RESUMO
This article provides a review of some of the muscular disorders that can arise from some of the commonly seen endocrinologic disturbances. Thyroid, parathyroid, and adrenal dysfunctions as they relate to neuromuscular symptoms are discussed. Common clinical presentations of the endocrine myopathies are highlighted, along with diagnostic evaluation and treatments.
Assuntos
Doenças do Sistema Endócrino/diagnóstico , Doenças Musculares/diagnóstico , Doenças do Córtex Suprarrenal/diagnóstico , Doenças do Córtex Suprarrenal/terapia , Diagnóstico Diferencial , Doenças do Sistema Endócrino/terapia , Humanos , Doenças Musculares/terapia , Doenças Neuromusculares/diagnóstico , Doenças Neuromusculares/terapia , Doenças das Paratireoides/diagnóstico , Doenças das Paratireoides/terapia , Prognóstico , Doenças da Glândula Tireoide/diagnóstico , Doenças da Glândula Tireoide/terapiaRESUMO
We describe a case of myeloneuropathy resulting from nitrous oxide abuse. MR imaging of the spine revealed symmetric abnormal signal in the posterior columns of the cervical cord. Myeloneuropathy is caused by inactivation of vitamin B12 by nitrous oxide. This syndrome can also be seen in patients with borderline vitamin B12 deficiency who have recently been anesthetized with nitrous oxide.