Ophthalmoparesis mimicking myasthenia gravis as acute manifestation of Hashimoto’s encephalopathy
Anno:
2015
Tipologia prodotto:
Articolo in Rivista
Tipologia ANVUR:
Articolo su rivista
Lingua:
Inglese
Formato:
Elettronico
Referee:
Sì
Nome rivista:
JOURNAL OF MULTIPLE SCLEROSIS
ISSN Rivista:
2376-0389
N° Volume:
2
Numero o Fascicolo:
134
Intervallo pagine:
1-2
Parole chiave:
n/a
Breve descrizione dei contenuti:
Hashimoto’s encephalopathy is a rare steroid-responsive disorder in which neuropsychological and neurological symptoms are associated with Hashimoto’s thyroiditis. Recently, it has gained attention in the differential diagnosis of encephalopathy of unknown origin, although its pathogenesis is poorly understood. The diagnosis of Hashimoto’s encephalopathy rests upon the association of autoimmune thyroiditis and neurological symptoms after excluding more common diseases, but is a serious challenge in atypical cases. We here present a patient with isolated ocular disorder as presenting and unic feature of Hashimoto’s encephalopathy that resolved with steroids therapy. Brain MRI showed non-specific white matter abnormalities; EEG and an extensive neurophysiological investigation were normal. The diagnosis in this euthyroid patient was supported by the presence of serum anti-thyroid antibodies and the identification in the CSF of anti-dimethylargininase-I and aldehyde reductase-I autoantibodies. The description of atypical cases of this rare but certainly underestimated condition is clinically important and adds relevant information for the clinical practice.
Id prodotto:
118019
Handle IRIS:
11562/1031102
ultima modifica:
6 novembre 2022
Citazione bibliografica:
Mariotto, S; Bonetti, B; Donato, F; Micheletti, N; Zanoni, T; Moretto, G; Squintani, G,
Ophthalmoparesis mimicking myasthenia gravis as acute manifestation of Hashimoto’s encephalopathy«JOURNAL OF MULTIPLE SCLEROSIS»
, vol. 2
, n. 134
, 2015
, pp. 1-2