Ryan S A, Kennedy C, Harrington H J
Department of Neurology, Mercy University Hospital, Cork, Ireland.
Case Rep Med. 2012;2012:782127. doi: 10.1155/2012/782127. Epub 2012 Jun 13.
Steroid response encephalopathy associated with autoimmune thyroiditis (SREAT), or Hashimoto's encephalopathy, is a rare disorder believed to be immune-mediated. It is most often characterized by a subacute onset of confusion with altered level of consciousness, seizures, and myoclonus. We describe the case of a 48-year-old gentleman who presented with confusion and dysphasia. Specific clinical features and laboratory results led to a diagnosis of Hashimoto's encephalopathy. This case highlights the core features of this condition and the potential for complete response to steroid therapy.
与自身免疫性甲状腺炎相关的类固醇反应性脑病（SREAT），即桥本脑病，是一种罕见的被认为由免疫介导的疾病。其最常见的特征是亚急性起病的意识模糊伴意识水平改变、癫痫发作和肌阵挛。我们描述了一名48岁男性出现意识模糊和言语困难的病例。特定的临床特征和实验室检查结果导致诊断为桥本脑病。该病例突出了这种疾病的核心特征以及对类固醇治疗完全反应的可能性。
