title: Recurrent Hashimoto's encephalopathy, showing spontaneous remission: a case report.
abstract: Hashimoto's encephalopathy (HE) is a rare condition associated with Hashimoto's thyroiditis (HT). It is characterized by neurological/psychiatric symptoms, high levels of anti-thyroid antibodies, non-specific radiological examinations or electroencephalogram abnormalities, and responsiveness to corticosteroid treatment. We describe the case of a man with HE who showed decreased mentality, cognitive impairment, dysarthria, and gait disturbance. The initial attack was improved rapidly by corticosteroid treatment. When the symptoms recurred in 7 months, the patient achieved spontaneous remission without corticosteroid treatment. The recognition of the condition was essential for the prognosis and treatment of this rare disease.
authors.affiliation: Department of Endocrinology, the Affiliated Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, China. lihongheyi@126.com
authors.forename: Lin
authors.initials: L
authors.lastname: Li
authors.forename: Fen-Ping
authors.initials: FP
authors.lastname: Zheng
authors.forename: Guoxing
authors.initials: G
authors.lastname: Wang
authors.forename: Hong
authors.initials: H
authors.lastname: Li
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D001323:Autoantibodies / Q000097:blood; D001921:Brain / Q000473:pathology; D001927:Brain Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D003072:Cognition Disorders / Q000209:etiology; D004401:Dysarthria / Q000209:etiology; D004569:Electroencephalography; D004660:Encephalitis; D020233:Gait Disorders, Neurologic / Q000209:etiology; D050031:Hashimoto Disease / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011379:Prognosis; D012008:Recurrence; D012075:Remission, Spontaneous
chemical_list: D000305:Adrenal Cortex Hormones; D001323:Autoantibodies