Hashimoto’s encephalopathy presenting as acute cognitive decline in an elderly male

• 作者: Karen Smith Madan Raj Aryal Naba Raj Mainali Smith Giri
• 来源期刊: 世界神经病学杂志
• 学科: 医学
• 关键词: Hashimoto’s ENCEPHALOPATHY Hashimoto’s THYROIDITIS Anti-thyroid antibodies ELECTROENCEPHALOGRAPHY STEROIDS Cognitive DECLINE IMMUNOSUPPRESSANTS
• 年，卷（期）: sjsjbxzz_2013,（1）
• 页码范围: 1-3
• 页数: 3页
• 分类号: R656

摘要

Hashimoto’s encephalopathy(HE)is a rare form of reversible encephalopathy characterized by the presence of anti-thyroid antibodies in serum and/or cerebrospinal fluid.The syndrome is more common in women and the presentation varies considerably.Here,we report a case of an elderly male with a history of Hashimoto’s thyroiditis,presenting with acute cognitive decline.A diagnosis of HE was established based on the presence of antithyroid antibodies in the serum,diffuse electroencephalography changes and lack of an alternative explanation.The patient promptly responded to steroids and was discharged on the 8th day of admission.We suggest that an assessment of thyroid antibodies should be included in anyone presenting with acute cognitive decline in the absence of alternative explanation.