Tateishi Yohei, Iguchi Yasuyuki, Kimura Kazumi, Aoki Junya, Uemura Junichi, Shibazaki Kensaku
Department of Stroke Medicine, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama 701-0192, Japan.
J Neurol Sci. 2008 Aug 15;271(1-2):203-6. doi: 10.1016/j.jns.2008.03.011. Epub 2008 May 13.
A 40-year-old woman was admitted to our hospital with disturbance of consciousness and seizure. We diagnosed encephalopathy associated with autoimmune thyroid disease (EAATD). Fluid-attenuated inversion recovery and diffusion-weighted MRI demonstrated hyperintense lesions in the left occipitotemporal lobe on admission, but these findings disappeared on day 11 without neurological deficits, compatible with posterior reversible encephalopathy syndrome (PRES). We report here this case of autoimmune thyroid disease presenting as PRES.
一名40岁女性因意识障碍和癫痫发作入院。我们诊断为自身免疫性甲状腺疾病相关脑病(EAATD)。液体衰减反转恢复序列和扩散加权磁共振成像显示入院时左侧枕颞叶有高信号病变,但这些表现于第11天消失,且无神经功能缺损,符合后部可逆性脑病综合征(PRES)。我们在此报告这例表现为PRES的自身免疫性甲状腺疾病病例。