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ELMER C. BARTELS, M.D.; RENE R. ROHART, M.D.

AMA Arch Intern Med. 1958;101(3):562-568.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The simultaneous occurrence of Parkinsonism and hyperthyroidism in the same patient is an interesting relationship and one that presents problems of diagnostic and therapeutic importance. Several such cases have been cited in European literature and were offered as proof of the diencephalopituitary origin of primary hyperthyroidism.^6,9

The essential pathology in Parkinsonism is a degeneration of the projection fiber system of the globus pallidus, with some changes of a milder degree in the substantia nigra.⁸ These areas, located deep in the cerebral hemispheres, are immediately adjacent to the diencephalic areas of the brain. The diencephalon includes the thalamus, subthalamus, epithalamus, and hypothalamus, which, in turn, includes the neurohypophysis. The neurohypophysis, in combination with the adenohypophysis, forms the pituitary gland.

It seems apparent, then, that a disease process in either one of these areas might well affect both, owing to the proximity of their boundaries. Since most endocrinologists agree as . . . [Full Text PDF of this Article]

Author Affiliations
Boston

Department of Internal Medicine (Dr. Bartels) and Fellow in Internal Medicine (Dr. Rohart), Lahey Clinic.

Footnotes
Submitted for publication June 25, 1957.

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