacy are unexplained. It has not been systematically investigated which psychopathological symptoms respond well to thyroid hormone substitution, how long the treatment should last and whether duration of symptoms or severity of dementia have an influence on the degree of remission of psychopathological impairment. We investigated these questions in two prospectively studied cases with dementia in hypothyroidism.

[甲状腺功能减退症痴呆的可逆性]。
13%的痴呆症是可以逆转的。甲状腺功能减退是可逆性痴呆最常见的原因之一。虽然人们普遍认为甲状腺功能减退症的痴呆症状可以明显减轻,但关于治疗效果的许多问题尚未得到解释。目前还没有系统地研究哪些精神病理症状对甲状腺激素替代反应良好,治疗应该持续多长时间,以及症状的持续时间或痴呆的严重程度是否对精神病理损伤的缓解程度有影响。我们在两个前瞻性研究的甲状腺功能减退痴呆病例中调查了这些问题。
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