Steroid-Responsive Recurrent Encephalopathy Associated with Subacute Thyroiditis
- Authors
- Chung, Yun Jae; Park, Kwang-Yeol; Ahn, Jihyun; Ha, Sam-Yeol; Youn, Young Chul
- Issue Date
- Dec-2008
- Publisher
- KOREAN NEUROLOGICAL ASSOC
- Keywords
- brain diseases; 14-3-3 proteins; subacute thyroiditis
- Citation
- JOURNAL OF CLINICAL NEUROLOGY, v.4, no.4, pp 167 - 170
- Pages
- 4
- Journal Title
- JOURNAL OF CLINICAL NEUROLOGY
- Volume
- 4
- Number
- 4
- Start Page
- 167
- End Page
- 170
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/23533
- DOI
- 10.3988/jcn.2008.4.4.167
- ISSN
- 1738-6586
2005-5013
- Abstract
- Background Steroid-responsive encephalopathy associated with Subacute thyroiditis has, to our knowledge, not been reported previously. Case Report A 49-year-old woman was found collapsed and brought 10 Our institution with decreased mentality, dysarthria, and gait disturbance. Brain magnetic resonance imaging and angiography were normal but blood tests revealed thyroid-autoantibody-negative thyrotoxicosis. Results of a (99m)technetium-pertechnetate scan were compatible with the thyrotoxic phase of Subacute thyroiditis. 14-3-3 proteins were detected in cerebrospinal fluid. Her mental status began to improve from the day following steroid administration. Recurrent encephalopathy was found 2 months after the initial admission, which was also effectively treated with steroid. Conclusions We speculate that steroid-responsive recurrent encephalopathy associated with subacute thyroiditis is a Subtype of Hashimoto's encephalopathy, and consider that steroid treatment should not be delayed in Suspected patients. J Clin Neurol 2008;4:167-170
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