[Case of acute thyreotoxic Waldenstrom's encephalopathy]. / Przypadek ostrej encefalomiopatii tyreotoksycznej Waldenströma.

In a 48-year-old female patient with hyperthyroid nodular goitre the syndrome of acute thyreotoxic encephalopathy of Waldenström was observed. The syndrome comprised quantitative disturbances of consciousness, psychosis, pyramidal and bulbar sings as well as presence of generalized myopathy. The EEG was pathological, corresponding to the state of consciousness disturbances. Treatment of hyperthyroidism led to complete remission of CNS disturbances and considerable decrease in the intensity of myopathy.

Symptomatology of the Opalski syndrome.

The authors observed a case with favourable outcome in which besides the axial signs of Opalski syndrome crossed paresis of extremities and bladder disturbances were present. The substrate of clinical manifestations was a submedullary focus spreading to invole pyramid decussation.