Abstract
We present an unusual case of a 60 year old male who was noted to have primary hypothyroidism and decreased consciousness which did not respond to Levothyroxine. Further investigations revealed a diagnosis of Hashimoto’s Encephalopathy which responded well to steroids. We describe the case in detail and discuss the available relevant literature on this topic.
[download-attachments container="div" style="list" display_icon="1" display_count="1" display__size="0"]
References
- Brain L, Jellinek EH, Ball K. Hashimoto’s Disease and Encephalopathy. Lancet 1966; 2: 512-514.
- Fatourechi V. Hashimoto’s Encephalopathy: Myth or Reality? An endocrinologist’s perspective. Best Pract Res Clin Endocinol Metab
2005; 19: 53. - Chong JY, Rowland LP, Utiger RD. Hashimoto encephalopathy: syndrome or myth? Arch Neurol 2003; 60: 164-171.
- Ferracci F, Bertiato G, Moretto G. Hashimoto’s Encephalopathy: epidemiologic data and pathogenetic considerations. J Neurol Sci 2004; 217(2): 165-8.
- Sawka AM, Fatourechi V, Boeve BF, et al. Rarity of encephalopathy associated with autoimmune thyroiditis: a case series from Mayo Clinic from 1950 – 1996. Thyroid 2002; 12: 393-398.
- Mocellin R, Walterfang M, Velakoulis D. Hashimoto’s Encephalopathy, Epidemiology, Pathogenesis and Management. CNS Drugs 2007; 21(10): 799-811.
- Ferlazzo E, Raffaele M, Mazzù I, et al. Recurrent status epilepticus as the main feature of Hashimoto’s Encephalopathy. Epilepsy Behav 2006; 8: 328.
- Mckeon A, McNamara B, Sweeney B. Hashimoto’s encephalopathy presenting with psychosis and generalised absence status. J Neurol 2004; 251: 1025.
- Kothbauer-Margreiter I, Sturzenegger M, Komor J, et al. Encephalopathy associated with Hashimoto thyroiditis: diagnosis and treatment. J Neurol 1996; 243: 585.
- Ferracci F, Carnevale A. The neurological disorder associated with thyroid autoimmunity. J Neurol 2006; 253: 975.
- Chaudhuri A, Behan PO. The clinical spectrum, diagnosis, pathogenesis and treatment of Hashimoto’s encephalopathy (recurrent acute disseminated encephalomyelitis). Curr Med Chem 2003; 10: 1945.
