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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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At present, it is unclear whether antithyroid antibodies represent an immune epiphenomenon in a subset of patients with encephalopathic processes or they are really associated with pathogenic mechanisms of the disorder.

Onset is often gradual and may go unnoticed by the patient and close associates to the patients. How to cite this article. The rest of the physical examination was normal. Her mother, 2 sisters and a daughter have Hashitmoto’s thyroiditis, one sister also has vitiligo.

Hashimoto’s encephalopathy.

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. A relapsing encephalopathy occurring in association with Hashimoto’s thyroiditiswith high titers of anti-thyroid antibodies. Services on Demand Journal. Brain herniation Reye’s Hepatic encephalopathy Toxic encephalopathy Hashimoto’s encephalopathy.

Antithyroid antibodies in the CSF: Japan, and Depannient of Anatomy and Biology. She was maintained on oral prednisolone. Up to there were almost published case reports of this disease. Department of Medical Genetics. Thyroid hormone treatment is also included if required. Prion diseases are under compulsory notification in Brazil: Hashimoto’s encephalopathy mimicking Creutzfeldt-Jakob disease: Accepted 26 May 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.

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Hashimoto’s disease and encephalopathy.

Encefalopatja clinical presentation may suggest a diagnosis of Creutzfeldt-Jakob disease. This page was last edited on 16 Novemberat How to cite this article. Since then, about cases have been described Its two sub-types can co-exist: The recognition of the condition was essential for the treatment and regression of the clinical presentation.

Received 18 Junereceived in final form 1 September In this period there was a regression of all signs and symptoms. In some cases, Hashimoto’s encephalopathy can show rapidly progressive dementia, myoclonus, and electroencephalographic changes with periodic recurrence of the triphasic complexes encefalpoatia to those of Creutzfeldt-Jakob disease, which makes a differential diagnosis essential to both pathologies 4.

Encefalopatia de Hashimoto | SPEDM Journal

The main change in the CSF is the increase in total protein, that was mild in this case, and rarely some lymphocytic pleocytosis 2,4. Serology, cultures and diagnostic imaging did not indicate an infectious process. The symptoms were recurrent and reversible and were not associated with thyroid dysfunction 1.

To minimize the side effects of steroid therapy, in the second month the dose was reduced and azathioprine added, but due to hepato-toxicity encefallopatia was suspended. Consistent with this hypothesis, autoantibodies to alpha-enolase have been found to be associated with Hashimoto’s encephalopathy.

Hashimoto’s encephalopathy

Hypothyroidism, hormonal factors and cerebral hasyimoto could contribute for pathogenesis 2. Patients can have normal TSH and hypo or hyperthyroidism 2,4,8. The patients met the clinical criteria for Creutzfeldt-Jakob disease and were notified 8.


Infobox medical condition new All articles with unsourced statements Articles with unsourced statements from April The clinical improvement can occur on the first day, like in this case, but generally occurs within a week and up to 6 weeks 8.

This report emphasizes the importance of a differential encefaloaptia between the two pathologies. The responsiveness of HE to steroids or other therapies such as plasmapheresis supports the hypothesis that this is a disorder that involves immune pathogenic mechanisms. J Neurol Neurosurg Psychiatry ; Hashimoto’s disease and encephalopathy.

She had a history of hypothyroidism and did not use any medication. Recent studies have shown the presence of anti-thyroid antibodies in the CSF 5 and alpha-enolase antibodies in the serum of patients with Hashimoto’s encephalopathy, suggesting the involvement of an autoimmune mechanism in this condition 6.

Services on Demand Journal. The condition of the patient worsened with persecutory delusions, visual hallucinations, gait disturbance, tremor of the extremities, muscle spasms, and fluctuations in the level of consciousness.

Hashimoto’s encephalopathy HE is a controversial neurological disorder that comprises a bashimoto group of neurological symptoms that manifest in patients with high titers of antithyroid antibodies. MRI and cerebral angiography are normal in the majority of cases 2.