Abstract | INTRODUCTION: CASE REPORT: We describe the case of a 54-year-old male who was admitted to hospital because of several occurrences of transient neurological focus that finally developed into a clinical picture of aphasia, acalculia and right homonymous hemianopsia. The patient had previously been diagnosed as suffering from scleromyxedema, which responded poorly to treatment, as well as IgG kappa paraproteinemia and, six months before admission to hospital, Hashimoto's thyroiditis. No abnormalities were found in the complementary tests, except for slightly high protein levels in the cerebrospinal fluid, a diffuse slowing of brain waves in the electroencephalogram and alterations due to thyroiditis and paraproteinemia. Neurological symptoms improved after a few days of corticoid therapy. CONCLUSIONS: The presentation of encephalopathy as a stroke and its excellent response to treatment with corticoids pointed to a case of Hashimoto's encephalopathy, although we cannot completely rule out the possibility of it being a dermato-neuro syndrome, which is associated to scleromyxedema. In this paper we review the different pathological mechanisms proposed for the two clinical entities, as well as the clinical features that are similar in both syndromes and which could be an indication of some common mechanism shared by them.
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Authors | A G Caicoya, L Barco-Nebreda, J L González-Gutiérrez, J A Egido-Herrero |
Journal | Revista de neurologia
(Rev Neurol)
2004 Oct 16-31
Vol. 39
Issue 8
Pg. 723-6
ISSN: 0210-0010 [Print] Spain |
Vernacular Title | Asociación de encefalopatía de Hashimoto y escleromixedema: coincidencia o solapamiento de dos síndromes de posible origen autoinmune? |
PMID | 15514899
(Publication Type: Case Reports, English Abstract, Journal Article)
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Chemical References |
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Topics |
- Adrenal Cortex Hormones
(therapeutic use)
- Brain Ischemia
(diagnosis, drug therapy, etiology, physiopathology)
- Connective Tissue Diseases
(complications, immunology)
- Humans
- Male
- Middle Aged
- Nervous System Diseases
(diagnosis, drug therapy, etiology, physiopathology)
- Skin Diseases
(complications, immunology)
- Thyroiditis, Autoimmune
(complications, immunology)
- Treatment Outcome
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