JAMA Neurology ( IF 20.4 ) Pub Date : 2020-05-01 , DOI: 10.1001/jamaneurol.2020.0175 Dingding Shen 1 , Haiyan Zhou 1 , Sheng Chen 1
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A 39-year-old woman presented to the emergency department with a 3-week history of worsening spasms in her axial and lower limb muscles and new-onset urinary retention. Sudden episodes of painful involuntary spasms first appeared in her abdominal muscles 2 weeks after a cold. Soon after, spasms spread to all of her axial muscles and both lower limbs. These paroxysmal episodes lasted a few seconds, occurred up to 20 times a day, and were exacerbated by external stimuli. There was no impairment of consciousness during the attacks. A review of her previous records revealed a diagnosis of Hashimoto thyroiditis 1 month earlier. She had no history of tobacco, alcohol, or drug use.
中文翻译：
桥本甲状腺炎一名年轻女子的痉挛和肌阵挛。
一名39岁的妇女在急诊科就诊，有3周的轴向和下肢肌肉痉挛加重以及新发尿retention留的病史。感冒后两周，腹部非自愿性疼痛突然发作。不久之后，痉挛扩散到她的所有轴向肌肉和下肢。这些阵发性发作持续数秒，每天最多发生20次，并因外部刺激而加剧。袭击过程中没有意识障碍。回顾她以前的记录，发现在1个月前诊断出桥本甲状腺炎。她没有吸烟，饮酒或吸毒史。
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