Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
Hashimoto's encephalopathy (HE) is rarely reported with only a few hundred cases published. Diagnosis is made in patients with an appropriate clinical picture and high antithyroperoxidase (anti-TPO) antibodies after infectious, toxic and metabolic causes of encephalopathy have been excluded. There is little objective data on the neurocognitive impairment in patients with HE and their improvement with treatment. We present the case of a 28-year-old woman with HE. Approach to management was novel as objective neuropsychological assessment was used to assess her clinical condition and response to treatment. Intravenous immunoglobulin (IVIg) as the first-line treatment instead of steroids. She responded well. The case illustrates that a different approach is required for the diagnosis and treatment of HE. A new diagnostic criteria is proposed that includes neurocognitive assessment, serum and CSF antibodies, an abnormal EEG and exclusion of other causes of encephalopathy. Furthermore, treatment should be tailored to the patient.
Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
Stuart Jones合作论文数2Nemanja Stojanovic合作论文数2Khash Nikookam合作论文数2Edel Casey合作论文数2Nemanja D Stojanovic合作论文数1Nancy Enriquez合作论文数1Anna Hawkins合作论文数1Belayet Hossain合作论文数1Charlotte Fuller合作论文数1Fareeda Tabassum合作论文数1Kate Laycock合作论文数1Zahra Khatami合作论文数1Abhijit Chaudhuri合作论文数Department of Civil Engineering, Indian Institute of Science1
