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

Karen Smith; Madan Raj Aryal; Naba Raj Mainali; Smith Giri

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

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

作者：

Karen Smith Madan Raj Aryal Naba Raj Mainali Smith Giri

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Hashimoto’s

ENCEPHALOPATHY

Hashimoto’s

THYROIDITIS

Anti-thyroid

antibodies

ELECTROENCEPHALOGRAPHY

STEROIDS

Cognitive

DECLINE

IMMUNOSUPPRESSANTS

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.

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篇名	Hashimoto’s encephalopathy presenting as acute cognitive decline in an elderly male
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）	2013,（1）	所属期刊栏目
研究方向		页码范围	1-3
页数	3页	分类号	R656
字数		语种
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