Encephalopathy Associated with Autoimmune Thyroid Disease Accompanied by Graves' Disease.
10.3904/kjm.2016.91.2.197
- Author:
Kyoung Sun PARK
1
;
Shin Hee LEE
;
Nam Yeol CHO
;
Yu Ah CHOI
;
Yun Myoung KO
;
Seon Woo NAM
;
Soo Min NAM
Author Information
1. Department of Internal Medicine, Daejeon Sun Hospital, Daejeon, Korea. sum1092@naver.com
- Publication Type:Case Report
- Keywords:
Graves disease;
Brain diseases;
Steroid
- MeSH:
Ataxia;
Brain Diseases;
Dementia;
Diagnosis, Differential;
Epilepsy;
Female;
Graves Disease*;
Humans;
Hypothyroidism;
Incidence;
Middle Aged;
Thyroid Diseases*;
Thyroid Function Tests;
Thyroid Gland*
- From:Korean Journal of Medicine
2016;91(2):197-201
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A patient with encephalopathy associated with autoimmune thyroid disease (EAATD), which is one of the most important differential diagnoses of treatable dementia, presents with various neurological symptoms, such as repetitive epileptic seizures, altered mental status, and cognitive dysfunction. Steroid treatment is effective for EAATD. The incidence of EAATD increases considerably with age, particularly in female patients. Most patients with EAATD have normal thyroid function test results or mild hypothyroidism. Patients with EAATD with Graves' disease are very rarely reported. Here, we report a case of a 63-year-old woman who complained of declining cognitive ability and ataxia. She was diagnosed with EAATD accompanied by Graves' disease. Her neurological symptoms improved after intravenous steroid administration.