Q J Med 2003; 96: 455-457
© 2003 Association of Physicians
Correspondence |
Hashimotos encephalopathy: clinical, SPECT and neurophysiological data
Department of Neurology
Department of Nuclear Medicine
Sanjay Gandhi PGIMS
Lucknow
India
e-mail:
ukmisra@sgpgi.ac.in
ukmisra@indiatimes.com
| The first 10% of the full text of this article appears below. |
Sir,
Hashimotos encephalopathy is a rare life- threatening medical emergency which manifests in patients suffering from chronic lymphocytic thyroiditis. The first case was described in 1966.1 It may present with subacute or acute encephalopathy, seizure, myoclonus, tremulousness, stroke-like episode, amnesia or dementia.26 Hashimotos encephalopathy should be considered if encephalopathy is associated with high level of thyroid microsomal antibodies, even in the absence of known thyroid disease. We would like to report some clinical, MRI, SPECT and EEG changes in a patient with Hashimotos encephalopathy.
A 42-year-old lady had suffered from behavioural abnormalities (irritability, restlessness and myoclonic jerks) for 2 years. The myoclonic jerks involved the extremities,