Sharma Shri Ram, Sharma Nalini, Roy Debjit
Department of Neurology, NEIGRIHMS, Shillong, Meghalaya, India.
Department of Gynecology & Obstetric, NEIGRIHMS, Shillong, Meghalaya, India.
Ind Psychiatry J. 2018 Jul-Dec;27(2):302-304. doi: 10.4103/ipj.ipj_63_17.
While Hashimoto's encephalopathy (HE) is quite rare, it is also likely that there are many more undiagnosed sufferers. Because it is little known and its symptoms are primarily neurological, it is easy to misdiagnose or overlook and the symptoms frequently lead to mistaken neurological diagnoses. We report a case of a 21-year-old female diagnosed with HE at 6 months of gestation. She was successfully treated. HE is a neuropsychiatric disorder of exclusion. As a good response can be obtained with corticosteroid therapy, early diagnosis and treatment is very beneficial for patients. To the best of our knowledge, there is no such report in the literature.
虽然桥本脑病(HE)相当罕见,但很可能还有许多未被诊断的患者。由于其鲜为人知且症状主要为神经方面的,所以很容易被误诊或忽视,这些症状常常导致错误的神经科诊断。我们报告一例21岁女性患者,在妊娠6个月时被诊断为HE。她得到了成功治疗。HE是一种排除性神经精神障碍。由于皮质类固醇治疗可取得良好疗效,早期诊断和治疗对患者非常有益。据我们所知,文献中尚无此类报告。