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HE-2011

Link: Hashimoto’s encephalopathy by Joana Ramalho, MD, and Mauricio Castillo, MD

This link posted by T.A.O. talks about Hashimoto’s Encephalopathy.

Abstract

We report a case of Hashimoto’s encephalopathy with atypical and partially reversible MRI findings. T2-weighted MRI images revealed bilaterally symmetric areas of increased signal in the mesial temporal lobes and basal ganglia. Despite clinical and imaging improvement after steroid therapy, some memory deficits and MRI abnormalities persisted.

The full study can be found at http://radiology.casereports.net/index.php/rcr/article/viewArticle/445/793.

Copyright: © 2011 The Authors | Joana Ramalho, MD, and Mauricio Castillo, MD

This website is not a substitute for independent professional advice. Nothing contained in this site is intended to be used as medical advice. No articles, personal accounts, or other content are intended to be used to diagnose, treat, cure or prevent any disease, nor should it be used for therapeutic purposes or as a substitute for your own health professionals advice.

Link: Hashimoto’s encephalopathy: Report of three cases

Both severe thyrotoxicosis and hypothyroidism may affect brain function and cause a change in consciousness, as seen with a thyroid storm or myxedema coma. However, encephalopathy may also develop in patients with autoimmune thyroid diseases independent of actual thyroid function level, and this is known as Hashimoto’s encephalopathy. Although most patients are found to have Hashimoto’s thyroiditis, less frequently they have Graves’ disease. Clinical manifestations include epilepsy, disturbance of consciousness, cognitive impairment, memory loss, myoclonus, hallucinations, stroke-like episodes, tremor, involuntary movements, language impairment, and gait impairment. Hashimoto’s encephalopathy is a relatively rare disease. As a good response can be obtained with corticosteroid therapy, early diagnosis and treatment is very beneficial for patients. Here we report three patients with Hashimoto’s encephalopathy with typical manifestations of hallucinations that were associated with hypothyroidism, hyperthyroidism, and euthyroid status, respectively. They all showed a dramatic response to methylprednisolone pulse therapy.

 

The full text can be found at http://www.jfma-online.com/article/S0929-6646(12)00064-2/fulltext.

Copyright © 2011 – 2015 Elsevier Inc. | Authors Jan-Shun Chang, Tien-Chun Chang

This website is not a substitute for independent professional advice. Nothing contained in this site is intended to be used as medical advice. No articles, personal accounts, or other content are intended to be used to diagnose, treat, cure or prevent any disease, nor should it be used for therapeutic purposes or as a substitute for your own health professionals advice.