NEUROLOGICAL MANIFESTATIONS IN THYROID TUMORS

MIHAELA LUNGU¹, AURELIA ROMILA^*2, AUREL NECHITA³, DANA TUTUNARU⁴, CARABAN BOGDAN MARIAN⁵

¹Lecturer, MD., PhD., Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, Head of Neurological Department, Emergency Clinical Hospital, Galati - ²Associate Professor, MD., PhD., Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, Center for Research on Medical - Pharmaceutical, Head of Geriatrics Department, Emergency County Hospital, Galati - ³Professor, MD., PhD. Faculty of Medicine and Pharmacy, “Dunarea de Jos”, University of Galati, Head of Pediatric Department, Emergency Hospital of Pediatrics, Galati - ⁴Professor, MD., PhD. Faculty of Medicine and Pharmacy, “Dunarea de Jos”, University of Galati, Prodean - ⁵Lecturer, MD., PhD., Faculty of Medicine, Ovidius” University Constanta, Plastic Surgery Department

Introduction: Thyroid nodules, defined as a localized swelling of the thyroid gland may be the clinical manifestation of some order of thyroid tumors, either benign - adenomas, teratomas or malignant - carcinomas, lymphomas, sarcomas, secondary metastatic tumors.

Materials and methods: A personal five years’ clinical prospective study conducted on patients with thyroid tumor nodules hospitalized in the neurology and endocrinology departments of Emergency Hospital Galati, targeted the neurological manifestations associated to thyroid tumor pathology, referring to the frequency, clinical aspect and therapeutic response to neurological determina- tions from thyroid tumors. Clinical and paraclinical examinations were carried out every three months. The paraclinical exam inclu- ded hormone dosing, ultrasound exams, thyroid scintigraphy, biopsies, brain computed tomography and blood biochemistry tests.

Results: A large amount of detailed data was collected over a relatively long span of time.

Conclusions: The collected data largely corresponds to the reference literature. It is often the case that patients first address the neurologist, who has to diagnose the thyroid disease and its neurological manifestations.