Bickerstaff's Brainstem Encephalitis Accompanied by Encephalopathy Associated with Autoimmune Thyroid Disease (EAATD): Case Report and Review.
- Author:
Eun Jung PARK
1
;
Jung Hwan AHN
;
Young Shin CHO
;
Gi Woon KIM
;
Young Gi MIN
;
Yoon Seok JUNG
;
Sang Cheon CHOI
Author Information
1. Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea. avenue59@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Brain stem;
Encephalitis;
Autoimmune diseases;
Thyroid diseases
- MeSH:
Adult;
Ataxia;
Autoimmune Diseases;
Autoimmunity;
Brain Stem;
Consciousness Disorders;
Encephalitis;
Female;
Humans;
Neurologic Manifestations;
Ophthalmoplegia;
Reflex, Abnormal;
Seizures;
Thyroid Diseases;
Thyroid Gland
- From:Journal of the Korean Society of Emergency Medicine
2010;21(5):709-712
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bickerstaff's brainstem encephalitis (BBE) is characterized by a consciousness disorder, ophthalmoplegia and ataxia. Some patients with BBE show hyperreflexia, pyramidal signs and sensory disturbance. The pathophysiology of BBE is not proven; it is presumed that an autoimmune response has a key role. Encephalopathy-associated with autoimmune thyroid disease (EAATD) is another encephalopathy presumed to be related to autoimmune responses. Patients with EAATD show cognitive dysfunction, seizures, and other neurologic deficits, with elevated antithyroid antibody and good responsiveness to steroid therapy. Here we described a case of a 26-year-old woman who presented with the characterstics of BBE and EAATD.