Hashimoto encephalopathy (HE) is an uncommon syndrome associated with Hashimoto thyroiditis Cantón A, de Fàbregas O, Tintoré M, et al. Request PDF on ResearchGate | On Jun 1, , Paloma Bacarizo and others published Encefalopatía de Hashimoto en un paciente de 20 años. CLINICAL/SCIENTIFIC NOTE. Hashimoto’s encephalopathy. Encefalite de Hashimoto. Renata Telles Rudge de AquinoI; Eduardo Genaro MutarelliII.
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It is probably under diagnosed as it is not well known 5.
Encefalopatia de Hashimoto
Poliomyelitis Demyelinating disease Transverse myelitis Tropical spastic paraparesis Epidural abscess. In the first two weeks, a considerable improvement in level of consciousness and myoclonus was observed. This improvement in the clinical presentation can be correlated to the complete resolution of the electroencephalographic changes Fig 2B.
Hashimotto recognition of this pathology and the treatment with immunosuppressant therapy determined the regression of the clinical presentation and changes in the EEG.
The electroencephalogram EEG at admission was abnormal, with slow, monomorphic, occasionally sharp, triphasic, with theta-delta frequency ranges from 2 to 3 Hz, intermittent, bilateral waves, predominantly in the temporoparietal regions Fig 2A. J Neurol Sci ; Eight years ago she developed hypothyroidism due to Hashimoto’s thyroiditis, and has been taking mcg levothyroxine daily.
At admission, she was sleepy, disoriented, showing myoclonus, paratonia on the back of the head and arms, her deep reflexes were symmetrical with plantar flexion response and suction and grasping reflexes were present. Hypothyroidism, hormonal factors and cerebral hypoperfusion could contribute for pathogenesis 2. The clinical presentation may suggest a diagnosis of Creutzfeldt-Jakob disease.
Encephalitis Viral encephalitis Herpesviral encephalitis Limbic encephalitis Encephalitis lethargica Cavernous sinus thrombosis Brain abscess Amoebic. We describe the case of a patient with Hashimoto’s encephalopathy who fe clinical manifestations similar to those of Creutzfeldt-Jakob disease. The majority of patients return to their normal neurological state. The rest of the physical examination was normal. Insomnia Hypersomnia Sleep apnea Obstructive Congenital central hypoventilation syndrome Narcolepsy Cataplexy Kleine—Levin Circadian rhythm sleep disorder Advanced sleep phase disorder Delayed sleep phase disorder Nonhour sleep—wake disorder Jet lag.
Department of Medical Genetics. To minimize the side effects of steroid therapy, in the second month the dose was reduced and azathioprine added, but encefaloptaia to hepato-toxicity this was suspended.
Patients can have normal TSH and hypo enceffalopatia hyperthyroidism 2,4,8. Retrieved from ” https: All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.
The hypocalcemia and hyperphosphatemia continued, despite calcium supplements with a reduction of PTH, encefallpatia with hypoparathyoidism, compounding a picture of auto-immune polyglandular disease. Normotensive, pulse bpm, hhashimoto had universal alopecia, cyanosis and pale alternating in the extremities, growing nails of the right hand and scars on her back and face. Between and 43 cases were published.
As mentioned above, autoantibodies to alpha- enolase associated with Hashimoto’s encephalopathy have thus far been the most hypothesized mechanism of injury.
From Wikipedia, the free encyclopedia. The condition enfefalopatia the patient worsened with persecutory delusions, visual hallucinations, gait disturbance, tremor of the extremities, muscle spasms, and fluctuations in the level of consciousness.
Some patients need to stay on low doses or a new course of high dose of prednisolone is necessary 2. Hashimoto’s encephalitis HEencephalitis which responds to steroids and is associated with auto-immune thyroiditis, was described by Brain et al.
Encephalomyelitis Acute disseminated Myalgic Meningoencephalitis. There are EEG changes in most cases, mainly general slowing 2,8. The prevalence has been estimated to be 2. Hashimoto’s encephalopathy with clinical features similar to those of Creutzfeldt-Jacob disease. All the contents of this journal, except where otherwise noted, is licensed encetalopatia a Creative Commons Attribution License.
In some cases, Hashimoto’s encephalopathy can hashimito rapidly progressive dementia, myoclonus, and electroencephalographic changes with periodic recurrence of the triphasic complexes similar to those of Creutzfeldt-Jakob disease, which makes a differential diagnosis essential to both pathologies 4. Neuroendocrinology Brain disorders Autoimmune diseases Steroid-responsive inflammatory conditions.
Hashimoto’s encephalopathy HE is a controversial neurological disorder that comprises a heterogenous group of neurological symptoms that manifest in patients with high titers of antithyroid encefallpatia. Since then, Hashimoto’s encephalopathy has been recognized as a rare condition associated to Hashimoto’s thyroiditis and to the presence of high concentrations of antithyroid antibodies, unlike those described in myxedema and in thyrotoxicosis 2.
Further controlled studies of the use of steroids, plasmapheresis, or immunosuppressant medications are needed in the future to prove the concept of the pathogenic role of antithyroid antibodies in HE.
Hepato-toxicity led to the interruption of azathioprine in this case.