甲亢的神经系统并发症很多,本病例开始末被认识为甲状腺疾患,而表现为痉挛性截瘫、痴呆、和视神经病变。给予甲亢平治疗,所有的症状和体征在两个月内得到了戏剧般地改善。病例报告如下: 男性,72岁,因缓慢进行性步态不稳,伴下肢无力、平衡失调六个月入院。近两年来精神错乱,对周围事物不感兴趣,易迷路而不能单独外出。近三周上述症状更为明显,同时有严重的淡漠,不能步行及屡次尿失禁。体检;脉率104次/分,律齐, Hyperthyroidism nervous system complications, the beginning of this case was recognized as thyroid disease, but showed spastic paraplegia, dementia, and optic neuropathy. Give hyperthyroidism treatment, all the symptoms and signs have been dramatically improved within two months. Case reports are as follows: Male, 72 years old, admitted to hospital for six months due to a slow progressive gait instability with weakness in the lower extremities. In the past two years, he was insane, not interested in the surroundings and was easily lost and could not go out alone. In the past three weeks, the above symptoms were more obvious. At the same time, there was severe indifference, incapability to walk and repeated incontinence. Physical examination; pulse rate 104 beats / min, law Qi,