Kaczmarczyk Aleksandra, Patalong-Ogiewa M, Krzystanek E
Katedra I Klinika Neurologii, Wydział Lekarski, Śląski Uniwersytetu Medyczny, Katowice, Polska.
Wiad Lek. 2016;69(6):768-772.
Hashimoto's encephalopathy (HE) is a rare neuropsychiatric syndrome associated with increased level of antithyroid antibodies. Two types of clinical manifestation can be described: a vasculitic type with stroke like episodes and diffuse progressive type with deterioration of mental function. Neurologic symptoms are present in euthyreosis as well as in thyroid dysfunction. Because of good response to immunosuppressive therapy, the prompt diagnosis and management of HE are crucial. In this study we present the review of current literature and discuss two representative cases.
桥本脑病(HE)是一种罕见的神经精神综合征,与抗甲状腺抗体水平升高有关。可描述为两种临床表现类型:一种是伴有类似中风发作的血管炎型,另一种是伴有精神功能衰退的弥漫性进行性类型。甲状腺功能正常及甲状腺功能障碍时均可出现神经症状。由于对免疫抑制治疗反应良好,因此对桥本脑病进行及时诊断和处理至关重要。在本研究中,我们对当前文献进行综述并讨论两个典型病例。