뇌경색, 발작, 인지저하로발현한하시모토뇌병증1례
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In recent years, encephalopathy has increasingly been recognized as a complication of Hashimoto’s thyroiditis.Patients with Hashimoto’s encephalopathy have variable neurologic symptoms such as stroke-like episodes, stu-p o r, seizures, psychosis, tremor, myoclonus, and even myelopathy. Although they are usually euthyroid, theirsymptoms are not peculiar, and treatable with corticosteroids. The symptoms of Hashimoto’s encephalitis mayresemble Creutzfeldt-Jakob disease. The diagnosis of the patients with unexplained neurologic deterioration is achallenging task. We herewith describe a patient who displayed symptoms of Hashimoto’s thyroiditis associatedwith acute stroke, seizure attacks, and cognitive impairment. The patient was treated with corticosteroids, and theresponse was excellent.
Abstract
In recent years, encephalopathy has increasingly been recognized as a complication of Hashimoto’s thyroiditis.Patients with Hashimoto’s encephalopathy have variable neurologic symptoms such as stroke-like episodes, stu-p o r, seizures, psychosis, tremor, myoclonus, and even myelopathy. Although they are usually euthyroid, theirsymptoms are not peculiar, and treatable with corticosteroids. The symptoms of Hashimoto’s encephalitis mayresemble Creutzfeldt-Jakob disease. The diagnosis of the patients with unexplained neurologic deterioration is achallenging task. We herewith describe a patient who displayed symptoms of Hashimoto’s thyroiditis associatedwith acute stroke, seizure attacks, and cognitive impairment. The patient was treated with corticosteroids, and theresponse was excellent.