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KMID : 0385920100210050709
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Journal of the Korean Society of Emergency Medicine
2010 Volume.21 No. 5 p.709 ~ p.712
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Bickerstaff’s Brainstem Encephalitis Accompanied by Encephalopathy Associated with Autoimmune Thyroid Disease (EAATD): Case Report and Review
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Park Eun-Jung
Ahn Jung-Hwan
Cho Young-Shin
Kim Gi-Woon
Min Young-Gi
Jung Yoon-Seok
Choi Sang-Chun
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Abstract
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Bickerstaff’s brainstem encephalitis (BBE) is characterized by a consciousness disorder, ophthalmoplegia and ataxia. Some patients with BBE show hyperreflexia, pyramidal signs and sensory disturbance. The pathophysiology of BBE is not proven; it is presumed that an autoimmune response has a key role. Encephalopathy-associated with autoimmune thyroid disease (EAATD) is another encephalopathy presumed to be related to autoimmune responses. Patients with EAATD show cognitive dysfunction, seizures, and other neurologic deficits, with elevated antithyroid antibody and good responsiveness to steroid therapy. Here we described a case of a 26-year-old woman who presented with the characterstics of BBE and EAATD.
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KEYWORD
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Brain stem, Encephalitis, Autoimmune diseases, Thyroid diseases
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