甲亢性周期性麻痹是甲亢肌病的一种类型,临床上容易误诊为格林巴利综合征和低钾性周期性麻痹。例1:男,32岁。2天来双下肢酸因无力,未在意,次日夜间突然双下肢瘫痪,双上肢抬举费力,同时气短,欲咳无力于1986年3月11日2Am急诊住神经科,既往无类似发作史,近期亦无感染史。查体:T37℃,R24次/分,P96次/分,BP114/70mmHg,神清,消瘦,呼吸困难,胸式呼吸减弱,说话、耸肩无力,无明显颅神经损害症,眼球不突,甲状腺不大,未闻血管杂音,感觉正常,四肢软瘫,双下肢肌力0~°,双上肢Ⅲ~°,腱反射消失,无肌萎缩,巴彬斯基氏征右侧(±)。诊为GBS并部分呼吸肌麻痹、即刻吸氧,大剂量地塞米松、能量合剂静点,白细胞6600,中性71%,心电图示低血 Hyperthyroidic periodic paralysis is a type of hyperthyroidism myopathy, clinically easily misdiagnosed as Guillain-Barre syndrome and hypokalemic periodic paralysis. Example 1: Male, 32 years old. 2 days to double limbs due to weakness, did not care, the next day and night suddenly double lower limb paralysis, double upper extremity lifting effort, shortness of breath, cough, weakness on March 11, 1986 2Am emergency Department of Neurology, no previous history of similar attacks, No recent history of infection. Examination: T37 ℃, R24 times / min, P96 beats / min, BP114 / 70mmHg, Shenqing, weight loss, difficulty breathing, thoracic respiratory weakness, talking, shrugs weakness, no significant cranial nerve damage, Small, unheard of vascular murmur, normal sensation, limb weakness, weakness of both limbs 0 ~ °, upper extremity Ⅲ ~ °, tendon reflex disappeared, muscle atrophy, right side of Babinsk’s sign (±). Diagnosed with GBS and respiratory muscle paralysis, oxygen immediately, high-dose dexamethasone, energy mixture static point, white blood cells 6600, 71% of neutral, ECG showed low blood