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KMID : 1100220050040010041
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Dementia and Neurocognitive Disorders
2005 Volume.4 No. 1 p.41 ~ p.44
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A Case of Hashimoto’s Thyroiditis Presenting with Progressive Encephalopathy as the Initial Symptom
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Kim Jin-Hyuck
Yu Kyung-Ho
Kim Yun-Jung
Min Yang-Ki
Park Jae-Seol
Lee Byung-Chul
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Abstract
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Encephalopathy associated with Hashimoto’s thyroiditis (Hashimoto’s encephalopathy) has been described as a syndrome of encephalopathy, high titers of anti-thyroid antibodies and steroidresponsiveness. In Hashimoto’s encephalopathy (HE), another core of laboratory feature is a hypoechogenic thyroid in ultrasonography. The clinical characteristics are usually subacute onset of progressive or relapsing mental deterioration, cognitive dysfunction, seizure, myoclonus, and stroke-like episode. We described a rare case of HE in whom progressive encephalopathy was the initial presenting symptom of Hashimoto’s thyroiditis associated with opsoclonic eye movement.
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KEYWORD
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Hashimoto’s thyroiditis, Encephalopathy, Anti-thyroid autoantibody
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